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VHAN’s Care Management Team Helps Diabetes Patients With Long-Term Control

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.

VHAN Nurse Care Navigator Connects Patient to Post-Surgery Safety Net

Recently, a VHAN RN Care Navigator was able to connect an overlooked patient to much-needed follow-up care after a joint replacement. The 63-year-old female patient with comorbidities was admitted to a hospital for a planned knee replacement, expecting that she would be referred to a rehab facility at discharge. However, after spending a week in the hospital, she was sent home with no follow-up instructions. She understandably felt confused and disconnected from the system and worried about what would happen next—that’s where VHAN’s RN Care Navigator Cheryl Landis stepped in.

VHAN Care Management and Pharmacy Teams Partner to Help Patients Access Needed Medications

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.

VHAN Presents Community Health Worker Program Results to Aetna ACO Group

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.

How VHAN’s Care Management Team Prevents Caregiver Burnout

During a recent checkup call with a 75-year-old male patient with a history of stroke, a VHAN RN Care Navigator talked to the patient’s wife, who spoke of feeling stressed and overwhelmed. After working full-time and serving for some time as the primary income provider, she was exhibiting classic signs of caregiver burnout—exhaustion combined with feelings of hopelessness and isolation. Read the full article to learn more about how VHAN’s Care Management team helped this caregiver navigate a difficult situation.

Important Information About New Outpatient Treatment Options for COVID-19

As COVID-19 cases begin to increase again in the region, new outpatient treatment options are available that may lessen the severity of infection and reduce patients’ chances of being hospitalized or dying from the virus. VHAN encourages its members and their staff to learn more about these options to help educate themselves, their family members and their patients about their availability. Making use of these treatment options will be powerful in keeping COVID-positive patients out of the hospital, ensuring beds remain available for patients needing care of all kinds.

VHAN Social Work Team Connects Patients to Behavioral Health Support

For every 10 people who visit a doctor, it’s estimated that seven are seeking care for behavioral health-related reasons, such as depression, anxiety, diabetes management, weight loss or substance abuse. VHAN’s Care Management team facilitates collaborative care that is designed to bridge the gap between physical and mental health care, delivering the right kind of care where and when it is needed.

Recently, VHAN Social Workers were able to create a coordinated plan for psychiatric care, anger management and medication management while providing a patient with the support and encouragement he needed to take proactive steps to manage his physical and mental health.

VHAN Care Navigators Improve Patient’s Diabetes Management & Help Her Cope With Tragedy

VHAN’s Care Management team of registered nurses, Certified Diabetes Educators (CDE), social workers, pharmacists and Care Navigators work together every day to address the physical, mental, spiritual and social needs of patients. Recently, the team applied multidisciplinary efforts to help a patient heal from a hospital stay while simultaneously recovering from a personal tragedy—a fire that took her home and most of her belongings. Read the full article to learn more about how VHAN can help patients manage their health through the most difficult times.

5 Ways to Prioritize Prevention

Millions of people have delayed preventive health activities during the pandemic, leading health care providers to fear increasing rates of preventable diseases. VHAN has gathered solutions to make it easier for your patients to know about and catch up on these important screenings and immunizations and get their health back in gear.

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