1 hr 10 min
Ep 161 – The “High Utilizers”: Transforming Care for Multi-Visit Patients (MVPs), with Dr. Amy Boutwell The Race to Value Podcast
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- Medicine
Patients who are high utilizers, also known as multi-visit patients (MVPs) or frequent flyers, whether found in the ED, inpatient units or other departments, drive up readmission rates and tie up resources. Often, clinicians and administrators hold out little hope that they can end the multi-visit cycles of these patients. Yet, by looking at a patient’s multiple visits as a symptom of a deeper problem, and then identifying and rectifying that underlying problem, clinicians can end a patient’s cycle of care utilization.
On this podcast, a leading expert in high-utilizer care discusses her MVP Method which has been used by rural hospitals, community hospitals, safety net hospitals, and academic medical centers across the country. Dr. Amy Boutwell, President of Collaborative Healthcare Strategies, is a nationally recognized thought leader in the field of reducing readmissions and improving care for highest risk and multi-visit patients. She is the developer of the STAAR, ASPIRE, ASPIRE+ and MVP methods to reduce avoidable acute-care utilization and deliver whole-person care across settings and over time.
The general principles and actions of the MVP Method can revolutionize care, break the cycle of utilization and change the life of your patients. The Institute for Advancing Health Value has released an Intelligence Brief and Case Study to accompany this special podcast episode.
Download the Open Access Intelligence Brief: “Building An Effective Care Pathway for Multi-Visit Patients: The MVP Method” (Available to Everyone!)
https://www.advancinghealthvalue.org/building-an-effective-care-pathway-for-multi-visit-patients-the-mvp-method/
Download the Members-Only Case Study Brief: “Transforming Care MVPs at a Safety-Net Health System” (Available to Institute Members – Join the Institute for free if you work for a Provider Organization!)
Episode Bookmarks:
01:30 High utilizers, also known as multi-visit patients (MVPs) or frequent flyers, whether found in the ED, inpatient units or other departments, drive up readmission rates and tie up resources.
02:00 Can high utilization by MVPs be impacted by addressing symptoms of a deeper problem?
02:30 Introduction to Dr. Amy Boutwell and the MVP Method to improve care for High Utilizers.
03:15 Support Race to Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts.
04:45 Referencing the Dr. Atul Gawande article called “The Hot Spotters” which showed how a health system experienced a 40% reduction in super-utilizer reduction.
07:00 The risk of conflating the terms of “high risk,” “high utilizer,” “high cost,” and “complex”.
07:45 Busting the myth that multi-visit patients are un-impactable.
08:30 “We must walk away from the dogma that it is not worth serving high utilizers. The industry must reengineer its thinking around that to advance health equity.”
09:00 Dr. Boutwell references the work of the Camden Coalition and how “Hot Spotters” did not confirm the myth of un-impactability.
10:30 The Hospital Readmissions Reduction Program (HRRP) aims to minimize the number of avoidable hospital readmissions by incentivizing hospitals to improve post-discharge planning.
11:30 Dr. Boutwell discusses the challenges of HRPP as a health policy and why hospitals have still yet to evolve in care delivery transformation.
12:30 Readmissions programs often are treated as a pilot instead of as a strategy for transformation.
13:30 Dr. Boutwell’s work in partnering with health systems to develop a population health playbook to lower hospital readmissions.
14:30 The challenge of focusing on just one chronic condition in a readmission reduction strategy (e.g. heart failure).
15:45 “Multi-visit patients account for over half of all readmissions at ...
Patients who are high utilizers, also known as multi-visit patients (MVPs) or frequent flyers, whether found in the ED, inpatient units or other departments, drive up readmission rates and tie up resources. Often, clinicians and administrators hold out little hope that they can end the multi-visit cycles of these patients. Yet, by looking at a patient’s multiple visits as a symptom of a deeper problem, and then identifying and rectifying that underlying problem, clinicians can end a patient’s cycle of care utilization.
On this podcast, a leading expert in high-utilizer care discusses her MVP Method which has been used by rural hospitals, community hospitals, safety net hospitals, and academic medical centers across the country. Dr. Amy Boutwell, President of Collaborative Healthcare Strategies, is a nationally recognized thought leader in the field of reducing readmissions and improving care for highest risk and multi-visit patients. She is the developer of the STAAR, ASPIRE, ASPIRE+ and MVP methods to reduce avoidable acute-care utilization and deliver whole-person care across settings and over time.
The general principles and actions of the MVP Method can revolutionize care, break the cycle of utilization and change the life of your patients. The Institute for Advancing Health Value has released an Intelligence Brief and Case Study to accompany this special podcast episode.
Download the Open Access Intelligence Brief: “Building An Effective Care Pathway for Multi-Visit Patients: The MVP Method” (Available to Everyone!)
https://www.advancinghealthvalue.org/building-an-effective-care-pathway-for-multi-visit-patients-the-mvp-method/
Download the Members-Only Case Study Brief: “Transforming Care MVPs at a Safety-Net Health System” (Available to Institute Members – Join the Institute for free if you work for a Provider Organization!)
Episode Bookmarks:
01:30 High utilizers, also known as multi-visit patients (MVPs) or frequent flyers, whether found in the ED, inpatient units or other departments, drive up readmission rates and tie up resources.
02:00 Can high utilization by MVPs be impacted by addressing symptoms of a deeper problem?
02:30 Introduction to Dr. Amy Boutwell and the MVP Method to improve care for High Utilizers.
03:15 Support Race to Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts.
04:45 Referencing the Dr. Atul Gawande article called “The Hot Spotters” which showed how a health system experienced a 40% reduction in super-utilizer reduction.
07:00 The risk of conflating the terms of “high risk,” “high utilizer,” “high cost,” and “complex”.
07:45 Busting the myth that multi-visit patients are un-impactable.
08:30 “We must walk away from the dogma that it is not worth serving high utilizers. The industry must reengineer its thinking around that to advance health equity.”
09:00 Dr. Boutwell references the work of the Camden Coalition and how “Hot Spotters” did not confirm the myth of un-impactability.
10:30 The Hospital Readmissions Reduction Program (HRRP) aims to minimize the number of avoidable hospital readmissions by incentivizing hospitals to improve post-discharge planning.
11:30 Dr. Boutwell discusses the challenges of HRPP as a health policy and why hospitals have still yet to evolve in care delivery transformation.
12:30 Readmissions programs often are treated as a pilot instead of as a strategy for transformation.
13:30 Dr. Boutwell’s work in partnering with health systems to develop a population health playbook to lower hospital readmissions.
14:30 The challenge of focusing on just one chronic condition in a readmission reduction strategy (e.g. heart failure).
15:45 “Multi-visit patients account for over half of all readmissions at ...
1 hr 10 min