CHI Health Partners Kearney chapter was formed in 2013, and we've focused on creating clinical initiatives that will help local providers achieve the triple aim: improved health of the population, decreased per capita cost and improved patient experience.
My hope is that the clinical, financial and claims data that CHI Health Partners provides will help you practice more efficiently. I'm here as a resource for you; please contact me if you would like to discuss any CIN issues, activities or programs.
- Ken Shaffer, MD, CHI Health Partners Kearney Medical Director
Care coordination in a patient-centered medical neighborhood involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer, more effective care. The coordination involves communication among everyone involved with the patient, including hospitals, doctors, nurses, pharmacies, physical therapists, and the patient.
CHI Health Partners Kearney works closely with CHI Health Good Samaritan to contact individuals who have been discharged from the hospital.
CHI Health Partners Kearney uses a bilingual Certified Social Worker trained as a Community Health Worker to address any socio-economic needs of patients in the community, using a Pathway Model developed in Ohio by Dr. Mark Redding.
CHI Health Partners Kearney collaborated with Buffalo County Community Partners to provide services to 250 diabetic patients over the past three years using a Community Health Worker to help patients address barriers that negatively impacted their ability to manage their health care condition.
Program outcomes included:
CHI Health Partners Kearney's Health Education program encourages consistent and evidence-based health education throughout the continuum of care, from home to clinic to hospital, and empowers individuals to become better managers of their overall health.
Living Well Classes
Living Well is an evidence-based Chronic Disease Self-Management program developed by Stanford University. The program is an interactive workshop consisting of six sessions that help people with ongoing health conditions learn real-life skills for living a full, healthy life. Participants learn how to take small steps toward positive changes and healthier living. The workshop helps to build participant confidence and improve their ability to manage day-to-day life with a chronic disease.
CHI Health Partners Kearney also facilitates health care teams focused on clinical initiatives that encourage community and patient involvement. These initiatives provide networking and connections to other community resources, which helps reduce patient barriers.
CHI Health Partners Kearney offers at home monitoring for reporting vital signs. Studies show that individuals monitoring their own blood pressure, weight, oxygen saturation, and blood sugar demonstrate increased ownership of their health and better stabilization of their illness.
CHI Health Partners Kearney leases Honeywell electronic home monitoring devices, or patients can use equipment that they already have at home. Individuals use the monitor and associated peripheral devices to take their blood pressure, weight, and oxygen saturation, which is automatically transmitted to a web-based database. Any vital signs that are outside the standard parameters are reviewed by the heart failure nurse; a follow-up telephone call determines if an individual needs to be seen by their health care provider.
CHI Health Partners Kearney also provides heart failure calendars for manual daily documentation of vital signs and education on heart health topics such as medication, diet, and activity level. The individual calls their vital signs into CHI Health Partners Kearney and the heart failure nurse works with the individual and their health care provider to better manage their health.
Applying for prescription assistance programs can be complicated and time consuming for patients due to varying qualifications, criteria, and processes with each pharmaceutical company.
CHI Health Partners chapters in Kearney and Omaha offer a prescription assistance program to help physicians and their patients navigate the pharmaceutical company application process for many brand-name medications. These programs are called Medication Access Program (MAP) in Kearney and Prescription Assistance Program (RxAP) in Omaha.
RxAP/MAP Services can include:
In Kearney, the Medication Access Program helps fill 4,000 to 5,000 prescriptions for approximately 1,500 to 2,000 patients in a typical year. From July 1, 2003 to June 30, 2014, MAP provided more than 60,000 prescriptions with a total prescription cost of $26.3 million dollars. The average annual savings for patients in the Kearney community is $2.39 million per year.
CHI Health Partners Kearney providers and/or population health coaches can refer patients to the program.
We understand that health care providers are being pressed to do more in less time. CHI Health Partners provider relations team assists our members with a variety of payor matters, so that they can continue to focus on providing the best possible patient care.
CHI Health Partners provider relations services include:
If you are a health care provider or affiliated with a health-care facility interested in joining CHI Health Partners, please complete an application.
CHI Health Partners Kearney performs delegated credentialing for the third party payors with whom it is under contract.
CHI Health Partners Kearney performs primary source verification services for third parties (credentialing clients) using national best practices and standards approved by the accrediting bodies of NCQA, URAC, the Joint Commission, AAAHC, and federal and state regulations.
These credentialing clients contract with CHI Health Partners Kearney to perform primary source verification for the client’s own purposes, such as the client’s medical staff appointments. CHI Health Partners Kearney creates an information file which includes verification of the providers’ education, residency programs, etc.
CHI Health Partners Kearney does not advise any credentialing client as to whether it should (or should not) employ or appoint an individual to the client’s medical staff. Each credentialing client makes its own independent decision whether to appoint a physician or allied professional to its medical staff.