UNC Well being Superior Care at Residence shortens hospital stays, saves cash :: WRAL.com

– A new program from UNC Health enables many patients to leave the hospital earlier than possible and receive acute care at home. It is a program that will save the patient money and open up the much needed bed space in the hospital.

Local UNC TV legend Roy Underhill was recently a patient who benefited from the new program. His television show “The WoodWright Shop” is still on public television channels across the country.

“[It was] for 37 years. It’s one of the longest-running television programs, “said Underhill, who also teaches students how to use traditional woodworking tools as opposed to power tools.

His students come to his woodcarving school in Pittsboro, some from outside the United States. “In a next class we have a student from Norway who has seen all the shows,” said Underhill.

Less than a month ago, kidney infection robbed the 70-year-old of his strength. “It’s known as sepsis and is fatal,” Underhill said.

He was in the UNC emergency room 24 hours and spent another three days in acute care. However, Underhill was presented with a new option. He describes it this way: “They had a new program and they said I could be home and they would bring me hospital care!”

It’s called Advanced Care at Home, and it includes a home health monitoring system, backup power supplies and communication devices via a phone, and video via an iPad or even a button on a wristband.

“And so they actually see someone six to seven times a day, either virtually or in person,” said Ila Mapp, the program’s administrative director at UNC Health.

She says national data shows that patients recover more quickly on the program. “It allows patients to be more comfortable and in more control,” Mapp said.

She adds, “It’s the patients who aren’t quite sick enough to go to the hospital but can go home and still get the acute care they need.”

She says patients who receive home care are also less likely to get other hospital infections like MRSA or even COVID-19.

Underhill quickly accepted the home care offer. He said, “You wear your own clothes, you are in your own bed and only get the medication you need.”

Underhill points out that it’s also cheaper than staying in the hospital. “Releasing a hospital bed saves money, you get better faster. What’s not to like,” he said.

He’s also excited to be back in his own home as well as his wood construction school, sharing his old woodworking talents with eager students.

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UC San Diego Well being Earns Excessive High quality Marks, Saves Medicare Cash

The UC San Diego Health Accountable Care Network improved the care of more than 32,000 Medicare beneficiaries in San Diego, Riverside, and Imperial Counties, and saved Medicare nearly $ 7 million by leveraging advanced population health technologies and processes to help Beat quality and cost targets in 2020 based on recently released performance data from the federal agency that administers Medicare.

UC San Diego’s Health Accountable Care Network achieved a 97 percent quality rating on performance measurements ranging from preventive health checks to the use of computerized health records to preventing avoidable hospital stays, Medicare data shows.

Parag Agnihotri, MD, Chief Medical Officer, UC San Diego Health Accountable Care Network.

“Realizing shared savings working with our network of community providers means we can reinvest those dollars in care coordination, information technology, and other care improvements to further improve quality and reduce costs,” said Parag Agnihotri, MD, Chief Medical Officer, UC San Diego Health Accountable Care Network.

“Our success in the Accountable Care Organization (ACO) program is another achievement in addition to our national and regional awards and rankings,” said Duncan Campbell, chief operating officer of the UC San Diego Health Accountable Care Network. “Our success is driven by our incredible providers who work closely with their patients to ensure smooth transitions from the clinic to the hospital, home – or, if necessary, a nursing home.”

The ACO is also focused on increasing the number of Medicare beneficiaries who take advantage of annual wellness visits, including recommended checkups and preventative measures. Integrating performance data into our network enables providers to share best practices and improve care coordination to avoid health problems and repeated hospitalizations.

Duncan Campbell, Chief Operating Officer, UC San Diego Health Accountable Care Network.

As a market-based solution to fragmented and costly care, responsible care organizations enable local doctors, hospitals and other providers to work together and take responsibility for improving quality, improving the patient experience and making care affordable. The Medicare Shared Savings Program (MSSP) creates incentives for ACOs to invest in public health initiatives by enabling them to participate in savings that they generate after reaching defined quality and cost targets.

In 2020, 517 ACOs serving over 11 million beneficiaries nationwide participated in the MSSP and achieved gross savings of $ 1 billion based on the Centers for Medicare & Medicaid Services’ methodology for setting financial benchmarks.

“Medicare ACO’s joint austerity program is the country’s largest value-based payment model and a critical tool in moving the healthcare system to better value,” said Agnihotri.

A fact sheet with more information on MSSP ACOs is available online along with other resources.

UC San Diego Health Accountable Care Network includes Perlman Medical Offices, San Diego Sports Medicine, North Coast Family Medicine, Rancho Family Medical Group, Imperial Valley Family Care, and dozens of other groups serving San Diego, Riverside, and Imperial Counties.

UC San Diego Health is the only academic health care system in the San Diego area, providing cutting-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute designated Comprehensive Cancer Center, the Shiley Eye Institute, the Sulpizio Cardiovascular Center, and several outpatient departments. UC San Diego Medical Center in Hillcrest is a designated Level I trauma center and has the county’s only burn center.

Nestor Cortes and his uncommon model saves the NY Yankees season

NEW YORK – Earlier this week, when the Yankees pitchers took part in field training, many of the Yankees’ arms wore a t-shirt with the same design on it. The shirts featured Nestor Cortes Jr., who resembled a famous video game character who also wore a mustache and threw a baseball that looked more like a fireball. Cortes was “awesome” in 2021, but his jersey has a nickname used to describe one of the season’s most important Yankees: Nasty Nestor.

The Yankees have missed several pieces from the projected starting rotation for much of this season, but the contribution that Cortes has made out of the bullpen and into the rotation has stabilized the Yankees on many of the team’s darkest spots this season.

Of the 14 Yankees pitchers asked to start a game so far this season, it is Cortes and his earned run average of 2.55 that stepped all starting pitchers this season. Cortes’ seventh start for the Yankees will be against the Minnesota Twins on Friday night. All of Cortes’ launches have been since July 4th, when the Yankees were halfway through the schedule at exactly .500. Now the Yankees are a season high of 18 games over .500 with a 70-52 record coming into play on Friday.

So what led to all this success that was sparked by a converted Reliever in the press? According to manager Aaron Boone, it was more the same who saw Cortes successfully translate his consistent play from the bullpen into a role as a starter.

“Overall he’s a better thrower now,” said Boone. “He did some really good things for us in 2019, played some big games and pitched some meaningful innings for us, but I would say he’s now a more advanced pitcher in terms of delivery, command and the crispness of things . He continued what we saw. ” him in the bullpen. “

“He knows who he is”

Cortes doesn’t have the fastball that Gerrit Cole can throw so quickly, nor the Andrew Heaney curveball that can be so effective in a jam. Cortes may feel like a stopgap solution in rotation, but the 26-year-old has found ways to frustrate his opponents by simply playing to his strengths.

“Anyone can succeed, so it’s who you are and they know who they are,” said Cole. “He’s played a lot in his career and found ways to be creative in the smaller leagues just to get into that position. He pitches when he’s creative.”

Cortes was most effective in his previous start against the Chicago White Sox, setting new season highs in innings pitches and strikeouts with six innings and seven strikeouts in a win on August 15.

Cole noted that Cortes is very vocal in the dugout with catchers and other pitchers to break down where his plan shifts as the game progresses, which is beneficial for all of the Yankees on the pitching team.

Ducking, diving and darting

A big aspect of Cortes and his success was the creativity that was displayed on the hill. Cortes doesn’t have a particular pitch style or arm angle that he clings to for a very long time. Despite the number of pitches preached throughout the sport, with deliveries looking the same each time, Cortes has had success with varying speeds and styles with the ball coming out of his hand.

“He’s leading there,” said Cole. “He’s got the clubs off balance in his own unique way and it’s been really productive for us.”

While Cole might be considered the best pitcher on the Yankees’ staff, even the league strikeout leader is impressed with what Cortes is capable of confusing hitters.

“It’s just very athletic,” said Cole. “He runs these pitches when he’s trying to set his plan for the day.

E-mail: aitken@northjersey.com

Twitter: @robertaitkenjr

Ramsey saves cash, approves extra road initiatives | Ramsey

The city of Ramsey saved over half a million dollars on road improvement deals this year – paving the way for some bonus overlay projects.

The city budgeted $ 1.88 million for road construction projects that year, but the bids came in at just $ 1.3 million, city engineer Bruce Westby said.

“There’s a significant difference there,” said Westby. “In the past, the council has always instructed staff to try to spend all of the pavement management program funds that have been allocated to these projects.”

At the June 8th city council meeting, the council unanimously ordered that another 2.58 miles of road be covered at Reilley Estates, Sunfish Gateway Business Park, Traprock Commons, and the wildlife sanctuary this year. The additional projects are estimated at $ 672,000 from road construction management and rainwater funds.

There’s more than enough money in the sidewalk management fund to cover the cost of these projects, Westby said, and the tech department wanted to make sure the extra money was spent.

“I applaud that,” said Councilor Chris Riley. “We have the money, we have roads that are deteriorating. This shows that we are trying to move forward. We’re spending the money as it was intended and trying to get the money out on the streets. “

The new projects were supposed to start next year but have been postponed.

“These projects we looked at had some of the worst pavement peeling due to … the top coat,” Westby said.

The sealant coating is damaged by freeze-thaw cycles, Westby said.

The following road sections will receive road overlay improvements this year:

• Juniper Ridge Drive from 156th Lane to the north end of the sidewalk.

• Salish Street from Juniper Ride Drive to the cul-de-sac.

• Waco Street from the south end of the sidewalk to Juniper Ridge Drive.

• Juniper Ridge Drive from the cul-de-sac to the south end of the sidewalk.

• Yakima Street from the southwest end of the sidewalk to Juniper Ridge Drive.

• 157th alley from Yakima Street to the cul-de-sac.

• Yakima Street from the south end of the sidewalk to the north end of the sidewalk.

• 140th Court from Sunfish Lake Boulevard to the cul-de-sac.

• 158th Avenue from Traprock Street to Variolite Street.

• Traprock Street from 155th Avenue to 158th Avenue and 158th Avenue to the north end of the sidewalk.

• 156th Lane from Iodine Street to Dead End and TH 47 to Iodine Street.

• 157th Avenue from 156th Avenue to Krypton Street and from Krypton Street to the cul-de-sac.

• Iodine Court from Iodine Street to the cul-de-sac.

• Jodine Street from 156th Lane to the south end of the sidewalk.

• Krypton Street from 157th Avenue to the north end of the sidewalk.

• 154th Avenue from Krypton Street to the east end of the sidewalk.

• 155th lane from Krypton Street to Iodine Street.

• 155th Lane from Krypton Street to the west end of the sidewalk.

• Krypton Street from 155th Lane to the cul-de-sac.

• Krypton Street from Alpine Drive to 155th Lane.

Intermountain and MDClone pairing saves cash as each sufferers and populations are higher understood

Photo: Courtesy Intermountain

The pairing of Intermountain with MDClone led to this significant improvements for patients with chronic kidney disease and end-stage kidney disease.

The collaboration has redesigned the way Intermountain did kidney care, said Dr. Michael Phillips of Intermountain, chief clinical and outreach services. It reduced uptake by about 90% by putting patients on a care route that would allow them, for example, to have dialysis at home.

“Overall, we made $ 30 million in savings in the year and a half that we did this,” Phillips said.

The backbone of MDClone is a data lake that organizes patient data in a linear timeline and allows the healthcare system to add virtually any information with a timestamp. This includes EHR, insurance and laboratory data, as well as factors influencing the social determinants of health.

Most people with kidney disease don’t know they have it, Phillips said. The IT platform was able to identify patients and their condition earlier.

MDClone, based in Israel, offers a technology platform and query system known as “self-service data” Analytics“Answers to questions can be obtained on the same day instead of waiting six to eight months.

“It’s this morning instead of seven months,” said Phillips.

One of the key factors in moving from seven months to seven minutes is getting caregivers back on their feet. When there’s a long delay between requesting and getting data, people stop asking, he said.

Intermountain is able to publish data on patients as synthetic data on population groups without compromising personal health information. Third parties can access this data and bundle it with other information around the world to better understand the population.

“Our goal is to share data with external health systems and in scientific publications,” said Phillips. “It democratizes data. Synthetic data is a great opportunity that we haven’t had before. It divides data between large groups of people: one focused on caring for individual patients, the other on population behavior. Understanding those populations is Keys to understanding how much money it takes to care for them. ”


The bottom line is that good care is inexpensive. The savings are in better health outcomes and fewer hospital admissions.

Intermountain is able to fill gaps in care by identifying risks to make care more cost effective, Phillips said.

“Much of the savings are gifts that are given over and over,” he said. “It slows the progression of kidney disease and avoids admissions. Patients go home on dialysis. They tend to be better at home. There is less interaction with the health system, emergency care, and emergency rooms. By involving people in their own care, goes they just do better. ” . ”

Intermountain set up a venture fund two years ago to invest in companies that would help advance his mission.

MDClone meets these criteria. The company has been with Intermountain for several years, said Josh Rubel, MDClone’s chief commercial officer.

MDClone is used in other systems in the US and elsewhere.

Further growth is expected for the platform at Intermountain. Work with cardiovascular patients and others continued, Phllips said.

Intermountain has approximately 65% ​​of its patients at full risk.

“It’s about putting people on care,” he said, “and getting the kind of care they should get. The information system that is the backbone allowed us to focus on delivering care that way as we needed it. MDClone helped us. ”

Twitter: @SusanJMorse
Email to the author: susan.morse@himssmedia.com

Reynoldsburg faculties mission proves power waste discount saves cash and helps children

When I started working at Reynoldsburg City Schools in 2017, it was clear that the energy costs were significant and the district was paying too much.

We developed and implemented a district-wide project to reduce energy waste in 14 buildings and in the high school sports stadium. Initiatives included indoor and outdoor lighting upgrades, major heating and air conditioning renovations, and complete nationwide controls and the replacement of building automation systems.

More:Reynoldsburg High School renovation in the fast lane

These measures to reduce energy waste have helped minimize long-term maintenance costs and utility bills for our school district. Annual savings in the first year were more than $ 750,000, and the district is well on track to exceed those savings in the second year.

Energy-reduction programs benefit Ohio children, save tax dollars, and give schools more money to invest in education. Over time, savings can mean hiring more teachers, buying more books and computers, or investing in additional educational resources. In addition to these benefits, schools can also improve the student learning environment, achieve better overall student health and reduced absenteeism, and benefit the wider community.

More:Opinion: “Whataboutism” exhausts political mud slaughter. Listening is how to deal with it.

A new major study from Gabel Associates, Estimating the benefits of reducing energy waste in Ohio, found that larger investments in reducing energy waste could save billions of dollars and create thousands of jobs for Ohioans over the next 10 years. These benefits would be achieved through increased investment in energy waste reduction programs that help Ohio residents and businesses improve their buildings, upgrade production lines, install new sensors and controls, and otherwise reduce energy waste.

Ohio’s energy waste reduction programs had been in place for a decade until the passage of House Bill 6 in 2019 eliminated them.

We need forward-looking energy policies to help Ohio children now and in the future. Energy costs are a significant operating expense, especially for school districts, and programs to reduce energy waste can provide both short-term savings and long-term economic benefits.

More:What You Need To Know About The Ohio House Energy Reform Act

Regardless of the law, my job is to be a good steward of public money.

It was fantastic to have implemented an environmentally conscious and sustainable program for the future.

The savings we saw in Reynoldsburg are really just the beginning. Every dollar we save the county on the energy side is a dollar we can put into education. That’s why we’re here. We are here to raise children.

Chris Reed is the managing director of Reynoldsburg City Schools.

My exemplary little one saves her cash, and it’s changing into an issue – East Bay Occasions

LOVE ABBY: My 13-, almost 14-year-old daughter “Gabbi” is a shining star of responsibility and self-confidence. She also likes beautiful things.

Jeanne Phillips

Gabbi has been babysitting for my sister for several months and has saved almost every penny, which equates to hundreds of dollars. I am proud of their discipline. However, I think she should start buying some of her “frivolous desires” herself.

With my only income, I am willing to buy gifts for her and my other children when I can and on special occasions, but Gabbi often asks me for $ 10 here and $ 10 there. Because it’s more than I can afford, I have to say no and see their silent disappointment.

I know the simple answer is not to give in, but I want my daughter to know that it’s okay to spend a little on herself here and there. I’m not sure what words to use to convince them. Can you help?


DEAR MUM: Your daughter is old enough to have an honest conversation with her mother. First, tell her how proud you are of her, showing how disciplined and responsible she is, because these qualities will serve her well for years to come.

Tell her that if you let her down if you turn down her requests, you will feel bad, but now that she is nearly 14 she is mature enough to understand that you are the only wage earner who is money tight and their frequent inquiries are a drain on the budget. Then point out that babysitting has saved her some income, and she should focus some of that on the things she asks you about.

LOVE ABBY: My fiancée and I have been together for four years. I’ve lost a lot of people in my life, so I’m used to death. She, on the other hand, only experienced it two years ago when she lost her grandfather. The next year her mother died, and last year we lost a child – her oldest, my stepson.

Abby, she’s so lost. She is no longer the same person as she used to be, and I understand that perfectly. I am sad and depressed too, but she is bad.

I love this woman as I have never loved anyone else. I can’t imagine life without her, but lately I’ve been wondering how it would affect me, her, and the kids if I left.

I am unable to cope with someone else’s depression on top of that. I’ve tried, but I keep getting angrier. What should I do?

Torn in the east

LOVE TORN: You mentioned that you suffer from depression too. Are you getting treatment for it? If you see a psychologist (and receive medical treatment), discuss this with the person working with you. You may need to change your medication.

It is not surprising that your fiancée is grieving and depressed with so much loss at once in her life. Honestly, while I could suggest that she join a support group for help dealing with the loss of her child, she may also need help from a licensed psychologist.

While tempted, I don’t think now is the time to abandon your fiancee and her children. Once stabilized, you may not want to walk at all.

Dear Abby was written by Abigail Van Buren, also known as Jeanne Phillips, and founded by her mother Pauline Phillips. Contact Dear Abby at www.DearAbby.com or PO Box 69440, Los Angeles, CA 90069.

Treating mentally in poor health accused felons saves cash, stop crime

The Los Angeles County prison is filled with hundreds of inmates charged with crimes but too mentally ill to understand the charges brought against them or to support their own defense. Unable to stand trial, they burn county taxpayers’ money while they wait in jail.

Waiting for what? Not to get completely and sustainably healthy, but just good enough to be fit for the test.

The improvement will not happen on its own. The prison is a poor place for psychiatric treatment, and while the county clinics do their best, inmates often get worse, making future treatment even more difficult. Slightly better results are seen at the two treatment centers in San Bernardino and Kern counties as well as state mental health hospitals, and LA sends its mentally incompetent inmates to these locations when beds open. However, waiting for these treatment places can take a year or more.

If all goes well, inmates will return to LA County, stand trial, and if found guilty, generally end up back in jail or, if not guilty, on the streets. In either case, they don’t have an ongoing treatment plan, so they end up on the streets and maybe have to go through the entire cycle of crime, prison, treatment, trial, and crime all over again.

In recent years, the county has come up with a better way of doing things with its Office of Distraction and Reentry, better known as ODR. The Office runs a program This will move individuals charged with misconduct – and some charged with criminal offenses – from prison to community clinics for treatment pending trial, at a fraction of the cost they are charged for have incarceration in prison. Regardless of whether they are ultimately found guilty or not, they go with a care plan designed to keep them out of the otherwise endless cycle. That alone makes community treatment a better, more sustainable, and less expensive option than in prisons or state psychiatric hospitals.

Now the state is looking for a handful of counties willing to distract not just some but all of their accused criminals who are unable to stand trial (the bureaucratic jargon is “FISTs”). The state will pay. Los Angeles County should come first to enroll as it has the largest and most expensive FIST population and the most nimble and successful local program in the ODR for dealing with suspected psychiatric offenders.

Additionally, the Los Angeles County government has moved – at least in theory – to the fore of treatment-based, sustainable alternatives to incarceration. In 2019, the Board of Supervisors enthusiastically passed a Care-First-Jail-Last-Last program, voted for the (final) closure of the dungeon-like men’s central prison, scrapped a plan for a new treatment-based prison, and agreed that Treatment should take place in community clinics, with the level of safety appropriate for the population concerned. Last year, voters changed the county’s charter to set a funding floor for community investment programs (such as youth development and vocational training) and alternatives to incarceration (centered on mental health care).

However, some members of the county government are testing the application to participate in the state program known as the Community Care Demonstration Project.

The reasons for their resistance are annoying. Some fear the release of a dangerous population – yet ODR already has a solid track record of safely treating and housing accused offenders, and there are providers in the community that can accommodate the nearly 400 mentally incompetent offenders currently waiting in the county jail ( and which are expected to be 1,100) later in the year by prison). ODR vets are potential participants in the likelihood of success, and mental health experts – and Supreme Court justices – rule out accused rapists, murderers, and others unsuitable for community treatment. And again, clinics offer security appropriate to the population in which they live.

Some fear that the state is not providing enough money – yet the county can not only procure the resources offered by the state, but achieve long-term savings, since the costs of housing and treating a mentally incompetent inmate in the community is a fraction of that Cost of placing and treating the same person in prison. Additionally, the county benefits from having each participant connected to a community treatment plan, which avoids much of the future costs of new crimes and incarceration.

The state program is in response to a court ruling that long waiting times for placement in state hospitals are against the constitution (an appeal is pending). The county should take the opportunity to get involved – save money, break the cycle of criminal recidivism and, by the way, demonstrate that promoting alternatives to incarceration was more than just an attitude.

Perry Colleges saves taxpayers cash with current refinance | Allen County

The Perry School District worked hard during the pandemic, including behind the scenes. They took this opportunity to refinance some of their bonds and save their taxpayers some money.

The school district had over $ 8 million in outstanding loans from building the brand new elementary school. Given the pandemic that made the market quite cheap for borrowers, the Perry Schools saw the perfect time to refinance.

The refinance completed saved the district taxpayers more than $ 3 million, or approximately 30 percent of the refund amount.

Mandy France, CFO of the Treasurer of the Perry School District, said, “It is not necessarily a dollar saving for our district, but it is for our taxpayers and we really value them. We want them to know that we are always working to save them money. ”

The school district says they are always looking for ways to save their community money and have appreciated the support from them along the way.