VHAN’s Pamela Bruce, Director, Quality and Clinical Transformation, has joined the NAACOS Quality Committee. This committee evaluates quality initiatives and requirements related to ACOs, while focusing on the role of quality performance in population-based payment models. The NAACOS Quality Committee also works to develop and guide the NAACOS quality strategy as it relates to Medicare ACO models including the Shared Savings Programs and other payers with ACO contracts. Congratulations, Pam!

Coordinated care provides multiple touchpoints to ensure that no symptom goes untreated, and no patient falls through the cracks. At Vanderbilt Health Affiliated Network (VHAN), clinical pharmacists, social workers and nurse care navigators collaborate to deliver proactive, timely care to patients who need it most. 

For Population Health Clinical Pharmacist Lauren Cook, PharmD, BCPS, BCACP, VHAN’s cooperative approach means staying alert for complications that may arise unexpectedly with patients. Cook’s vigilance recently helped a 64-year-old blind patient avoid a potentially catastrophic health event.

Antibiotics prevent millions of deaths each year, fighting bacterial infections that could otherwise lead to serious complications or even death. But after years of overuse and inappropriate prescription, various bacteria have become increasingly resistant to antibiotics. To ensure optimum use of antibiotics and other antimicrobial drugs at Vanderbilt University Medical Center (VUMC), a team of physicians and pharmacists created the Vanderbilt Antimicrobial Stewardship Program (VASP). Learn more about the program’s successes in this case study.

At least 30% of outpatient-prescribed antibiotics are unnecessary, sometimes leading to ER visits for adverse drug events in patients of all ages. To increase the appropriate use of antibiotics and decrease the threat of antibiotic resistance, VHAN has launched a new Antibiotic Stewardship Program, focusing on Upper Respiratory Infections (URIs) in the first phase.

The Centers for Medicare & Medicaid Services (CMS) issued a final rule on Nov. 1 that updates the physician fee schedule for calendar year 2023. The rule also includes numerous changes that directly impact the Medicare Shared Savings Program and the Quality Payment Program (QPP).

VHAN’s Care Management team often works with patients in the Diabetes Outreach Program to assist them in overcoming health obstacles that can stand in the way of positive outcomes. This was the case with a recent patient who was unable to complete the program due to difficulty having his labs drawn. VHAN Patient Service Specialist Lisa Fatzinger stepped in to offer direct communication and additional support, eventually helping him to complete the program successfully.

Coinciding with VHAN’s 10th anniversary, the third season of the miniVHAN podcast looks back at the unique vision for VHAN and how the network launched amidst a major transition in health care from fee-for-service to value-based care following the signing of the Affordable Care Act in 2010.

As the cost of prescription drugs continues to rise, patients’ refusal or inability to pay for costly medications contributes to an estimated 125,000 deaths every year. VHAN’s Care Navigators often take a closer look at patients’ medications and collaborate with the VHAN Pharmacy team to ensure patients are taking the most effective, affordable medications.

Earlier this year, VHAN staff presented on VHAN’s Community Health Worker (CHW) pilot during Aetna’s quarterly Provider Clinical Transformation Webinar Series. The pilot, launched in 2019, was designed to improve access to care and resources for obstetric patients at Gallatin Women’s OBGYN Center (GWC) in Gallatin, Tennessee, which has a large prenatal patient population with approximately 350 babies born annually. The CHW pilot was designed to help with resource referrals and interventions for patients who need assistance with access to health care, physical and behavioral health support, and social determinants such as homelessness, food insecurity and unemployment. During the Aetna presentation, VHAN shared some initial results of the pilot.