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N.Y.-Presbyterian creating population-health division

cornell

New York-Presbyterian Healthcare System’s Weill Cornell campus, on the East River.

New York-Presbyterian Healthcare System  is creating a population-health division in part to aid the system’s planning for the huge healthcare changes underway and accelerating.

The population-health division will be within the delivery network, with a leadership team of two physicians at the top to “enable its continue success under its new model of integrated care,”  the system said.

New York-Presbyterian, which is linked with the Cornell and Columbia medical schools, has been moving in the population-health direction for some time. Initiatives have included its 13 patient-centered medical homes in its ambulatory-care network and a joint venture with the two medical schools to start a Medicare Shared Savings Program Accountable Care Organization earlier this year.

Now, apparently, the system has reached critical mass to have a  formal population-health unit.

The division will, among other things, boost its ability to analyze claims data and improve care-management skills. Officials are also looking into such things as boosting partnerships with retail health clinics and dramatically increasing the use of telemedicine.

The system thinks that three to five years will be needed to get the new population-health program up to  full speed.

 


Thumbs up for pediatric telemedicine

 

baby

The American Academy of Pediatrics has endorsed telemedicine for children, but with caveats, especially that it be integrated into the patient-centered medical home.

After a study, the  AAP Committee on Pediatric Workforce backed telemedicine services within the PCMH to improve the quality, efficiency and cost-effectiveness of patient care.

But at the same time, the committee  discouraged “fragmented care” from  such third-party providers as retail health clinics, arguing that it disrupts care and undermines the PCMH model.

The committee said  that telemedicine was particularly useful for children in rural areas and those needing care from a specialist.

They said that  telemedicine  can help increase the comprehensiveness of care delivered by improving communication between the patient and the care team.

The authors said that telemedicine has led to more appropriate specialist referrals and fewer diagnostic redundancies.

Still, the complained that it remains difficult for providers to receive reimbursement for telemedicine consultations, particularly from public insurance programs such as Medicaid. But then, telemedicine is still in its early innings.

 

 

 

 


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