PHILADELPHIA--(BUSINESS WIRE)--Turn-Key Health (TKH), an advanced illness population health management (PHM) company serving payers and their members, will exhibit at AHIP’s Institute & Expo 2017, Austin, TX, June 7 – 9, 2017 and showcase the capabilities of a new model that leverages its proprietary Palliative Illness Management (PIM) predictive analytics to identify and engage with members by activating community based palliative care teams. TKH points to five essential capabilities that health payers should look for in their advanced illness management efforts:
- Get ahead of negative quality and cost trends by utilizing sophisticated predictive analytics to identify patients well before they experience a costly over-medicalized or inappropriate death
- Maximize efficacy by deploying specially trained professionals to engage with members facing an advanced illness
- Ensure high quality and member satisfaction by standardizing approach and practice via electronic palliative care records and reporting
- Create meaningful linkage between identification, engagement, enrollment and intervention
- Maximize ROI by convening existing palliative professionals in the community to solve for the problem of appropriate intensity of service, reach and frequency
“Payers need to have a different process and approach to address members who are living with an advanced illness,” says Greer Myers, president, TKH. “While these members tend to fall under general PHM, payers need to treat them differently, both from an identification and engagement perspective, if they are to achieve the goals of the Triple Aim.”
Myers continues, “While many PHM solutions offer predictive analytics to identify members with complex, chronic illnesses, they fail to make the data actionable and specific to this particular population. We recognized this opportunity and designed our PIM model to also feature a community-based palliative intervention program that rapidly deploys existing interdisciplinary teams of highly skilled clinicians, primarily nurses and social workers.”
He explains that these specially trained clinicians review and manage symptoms, address gaps in care, establish goals of care and develop care plans in conjunction with the treating physician.
“They are experts at conducting meaningful, thoughtful conversations with members, families, caregivers and providers regarding healthcare decisions,” he says. “This results in shared decision-making and advances a clear understanding of what members and families view as important near the end-of-life. This helps to match treatments to informed goals of care, avert costly, often unwanted interventions of questionable benefit and avoid inappropriate deaths.”
Specially trained clinical nurses and social workers are plentiful in virtually every community, representing a natural go-to source of professional talent that makes it possible for home-based palliative care programs to be affordable and scalable for large populations.
“A home-based palliative care team led by non-medical clinicians expands the reach and frequency of ‘touching’ patient lives,” says Myers. “They effectively interact and coordinate care with the medical home, advancing care coordination, reducing the cost of care, and enhancing patient/caregiver satisfaction.”
About Turn-Key Health
Turn-Key Health, a subsidiary of Enclara Healthcare, is a population health management company serving payers and their members with advanced illnesses. Its Palliative Illness Management™ (PIM™) model introduces a new, innovative option to improve care quality, address costs and reduce burdens associated with life-limiting illnesses. Visit http://www.turn-keyhealth.com.