Improving patient outcomes while reducing readmissions with data analytics

Published by Henry Stewart Publications for Management in Healthcare.

St. Joseph’s Health, a leading health system serving over 421,000 patients annually across New Jersey and the New York metropolitan area, participates in multiple value-based care programs through its clinically integrated network, St. Joseph’s Health Partners. With the need to reduce readmissions and ensure appropriate length of stay from their growing skilled nursing facility (SNF) network, St. Joseph’s Health began to identify solutions to improve total cost of care. With no way to track patients’ day-to-day care and outcomes once moved from acute to post-acute care, they were seeking current, actionable information to improve care collaboration and reduce readmissions. With the implementation of Real Time Medical System’s post-acute interventional analytics solution, St. Joseph’s Health finally had a way to proactively meet readmissions challenges with clinical line of sight to their SNF patients.

Learn how:

• Real-time data access transforms care coordination by bridging gaps between acute and post-acute providers, enabling proactive management of high-risk patients.
• Dedicated care roles drive better outcomes, with nurse navigators and care managers using live analytics to guide interventions and support transitions.
• Cost and quality improvements are achievable, as demonstrated by St. Joseph’s significant reductions in readmissions, length of stay, and overall post-acute spend.
• Scalable strategies support broader value-based care goals, with successful models expanding across patient populations and strengthening provider networks.

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