Deloitte recently released a 20-page report on the healthcare industry's current views on post acute care. It's called Viewing post-acute care in a new light--Strategies to drive value. You can download the full report here.
The premise is that post-acute care hasn't always been a top priority for healthcare organizations. But, things have changed. Today's value-based care initiatives demand that care providers take a closer look and find out how to best incorporate post-acute care.
While the entire report is valuable and we encourage you to dive in, for your convenience we've pulled a handful of themes supported by compelling quotes and stats from the paper.
Theme 1: Healthcare system and post acute leaders realize they need to be more intentional in building quality partnerships.
- “In the old days, when we discharged patients from the hospital, you had this: ‘Good bye and good luck. Nice knowing you. Hope everything is great. Drop us
a postcard sometime.’ The future is that we are still responsible for that patient. Whether you own the facility, operate it, or not, you are now financially accountable.” —Health system executive
- “It’s clear that we have an opportunity in terms of quality and cost [with post-acute care]. It’s clear that we are not transitioning patients out of acute well.”
—Health system executive
- “Get your post-acute care partners involved in the full spectrum of care. Because together you’re responsible for the care of your patients.” —Health system physician executive
- “I do not believe the goals of ACA can be achieved without a strong post-acute care industry.” —Post-acute care executive
Theme 2: Post-acute still has work to do.
- “What is accepted in post-acute care would be considered catastrophic if that level of variability existed in hospitals or physician offices.” —Post-acute care executive
- Medicare spends nearly $60 billion per year on post-acute services, or 12 percent of its annual expenditure, according to MedPAC's June 2016 health care spending data book. Nearly all of executives interviewed for Deloitte's paper cite the fragmented state of post-acute care. With fragmentation comes variability, which can mean wide differences in cost, utilization and quality.
- “The average physician probably cannot tell you with a good deal of accuracy the differences between IRF, SNF, assisted living, home health or hospice... Not to speak negatively of my physician colleagues; I don’t think I understand those differences very well.” —Health system physician executive
Theme 4: Care coordination, technology and analytics can help. (Did we mention we provide the post acute space--home health specifically--with analytics-based technology that enables improved care coordination?)
- “Interestingly, ACOs and bundles are trying to do what health plans have been doing for years. The game in health care is... what is the most appropriate setting and appropriate LOS for every patient? Health plans [and we'd say Medalogix...sorry for the shamelss plug] are good at making that call because they have been collecting and studying that data for a while.” —Post-acute care executive