Allison Orofino, PT
Marshall Medical Center
This model has been accepted as part of the initial review for Innovation Summit 2.0. This proposal team will participate in the May workshop where they will receive valuable feedback from researchers and other clinicians. It will then be submitted for further review and for the chance to receiving funding and in-kind services to advance their model and promote the impact of physical therapy in the health care environment. Below is a brief description of the model.
Marshall Medical Center is participating with CMS in their pilot project for bundled payments in the 90 days following an acute care stay for pneumonia and congestive heart failure patients. For both of these groups, our length of stay and readmission rates are higher than the national average. In addition patients who are readmitted experience decreased quality of life due to lengthy hospitalizations and prolonged convalescence. We will be looking at the effects of an enhanced acute care physical therapy program and multidisciplinary patient education on readmissions and discharge complications. We will be exploring ways of identifying patients who are most at risk for readmission, and what effective interventions can change this outcome. El Dorado County has the fastest growing over 65 year old population in California. We need to find a better way of caring for our frail elderly.