Winona Health reaches high needs patients with smart registry

For hospitals and provider networks to successfully navigate the transition to value-based care, they must develop new care models that emphasize education and outreach to patients, experts say.

This is particularly important in the case of patients with chronic conditions, many of whom ineffectively manage their health and medications, resulting in expensive emergency room treatment, readmissions, and unfavorable outcomes.

Winona Health has been practicing outreach on a number of fronts and, in fact, was among the Office of the National Coordinator’s Beacon programs, winning a grant as a participant of the Southeast Minnesota beacon Community Project. For the full article click here 

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