VHAN recently received Cigna CAC performance results for PY21, and we are happy to announce that the network performed remarkably well compared to market and national rates across key measures. According to representatives from Cigna CAC, VHAN’s efforts to identify and list actions for preventive care initiatives and improvements, along with quality measure reports, patient outreach and best practice-sharing contributed to the favorable results. Read the article for a full list of VHAN’s achievements.

While VHAN Social Worker Mary Brooks has worked on dozens of memorable cases, a recent experience with one particular patient stuck with her. The patient was discharged from the hospital with an open wound and a significant recovery ahead. Unfortunately, when she arrived home, she found that her air conditioning was no longer working in the middle of a heat wave in West Tennessee. Read the full story to learn how Mary found a way to get the air conditioning fixed and built trust with her patient.

In the future, social determinants of health are expected to play a more prominent role in healthcare payer models as the industry continues to recognize their impact on patient outcomes and overall healthcare costs. What do you need to know about the social determinants that affect your patients?

Many who have cared for a loved one at the end of their life understand the role social workers can play in helping patients and families make their way through a stressful and emotionally charged time. Providing social work services for palliative and hospice care can be extra challenging, but for VHAN social worker team manager Cate Mart, LCSW, the connections she establishes with patients and their families make her job gratifying and worthwhile. Read the full article to learn how Cate helped one family make important end-of-life decisions.

For patients recovering from a recent hospitalization, trying to better manage a chronic disease or navigating a complex medical condition, VHAN’s Care Management program offers personalized care that goes beyond simply addressing physical symptoms. VHAN’s team of care navigators consider their mental, emotional and psychosocial needs as well, improving the patient experience and producing more positive outcomes. Read the full article for a real-world example of how VHAN Care Navigators go above and beyond to help patients.

To improve Erlanger Health System’s (EHS) AWV completion rate and deliver vital preventive care, the Erlanger Medical Group (EMG) quality team implemented an Annual Wellness Visit template and clinical education program in 2018. Since implementing the new process, Erlanger has experienced a year-over-year increase in total Medicare AWVs. Read the article to leverage best practices from the EMG quality team.

During the COVID-19 pandemic, the Department of Health and Human Services (HHS) waived or modified health regulations to better equip hospitals, primary care clinics and other care settings to help prevent and treat cases of COVID-19. Many of these waivers were tied to the Public Health Emergency (PHE), which is set to expire on May 11, 2023.

On April 12, VHAN held a Town Hall to discuss the implications of unwinding from the PHE, as well as ways you can adjust to these changes and sustain quality patient care with minimal interruptions. Read the full article for key takeaways and additional resources that can help you with the PHE expiration.

VHAN’s RN Care Navigators are trained to help patients find their way through a complex health care system. But beyond untangling health care’s confusing details, these professionals also exhibit compassion for every patient they encounter, listening and showing genuine concern that’s as powerful as any prescription. In the case of one patient, the care management team’s ability to listen closely had potentially life-saving results.

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!