For More Information

For any questions not answered by materials provided within this profile, please contact Helene Inglethron at Helene.Inglethron@kp.org.

Utilization

The Chronic Care Coordination (CCC) program has resulted in significant cost savings for KP Colorado.  An analysis of services and care costs for patients in the six months prior to enrolling in CCC and in the six months following enrollment in CCC yielded $1900 savings per patient per year (as a result of decreased hospitalizations, SNF admissions, and ED visits).

An analysis of care given to patients transitioning from skilled nursing facilities to their homes found that CCC resulted in annualized savings of three million dollars, through reduced utilization of SNFs, hospitals and ancillary services outside of the Kaiser network.

A review of 100 patients transitioning from a SNF to home found that 2.4 percent of CCC-followed patients were hospitalized compared to 14 percent of the usual-care patients.  In addition, 7 percent of CCC-followed patients visited the ED, compared to 16 percent of usual-care patients.  Furthermore, there were no SNF readmissions over a 60-day period among the CCC-followed patients, while 13 percent of usual-care patients were readmitted during that time.

In addition, KP estimates the program saves them one million annually from reduced emergency department utilization.

Patient

CCC patients show increased compliance with discharge medication fills, increased follow-through with outpatient discharge recommendations, and increased primary care visits.  In addition, CCC has demonstrated a reduction in hospital and SNF admissions and ED utilization, as discussed in the above section

Provider

Physician satisfaction with CCC is greater than 90 percent.  According to the physician survey, physicians understand the program and have confidence in the knowledge of the CCC staff.

Patient

Patient satisfaction with Chronic Care Coordination is consistently above 95 percent.

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