Medicare’s fee for service payment for post-acute care amounted to $60 billion in 2015 (Med PAC). Utilization pattern in post-acute is largely dictated by geographical variations. Nearly 22.3% of all patients discharged from acute care hospitals require post-acute care (AHRQ). The post-acute industry is fragmented and boundaries of the industry span all services offered to patients post discharge from the hospital by non-acute care hospital providers.
Only 7% of the hospitals believed that there is coordination between them and the post-acute organizations serving their patients (NJEM, 2016). As acute care hospitals have made the transition towards value based care; there has been almost no movement in post-acute industry to increase value. The industry remains largely fragmented and consists of thousands of smaller providers with very little coordination.
My objective is to transform the post-acute services delivered by our organization and implement value based healthcare by integrating, improving outcome and reducing cost. There are several challenges, biggest of which is our small size which present a barrier on focusing on relatively narrow set of conditions. Our small size also challenges in our ability to invest in IT infrastructure. The small size also is an asset for us as we undertake this journey since we can make required decisions quickly and allocate resources where needed.