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Quality Performance: Opportunities to Improve Medication Adherence

Several of VHAN’s contracts include triple-weighted measures, which have a larger impact on quality results. Medication adherence is particularly important, as it is triple weighted across all Medicare Advantage (MA) contracts. Additionally, medication adherence provides an opportunity for year-round focus and impact, unlike other measures that may be addressed at certain times throughout the year. VHAN’s Pharmacy Team offers tools to help your patients with medication adherence.

On the Hub: Behavioral Health Tools for Young Patients

Returning to school can cause some children and teens anxiety, stress and depression. As young patients return to school next month, be prepared to offer them and their caregivers behavioral health support should the need arise. Read the full article for a complete list of resources VHAN offers members, patients and their caregivers.

CMS Announces Nearly 400 New Diagnosis Codes

CMS announced 395 new ICD-10-CM codes, set to take effect on October 1, 2023. The new codes must be used for discharges occurring from October 1, 2023 through September 30, 2024 and for patient encounters occurring from October 1, 2023 through September 30, 2024. Read the full article for some key codes your staff should be aware of.

What You Need to Know About Social Determinants of Health

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?

VHAN Social Worker Advocates for Patient’s End-of-Life Care Decisions

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.

VHAN Spotlight: Meet Beverly Puckett

For the past seven years, VHAN’s Beverly Puckett has served as a connection between the network and pediatric practice members who have contracted lives enrolled with VHAN. Learn more about her work as a Principal Clinical Quality Transformation Advisor.

VHAN Social Worker Connects Pediatric Patient to Needed Behavioral Health Services

Adolescence, those formative years between childhood and adulthood, can be a confusing and sometimes challenging time as young people go through changes both emotional and physical. It’s also a time of discovery as they learn to form their individual identity. A big part of that journey is sexuality, finding where they fit in and how they identify on the spectrum. VHAN Social Workers support young patients through all stages of life, providing behavioral health referrals when needed along the way.

VHAN Care Navigators Consider Full Spectrum of Patient Needs

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.

How Erlanger Health System Improved Its AWV Completion Rate

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.

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