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Scranton’s Wright Center joins the Keystone ACO that more Medicare beneficiaries in Scranton ACOs meant to improve care coordination for people with Medicare and its surrounding communities have access to

“Continuously improving patient care and education in a collaborative spirit is at the heart of high-quality, coordinated care,” said Thomas Graf, The Wright Center’s mission,” said Linda ThomasM.D., chief medical officer for Population Health at Hemak, M.D., President and CEO of The Wright The Wright Center, a Scranton-based primary Geisinger Health System and chief executive officer Center. “Joining the Keystone ACO represents ancare and medical residency training provider, other means of improving efficiency in health care of Keystone ACO. recently joined the Keystone Accountable Care as part of our organization’s overall commitment to “Improving quality while reducing cost has Organization (ACO), a network of doctors, nurses, provide patient centered care. We look forward to been Geisinger’s driving organizational strategy for hospitals, and other healthcare providers that working with Wayne Memorial, Geisinger and the more than decade,” Dr. Graf said. “The Affordable includes Geisinger-Community Medical Center, other Keystone ACO members.” Care Act and CMS have incentivized doctors and Geisinger Wyoming Valley Medical Center, Wayne ACOs are a unique opportunity for financially healthcare providers to establish ACOs in order Memorial Hospital and Highland Physicians Group. strong, independent healthcare facilities to work to work together to give people with Medicare the “The addition of the Wright Center ensures together to serve their communities while at the high-quality care they expect and deserve.” same time experiencing cost savings that can be re-invested into more care programs that only creSUPER UTILIZERS — continued from previous page ate more benefits for their patients. for each of Pennsylvania’s 67 counties. A list of the Beneficiaries using ACOs always have the top reasons for super-utilizer admissions by county freedom to choose doctors inside or outside of the is available on PHC4’s website at ACO. An ACO shares with Medicare any savings The brief is based on hospital data from fiscal generated from lowering the growth in healthcare year 2014. Payment figures were based on 2012 costs, while meeting standards for quality of care. data, the most recent year available to PHC4. In addition to The Wright Center, the Keystone In repsonce to the report, Geisinger Health SysACO is comprised of the following healthcare tem said it has been targeting that group (superproviders: utilizers) for some time — particularly through ■ Brookpark Family Practice, P.C., Lewisburg ProvenHealth Navigator (PHN), its advanced and surrounding communities medical home that applies a care team to improve ■ Evangelical Community Hospital, Lewisburg population health, primarily for those patients ■ Evangelical Medical Services Organization, diagnosed with chronic illnesses. Lewisburg and surrounding communities Thomas Graf, M.D., chief medical officer for ■ Geisinger-Bloomsburg Hospital, Bloomsburg population health at GHS, directs PHN and can ■ Geisinger-Community Medical Center, address the new PHC4 report and discuss how Scranton We’ve reduced both the number of patients Geisinger is bucking the trend when it comes to ■ Geisinger Medical Center, Danville going to the hospital the first time as well as the this particular patient group. ■ Geisinger-Wyoming Valley Medical Center, re-admission rates for other patients while imConsider that an analysis of 80,000 patients Wilkes-Barre proving the quality of their care. The outcomes during a five-year period showed that PHN: ■ Highland Physicians Ltd., Honesdale are proving that this model is the right way ■ Reduced acute care admissions by 27.5 percent to improve quality and thereby reduce cost, a ■ Wayne Memorial Community Health Centers, ■ Reduced 30-day readmissions by 34 percent central goal of health care reform.” Honesdale and surrounding communities ■ Reduced risk for heart attacks, strokes, and ■ Wayne Memorial Hospital, Honesdale Designed in 2006 to drive sustained improvedamage to the retina in patients with diabetes ACOs must meet quality standards to ensure ments in value by providing physician-directed, ■ Kept emergency department visits stable that savings are achieved through improving care team-delivered care, ProvenHealth Navigator uses ■ 72 percent of patients thought the quality of coordination and providing care that is appropriate, a series of patient-centered, evidence-based clinicare improved after enrollment in the ProvenHealth cal protocols, automation and other office-based safe and timely. CMS has established 33 quality Navigator program innovations. It also places nurse case managers in measures on care coordination and patient safety, “We’ve been able to produce these types of Geisinger and non-Geisinger practice sites who are appropriate use of preventive health services, numbers in both Geisinger-owned and nonable to leverage near-real time data analytics to help improved care for at-risk populations and patient Geisinger-owned practices,” said Dr. Graf. “ and caregiver experience of care. patients coordinate and manage their care.



MARCH 2015

Medical Society asks: Pennsylvania tanning facilities — Are they in compliance? Act 41 of 2014, otherwise known as the Indoor Tanning Regulation Act, took effect on July 7, 2014. According to this law, no legal entity has the ability to operate a tanning facility in the commonwealth without first obtaining a certificate of registration through the Department of Health. Are these facilities registering? Early reports indicate they are not in significant numbers. In Pennsylvania, there are approximately 1,500 tanning facilities, defined by Act 41 as any place where a tanning device is used for a fee, membership dues or any other compensation. This not only includes retail tanning establishments, but also many beauty salons, gyms, apartment complexes and other locations charging a fee to tan. While each of these establishments is required to comply with Act 41, many have yet to register with the Department of Health. “The PAD is encouraging all tanning facilities to register,” says Christine E. Cabell, M.D., president of the Pennsylvania Academy of Dermatology and Dermatologic Surgery (PAD). “This ensures their customers that they are meeting basic safety requirements and educating clients about the risks involved with tanning.” Additionally, according to the Pennsylvania Department of Health, if an indoor tanning facility knowingly violates Act 41 they must cease operations in the state. Further, action by the Department of Health’s Office of Legal Counsel will be taken, should the same tanning facility continue to operate as an unregistered entity. Registrations are required on an annual basis. While a change in registration does not require a fee, the initial registration or annual renewal fees are $150 for the first two sun lamp products or $300 for facilities operating more than two sun lamp products. An additional fee of $20 is charged for each tanning bed in excess of 10. The PAD and The Pennsylvania Medical Society (PMS) advocated for the creation of Act 41 due to increasing concerns about the health risks of tanning beds. Not only does this law place specific requirements on tanning facilities, it also places age restrictions on the use of these tanning facilities. It prohibits minors under the age of 17, and it requires parental consent for 17-year-olds.

Northeast Pennsylvania Business Journal March 2015  

March 2015