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The transition to value-based care is imperative for improving patient care outcomes and lowering costs. To help ensure a successful and sustainable transition to accountable care, providers, health systems, and hospital administrators must ask and answer a fundamental question:

What key steps can healthcare organizations take to make this shift successfully? 

When it comes to hospital discharges, going home ought to mean staying home. As a geriatrician, I’ve learned that the largest gaps in care often occur in those first few days and weeks after being discharged from a hospital or rehabilitation facility. Too often, providers lose track of patients once they are discharged from a hospital, only to see them back there within a month or two.  

New CMS rule supports standardization of data to better understand drivers of health

Time has a special meaning in geriatrics, for both patients and the geriatricians like me that treat them. Older patients are focused on maintaining their function and independence so they can enjoy every day-week-month as happily and healthily as they can. Geriatricians know that to achieve those goals, we need time to connect with patients on both a personal and professional level. Doctors have traditionally been lucky to spend even 15 minutes with their patients — just enough time to cover the chief complaint and maybe some chronic disease basics. 

Twelve-year-old Sophia’s life changed dramatically when she suffered a traumatic brain injury and stroke after a horrible car accident. She spent 109 days in the hospital, fighting for her life. When she was finally released to go home, she and her family faced a long, difficult recovery journey —Sophia had to relearn the basic skills necessary to help her reclaim her life.