Webinars
Revolutionizing Post-Acute Care Management: Insights from Oak Street Health and Olio
In an enlightening webinar, leaders from Oak Street Health and Olio shared their innovative approach to post-acute care management, highlighting the transformative impact of their partnership on patient outcomes and healthcare delivery.
Oak Street Health: A Mission-Driven Approach
Oak Street Health, celebrating its 11th anniversary, has grown to 180 locations across 21 states, serving over 200,000 patients. Their mission is to "rebuild healthcare as it should be"—personal, equitable, and accountable. With a focus on medically underserved communities, Oak Street Health takes full risk for its patients' total cost of care, enabling them to invest in comprehensive, patient-centered care models.
The Challenge of Post-Acute Care Coordination
As Tej Motiwala, VP of Population Health at Oak Street Health, explained, their patient population is often medically and socially complex. This complexity presents unique challenges in post-acute care settings, particularly in skilled nursing facilities (SNFs). The team identified an opportunity to improve outcomes by enhancing collaboration with post-acute facilities and developing more comprehensive discharge plans.
Innovative Solution: Olio's Care Coordination Software
To address these challenges, Oak Street Health partnered with Olio, a patient co-management software designed for value-based care providers. Ben Forrest, CEO of Olio, emphasized the importance of connecting stakeholders around complex patients.
Key features of the Olio platform include:
1. Seamless communication between Oak Street Health and post-acute facilities
2. Real-time updates on patient status and care plans
3. Efficient coordination of discharge planning and follow-up care
The Power of Social Work in Transitional Care
Jackie Georgian, Director of Transitional Care at Oak Street Health, highlighted the crucial role of social workers in their post-acute care management strategy. By integrating social workers into the process, Oak Street Health addresses both medical and social determinants of health, ensuring more comprehensive and effective care transitions.
Impressive Results
The partnership between Oak Street Health and Olio has yielded significant improvements:
- 20% decrease in length of stay for post-acute patients
- 50% reduction in readmission rates for specific patient populations
Looking Ahead: Expanding the Model
Both Oak Street Health and Olio are excited about the future of their collaboration. They plan to:
1. Expand the social work program within transitional care
2. Enhance coordination across various care management programs
3. Explore applications in behavioral health and complex kidney care settings
Key Takeaways
1. Value-based care models enable innovative approaches to post-acute care management
2. Integrating social work into transitional care addresses crucial non-medical factors affecting patient outcomes
3. Technology platforms like Olio can significantly enhance collaboration between providers and post-acute facilities
4. Focusing on relationship-building and co-management yields better results than traditional siloed approaches
As healthcare continues to evolve, the partnership between Oak Street Health and Olio is a compelling example of how innovative thinking, technology, and a patient-centered approach can transform post-acute care management and improve outcomes for complex patient populations.
