Improving care for people with multiple chronic conditions that are often complicated by patients’ limited ability to care for themselves independently and by their complex social needs will help improve the performance of the health system. This coaching call will provide an opportunity for attendees to ask questions and/or share strategies relating to improving care coordination for super utilizer patients.
Clinics, hospitals, pharmacies, home health, hospice, public health, consumers and families, and all community partners who will benefit from a discussion addressing super-utilizer patients.
Upon completion of this webinar, participants will be able to:
- Define key strategies to implement complex care teams in your health system and community
- Identify key data and metrics for program measurement
- Describe the role of technology, non-traditional workforce and patient-stated goals in complex care management
Lara Shadwick, MBA
Mountain Pacific Quality Health
Lara Shadwick, MBA, joined Mountain-Pacific Quality Health in December of 2014. Applying her wide range of management experience, Lara provides leadership and coordination in some of Montana’s largest communities to reduce unnecessary hospital admissions and readmissions. She works collaboratively with health care providers, health systems leadership, partners and stakeholders to build community coalitions and implement data-driven interventions, share communication tactics and coordinate services to improve healthcare systems and save healthcare dollars. Lara also wrote for and earned Mountain-Pacific Quality Health a nearly one-million-dollar award from the Centers for Medicare & Medicaid Services (CMS) to implement the special innovation project “Resourcing for Super-Utilizers in a Rural Setting: An Application of Hotspotting Philosophies.” By introducing this model into the communities in which she already facilitates collaboration and quality improvement, healthcare providers will identify and better support high-cost, high-needs Medicare patients who are “super-utilizers” of health care services, furthering the statewide goal to reduce avoidable hospital admissions and readmissions.