BPCI — Preparing for the Future Now
The Avamere Family Companies predicted significant changes to the health care operating environment more than 15 years ago. We adopted the concept of a continuum of care and began to build out community- centered care networks that led to alignment between consumer expectations and our product and service offerings, while most others continued to focus on single purpose operations. Our predictions and early planning efforts turned out to align with the Institute for Healthcare Improvement’s Triple Aim. The Avamere Family of Companies was already well on our way to changing the way we deliver care to align with value-based reimbursement models, creating new systems of care and strengthening partnerships outside of our networks to foster healthier communities.
In April of 2015, the Avamere Family of Companies was officially selected by the CMS to become one of the few post-acute care providers in the Pacific Northwest and Western/Mountain regions to join one of the new reimbursement models. We were awarded status as a Model 3 convener in Bundled Payment for Care Improvement (BPCI). Post-acute care organizations participating in BPCI assume financial risk for episodes of care, which compels providers to work more closely with community health partners to coordinate care and produce quality and cost-effective outcomes.
As a Model 3 convener, Avamere was granted access to three years of 90-day cost of care data. Through a comprehensive analysis of the data, we gained significant insight into how effective we were in improving costs, outcomes and patient experience. We learned that Avamere was already almost 8% better than the target baselines.
We also determined several interesting facts: 72% of patients discharge from a skilled nursing facility within two weeks of admission; and 6% of patients have more than 1 hospital re-admission but account for approximately 70% of readmissions costs. These are just a sample of many insights and observations that aided our research and development teams in evolving our care practices, creating dynamic new clinical tools, and educating clinical and support staff on care redesign initiatives.
IBM — Predicting the Future Now
Avamere is working with IBM researchers to monitor movement, air quality, gait analysis, factors that could lead to fall risk, and daily activities, including personal hygiene, sleeping patterns, incontinence and trips to the bathroom. IBM will then leverage its cognitive computing to analyze this streaming sensor data to help Avamere create and maintain a contextual understanding of its residents. Click here to read more.
John W. Morgan, former CEO Avamere Family of Companies, discusses the research project on IBM’s Age and Ability blog. Click here to read more.
TIME writes about Avamere and IBM’s partnership in the context of aging and affordability. Click here to read the article.
“Our goal here is keeping individuals in their homes as long as possible,” John Morgan, former Avamere CEO, tells Business Insider. “But when there is a requirement to intervene, we’d love to do that as early as possible, because the outcomes are significantly better.” Click here to read the full article.
“By analyzing data streaming from sensors in senior living facilities, Avamere hopes to gain insights into physical and environmental conditions, and obtain deeper learnings into the factors that affect 30-day hospital readmission rates in patients.” Click here to read the full article.
IBM and Avamere are jointly interviewed on the goals of the research project. Click here to read the full article.
Senior Housing News interviewed former Avamere CEO John W. Morgan and Infinity Rehab President Mike Billings about the IBM pilot project. Click here to read the full article.