OCHIN, Inc.’s Post

Don't be fooled. Value-based care won't come to you! You need to go to value-based care! How? By weaving together the principles of data, population health management, operations, finance, and change management. Yes, it's challenging, but it's worth it. If you're at the annual #FACHC conference in late July, Carrie T. and I will show you the how, and hear from Syntax Health and Austin Helton about the #VBC #contracting, #data and the impressive results we've achieved. #VBC #ValueBasedCare #valuebasedhealthcare #data #PopulationHealthManagement #pophealth #healthcarefianance #change #changemanagement

Senior Living + Value Based Care = ? Loved the discussion around the opportunities for Senior Living around/in value based care yesterday at Argentum. Mark Price, Stephanie Boreale, Alan Fairbanks, and Justin Schram, MD brought tremendous energy, dialogue, and data regarding the future of VBC in our industry. If you want to bring VALUE to your residents, communities, and organization, look no further than Curana Health.

🌟 Thrilled to have Professor Sir Liam Donaldson, Chair of the North East and North Cumbria Integrated Care Board, share his insights on the transformative Boost learning and improvement community. 📽️🤝 Learn more at www.boost.org.uk #BestAtGettingBetter

🌟 Thrilled to have Professor Sir Liam Donaldson, Chair of the North East and North Cumbria Integrated Care Board, share his insights on the transformative Boost learning and improvement community. 📽️🤝 Learn more at www.boost.org.uk #BestAtGettingBetter

Gathering client info should be creative and energizing - for all!

Did you catch the WKYC news segment featuring a community health worker (CHW), Fonda McLaine, and her client, Nadine Head, discussing "Addressing Cardiometabolic Health Inequities by Early Prevention in the Great Lakes Region" (ACHIEVE GreatER)? This research project, funded by the National Institutes of Health, is a multi-stakeholder partnership among Better Health Partnership, Case Western Reserve University, University Hospitals, Wayne State University and the Cuyahoga Metropolitan Housing Authority (CMHA), operating in both Cleveland and Detroit. The goal of ACHIEVE GreatER is to reduce cardiovascular complications and hospitalizations for Black patients living in public housing, and who are at risk of heart disease, by improving blood pressure, lipid, and glucose targets. The project, which seeks to determine the impact grassroots efforts can have to address cardiovascular health disparities, pays for community health workers, nurses and care coordinators to work with clients living in CMHA units and coordinate their care with clinical providers and other community resources. Better Health Partnership (BHP) is partnering with University Hospitals to offer a sustainable model for funding CHWs beyond the 5-year grant cycle via the Better Health Pathways HUB. Learn more: https://hubs.la/Q02p82PL0

Did you catch the WKYC news segment featuring a community health worker (CHW), Fonda McLaine, and her client, Nadine Head, discussing "Addressing Cardiometabolic Health Inequities by Early Prevention in the Great Lakes Region" (ACHIEVE GreatER)? This research project, funded by the National Institutes of Health, is a multi-stakeholder partnership among Better Health Partnership, Case Western Reserve University, University Hospitals, Wayne State University and the Cuyahoga Metropolitan Housing Authority (CMHA), operating in both Cleveland and Detroit. The goal of ACHIEVE GreatER is to reduce cardiovascular complications and hospitalizations for Black patients living in public housing, and who are at risk of heart disease, by improving blood pressure, lipid, and glucose targets. The project, which seeks to determine the impact grassroots efforts can have to address cardiovascular health disparities, pays for community health workers, nurses and care coordinators to work with clients living in CMHA units and coordinate their care with clinical providers and other community resources. Better Health Partnership (BHP) is partnering with University Hospitals to offer a sustainable model for funding CHWs beyond the 5-year grant cycle via the Better Health Pathways HUB. Learn more: https://hubs.la/Q02p82Sp0

Did you catch the WKYC news segment featuring a community health worker (CHW), Fonda McLaine, and her client, Nadine Head, discussing "Addressing Cardiometabolic Health Inequities by Early Prevention in the Great Lakes Region" (ACHIEVE GreatER)? This research project, funded by the National Institutes of Health, is a multi-stakeholder partnership among Better Health Partnership, Case Western Reserve University, University Hospitals, Wayne State University and the Cuyahoga Metropolitan Housing Authority (CMHA), operating in both Cleveland and Detroit. The goal of ACHIEVE GreatER is to reduce cardiovascular complications and hospitalizations for Black patients living in public housing, and who are at risk of heart disease, by improving blood pressure, lipid, and glucose targets. The project, which seeks to determine the impact grassroots efforts can have to address cardiovascular health disparities, pays for community health workers, nurses and care coordinators to work with clients living in CMHA units and coordinate their care with clinical providers and other community resources. Better Health Partnership (BHP) is partnering with University Hospitals to offer a sustainable model for funding CHWs beyond the 5-year grant cycle via the Better Health Pathways HUB. Learn more: https://hubs.la/Q02p82LZ0

Did you catch the WKYC news segment featuring a community health worker (CHW), Fonda McLaine, and her client, Nadine Head, discussing "Addressing Cardiometabolic Health Inequities by Early Prevention in the Great Lakes Region" (ACHIEVE GreatER)? This research project, funded by the National Institutes of Health, is a multi-stakeholder partnership among Better Health Partnership, Case Western Reserve University, University Hospitals, Wayne State University and the Cuyahoga Metropolitan Housing Authority (CMHA), operating in both Cleveland and Detroit. The goal of ACHIEVE GreatER is to reduce cardiovascular complications and hospitalizations for Black patients living in public housing, and who are at risk of heart disease, by improving blood pressure, lipid, and glucose targets. The project, which seeks to determine the impact grassroots efforts can have to address cardiovascular health disparities, pays for community health workers, nurses and care coordinators to work with clients living in CMHA units and coordinate their care with clinical providers and other community resources. Better Health Partnership (BHP) is partnering with University Hospitals to offer a sustainable model for funding CHWs beyond the 5-year grant cycle via the Better Health Pathways HUB. Learn more: https://hubs.la/Q02p82QQ0

Deeply honored to be partnered with this amazing group from University of St Andrews, The University of Edinburgh, NHS Fife, NHS Highland and so many others on highly significant work managing acute unscheduled and end-of-life care. 🔍 The project emerged amid unprecedented pressure on the country’s unscheduled care services, driven by workforce shortages, demographic changes, and widespread multimorbidity (when a person has two or more long-term health conditions). In 2022, Accident & Emergency waiting times hit record levels, and over a quarter-million calls to NHS24 went unanswered. Alongside these services, unscheduled care also includes General Practice Out-of-Hours (GPOOH) and the Scottish Ambulance Service (SAS). 🩺 Research shows that one group frequently using these services is individuals in their last year of life. Although essential, unscheduled care often isn’t the most appropriate option for them, relying on a reactive approach rather than nuanced, anticipatory, and coordinated planning. This can lead to fragmented, expensive, and less effective care, causing additional distress to patients and their families. 💡 Our program will leverage machine learning and artificial intelligence to analyze existing healthcare data and predict future patterns of unscheduled care use by patients in their last year of life. This will help identify those who may need social care reviews, prescribing interventions, or other anticipatory care measures, ultimately reducing their reliance on unscheduled care. 🌟 Excited to be part of this transformative initiative! #HealthcareInnovation #AIinHealthcare #PatientCare #EndOfLifeCare #UnscheduledCare Yale School of Medicine Yale Emergency Medicine Yale Biomedical Informatics & Data Science Yale School of Public Health