Patient Assessment/Population Management Expertise

PACCR has access to the leading tools for population management including:

  • Statistics on episode/bundling costs
  • Tools and evidence on best practices for clinicians, including the INTERACT tool, Transitions tools, Patient Assessment tools, Patient Engagement tools, Caregiver resources
  • Evidence-based information on geriatric competencies; improving nursing facility and home health quality of care, resources for identifying high quality providers
  • Outcome measurement tools, including the latest information on patient assessments, functional measurement, as well as resources to consider the uses of patient-reported outcomes, clinician assessed outcomes, patient/family preferences and other issues related to measuring value or cost-effective access to appropriate care
  • Resources on provider quality metrics, including those used at the Federal and state levels in ACOs, inpatient rehabilitation hospitals, long term care hospitals, nursing facilities, home health agencies, therapy practices, physician practices, and long term services and supports programs
  • Health information technology opportunities, including the latest information from the Office of the National Coordinator, national and local innovations occurring in PAC population management, transition management programs, HIEs, and other efforts supported by private sector leaders, such as Intel and others supporting LTPAC and Health IT integration