Key to any community-based high utilizer program is a method of common communication across community resources.
CBCS works effectively with very efficient community IT platforms to promote shared client information in a HIPAA-compliant fashion. We strive to assure that pertinent information (including CBCS Care Plans) are made available to appropriate providers and community resources in an efficient and timely manner.
In an ideal system, all hospitals and outpatient providers within a community are engaged with the local IT system. This allows for real-time compliant information sharing of pertinent information such as patient care plans, state prescription monitoring information, patient visit histories, and care alerts across all providers within a community.
This information is stored by the IT system, and immediately accessed and made available to end-use providers such as the Emergency Department and/or OutPatient Providers at the moment of a patient’s registration at a facility. In addition to providing staff with succinct and pertinent patient information, said systems also provide resource information on individual clients that can assure effective follow-up care is arranged.
CBCS has years of experience with a variety of IT systems; it promotes the use of “best of breed” products that make such information available in real-time, with information typically available to emergency department providers before clients are even brought back to their assigned room to be seen!
Our Exclusive IT Partner
To help facilitate greater success, CBC Solutions works with Collective Medical to make this critical information sharing possible.
The Collective platform connects members of a patient’s care team together—hospitals, emergency departments, primary care, specialists, behavioral health, post-acute care, and health plans—for seamless collaboration, especially for patients with complex needs or conditions.
Built on Collective’s broad nationwide network, the platform gives providers useful real-time information about any on-network facility at which their patients have an encounter regardless of state or region. Tens of thousands of diverse providers depend on Collective to help them collaborate on their patients’ needs. Every day in the EDs across the country, providers incorporate Collective’s network information into their clinical decision making, ensuring their patients receive the most informed care.
Substance Use Disorder Report
Collective Medical empowers providers to identify and support patients struggling with substance use disorder. The platform connects patient utilization and prescription histories across providers and care settings to flag patients at risk for substance use disorder and delivers a condensed view of key factors that could be contributing—including mental or behavioral diagnoses or social determinants of health. Collective has helped hospitals like Mat-Su Regional Medical Center in Palmer, Alaska reduce opioid prescriptions written by nearly 80 percent within three years of implementation.
In addition, Collective’s network helps providers connect and collaborate with other resources on the path to recovery, such as SUD clinics, behavioral health providers, and community resources. This collaboration has helped boost retention rates for medication-assisted treatment (MAT) programs, allowing Bartlett Regional Hospital, as an example, to achieve a 63.6 percent retention rate—15 percent higher than the national average.
Emergency Department Optimization
Leveraging its long-standing strength in the ED, Collective empowers ED staff to improve patient outcomes by minimizing unnecessary ED utilization, streamlining care for quicker visits, and increasing cost savings for both patient and provider. By delivering real-time, actionable care notifications, Collective alerts hospital staff of patient histories, care guidelines, allowing providers to quickly identify both problems and solutions for the patients they see. Its collaborative functionality allows providers across the medical neighborhood to coordinate together on caring for vulnerable or complex patients, connecting them to the most appropriate care provider and ensuring the best patient outcomes.
At Legacy Salmon Creek Medical Center in Washington, Collective helped reduce ED encounter rates for patients with high utilization by 81 percent. Using the same collaborative approach, St. Anthony reduced its ED Left Without Being Seen (LWBS) rates from 6 percent to 2 percent and reduced unnecessary ED utilization by patients with a pattern of high utilization from 17 percent of overall visits to just 4.25 percent.
The state of Washington also implemented Collective into its hospitals to reduce unnecessary ED utilization. Within one year of implementation, results showed statewide a statewide 10 percent drop in total Medicaid ED encounters year-over-year, a 24 percent reduction in ED visits with opiate prescriptions, and $34 million in total savings.
Behavioral Health Integration
Collective helps hospitals achieve better patient outcomes for those struggling with mental or behavioral health concerns. With groundbreaking consent functionality, Collective allows real-time collaboration between behavioral health clinics, hospitals, health plans, primary care providers, and community resources to help vulnerable patients with mental health concerns get the care they need.
This collaboration has helped providers at Northwest Physicians Network connect patients struggling with mental health needs to the appropriate mental health providers—reducing 911 calls by 44 percent and avoidable ED visits by 36 percent. In a pilot run by Sturdy Memorial Medical Center, ED utilization from behavioral health patients dropped 78 percent with care collaboration between the hospital and behavioral health case managers through Collective.
Workplace Violence Prevention
Collective empowers healthcare providers to take control of the safety of their workplace by notifying care teams in real-time when a patient poses a potential security or safety risk. The platform captures reports of violence—including physical assault, verbal threats, theft, sexual assault, and self-harm—flags them, and houses them on the platform. Then, when a patient presents with any of those flags, Collective pushes a notification through to hospital and security staff through text, email, or fax machine, allowing the staff to respond appropriately and prevent a repeat violent episode.
Value-Based Care Optimization
Providers participating in Collective’s value-based care program can improve transitions of care and reduce readmissions by identifying at-risk patients and collaborating in real-time with other providers to support these patients post-discharge. Collective connects hospitals with skilled nursing facilities, home health agencies, and other post-acute providers to ensure each patient receives follow-up care in the most appropriate care setting(s). Organizations can send and receive important information regarding patient care plans, key collaborative providers, and possible patient risks to ensure everyone has exactly what they need to make transitions of care seamless and successful.
By using Collective to facilitate care collaboration, CHI St. Anthony Hospital reduced all-cause 30-day readmissions by 78 percent. Using a similar approach, staff at Legacy Salmon Creek Medical Center in Washington reduced all-cause 30-day readmissions by 24.9 percent. Likewise, Torrance Memorial Medical Center reduced its all-cause readmissions 57 percent during its first six-month preliminary trial.
Collective has also helped ACOs with value-based care programs by facilitating better follow-up post discharge and collaborating care for complex patients. Columbia Medical Associates in Spokane, Washington saved $6.5 million in care costs after one year of implementation and achieved a 15 percent reduction in ED utilization per 1,000 paneled patients and a 7 percent reduction in avoidable ED admissions.
In addition to violence risks, the platform also tracks other safety risks, including infectious diseases. Logging and tracking these incidents within the platform simplifies and unifies reporting, which helped CHI St. Anthony Hospital in Pendleton, Oregon increase workplace violence reporting rates by 20 percent and qualify for funding to establish a much-needed security facility. In addition, the use of the platform helped Sutter Medical Center Sacramento reduce both physical and verbal assault by 40 percent.
