CORDATA BLOG

Cam McClellan Teems

National Sales - Oncology

Recent Posts

Care Coordination for the Oncology Survivorship Patient: A New Focus

Posted by Cam McClellan Teems

October 21, 2019 at 4:28 PM

The Commission on Cancer's DRAFT Revised Standards (May 16, 2019) and its new Standard 4.8, include a clear impact on the previous Standard 3.3  It appears the the CoC is shifting the main emphasis from the actual provision of the Survivorship Plan document to a broader provision of coordination and care for those events/items in the Plan.  After all, what benefit is a document telling a patient about recommended screening-for-recurrence events or possible late effects - if the patient is ultimately left to their own devices in order to maintain a surveillance schedule and manage their anxiety of recurrence. A Plan and help with that Plan's contents is the proverbial brass ring here.

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Topics: survivorship, care coordination

Costs of Readmissions are Up:  Have You Done Your Service Line Math?

Posted by Cam McClellan Teems

June 24, 2019 at 6:13 PM


The Centers for Medicare & Medicaid Services penalized half of U.S. hospitals for their readmission rates in 2016. The penalties are controversial, and major professional organizations such as the American Hospital Association, have questioned the methods used to assess the data.  Recently, the AHRQ examined readmission trends and costs using the 2010-16 Nationwide Readmissions Database.

Here is a small sample of a recent list that was published by AHRQ with average readmission costs and readmission rates for the top 2.  This includes patients 1 year and older, readmitted for any cause within 30 days of first admission:.

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SDoH Can Derail Your Carefully Constructed Care Plans

Posted by Cam McClellan Teems

January 10, 2019 at 9:52 AM

Consider, for a moment, some statistics[3]:

  • 28% of US adults report that they have at least two chronic conditions
  • 26% of US adults say that they had experienced emotional distress in the past year that was difficult to cope with alone.
  • US adults were more likely than adults in all other countries to report that they were “always” or “usually” worrying about having enough money to buy nutritious meals and to pay their rent or mortgage.

It is not just the complex disease profile and treatment plan. In fact, those well-crafted plans can be easily derailed if the conditions in the places where people live, learn, work, and play are contributing to stress and lack of an ability to heal.

Patient conditions are not only clinical. They might be a cancer patient living in a shelter and facing daily transportation issues to get to chemotherapy...or a recent overdose or behavioral health illness patient who needs hand-holding to elect treatment...or a low-income diabetes patient with unstable access to nutritious food. The list goes on doesn't it? The role of the Care Team is rooted in the disease. However, the disease requires a full understanding of the patient's personal situation & environment in order to truly care for them and talk to them in an impactful way. It is the only way to really help them, reduce costs, and improve the system.

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The 71%: Is Your Cardiovascular Continuum Flatlining?

Posted by Cam McClellan Teems

September 12, 2018 at 2:18 PM

 

Cardiovascular disease is the leading cause of hospitalization and mortality [1]. Every 40 seconds, one American will suffer a heart attack, which is among the top ten most expensive hospital principal discharge diagnoses.[2] And to add insult to injury, the The National Health and Nutrition Examination Survey (NHANES) showed that cardiovascular expenses have one of the largest portions of current spending—an amount estimated to triple over the next 20 years.  This means that the cardiovascular care continuum is an imperative for most providers, hospitals and health systems. 

 

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Topics: care coordination, cardiovascular continuum

The 71%: Gaining control of the care for your most expensive cancer patients

Posted by Cam McClellan Teems

June 25, 2018 at 4:05 PM

 

The Chronic Care Model (CCM) that emerged in the 1990s - was a model designed to retool primary care and implement critical components to proactively manage patients with chronic conditions[1]. However, the model could not keep pace with the sickening of our population (e.g cancer, heart disease, diabetes, addiction, etc). Today, most sick patients present with multiple chronic conditions (now called "multi-morbid") and increasing psychosocial complexity. Most alarming is that these patients face growing and overwhelming risk resulting from the sum of uncoordinated responses to each of their diseases.

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Topics: care coordination

Social Determinants of Health Are Waving Their Hands in the Air Begging to Be Noticed

Posted by Cam McClellan Teems

March 16, 2018 at 10:26 AM

There is increasing understanding that social determinants — ranging from poverty and illiteracy to unstable housing and lack of transportation to domestic violence — create tangible barriers to wellness. Even when healthcare providers do everything right in terms of accurate medical diagnoses, proven care plans and effective care coordination, social determinants inhibit a patient’s ability to pursue and reach treatment goals.

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Topics: Barriers to Care

Alzheimer’s Care Management Modeled After Oncology

Posted by Cam McClellan Teems

December 7, 2017 at 7:30 AM

An innovative program piloted by Rowan University/Rutgers-Camden Board of Governors (RURCBOG) in collaboration with Otsuka America Pharmaceutical, Inc. is applying the principles of patient navigation to Alzheimer’s care, providing much-needed support for patients and their caregivers.

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Topics: oncology, Navigation & Care Coordination

More Evidence of the Power of Nurse Navigation

Posted by Cam McClellan Teems

December 5, 2017 at 10:38 AM

Darcy Burbage, Supportive and Palliative Care Nurse Navigator & Oncology Nursing Advocate at Christiana Care Health System, spoke recently at The National Cancer Policy Forum public workshop. Her presentation – which was titled Establishing Effective Patient Navigation Programs in Oncology – examined the optimal conditions and components of successful patient navigation programs. 
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Topics: Navigation & Care Coordination

The Expanding World for Care Coordination and Nurse Navigation

Posted by Cam McClellan Teems

November 20, 2017 at 2:45 PM

The world of nurse navigation is growing and changing.  If you go to job site indeed.com and search "Nurse Navigator" you’ll see:

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Topics: Navigation & Care Coordination

Transitional Care May Be the Brass Ring in Lowering Cost of Care

Posted by Cam McClellan Teems

November 7, 2017 at 3:01 PM

Transitional care has been around for eons. Long before there were nurse navigators or care managers or care coordinators, there were nurses assisting patients and their care givers with discharge from the hospital after an event like surgery or an observational stay. They helped them change back into street clothes from their gown, provided education on their surgical incisions, made recommendations of community resources, gave medication instructions, and reminders of followup provider visits. Then, this care evolved to help patients at other pivotal moments in their care - such as...

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Topics: Navigation & Care Coordination, Patient Outcomes, Transitional Care

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