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Clinical Conversations Deliver Healthy NICU Outcomes

July 2017 Blog, Health Management, The Business of Health Care no comments

When I joined ProgenyHealth as a medical director, one of the aspects of the job that I found most appealing was the ability to do meaningful outreach to other neonatologists across the country. Having taken care of many medically complex babies as an attending physician in a NICU for eight years, I feel like I can understand what physicians in the community are going through and the challenges they are facing.

One of the best opportunities for engaging with these physicians comes when we at ProgenyHealth partner with a new client. This provides a chance to connect with physicians, and to discuss how their practice patterns can synergize with ProgenyHealth guidelines to improve patient outcomes. These physician-to-physician discussions form a solid foundation from which trust and working relationships are formed. continue reading

Part II: A NICU Infant at Home – One Father’s Story

June 2017 Blog, Stories from the NICU Comments Off on Part II: A NICU Infant at Home – One Father’s Story

As excited as we were to take Koby home and out of the NICU, we missed our nurses. Not only because they were good at what they do and helped keep Koby safe and alive, but they also brought my wife and me so much comfort. Having them available to talk to and encourage us was vital. At first, it was difficult without them and we felt a little extra weight on our shoulders as the reality of caring for Koby on our own set in. Having a child with special needs creates many unique challenges as parents. It was such a relief to have our ProgenyHealth Nurse Case Manager, Melissa, there as a resource to navigate any medical issues that popped up. We were able to focus on Koby and our other children, knowing Melissa would help us quickly address anything we needed. Her assistance was well timed and brought us tremendous relief. continue reading

Part I: A Mother’s NICU Story

May 2017 Blog, Stories from the NICU Comments Off on Part I: A Mother’s NICU Story

I hadn’t been feeling well that day, kind of achy like the flu, but I figured this was the most exhausting Christmas Break on record, and I was 36½ weeks pregnant, so it made sense that I wasn’t feeling that great. I packed lunches and took the kids to the park. I promised that if everyone came when I said it was time to leave we could get dessert on the way home. After the park and on the way home, I was completely wiped out. I asked my oldest daughter to put on a movie for the younger kids while I took a nap. All the while I was beginning to experience persistent low pressure in my back that I wasn’t going to admit was contractions. It was too early for that to be starting.

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Two’s Company and Three’s a Crowd!

April 2017 Blog, Stories from the NICU Comments Off on Two’s Company and Three’s a Crowd!

April is National Multiple Birth Awareness Month. In 2015, multiple births accounted for 3.6% of all live births. Almost half of all twins are born prematurely and/or have low birth weight; 90% of triplet, quadruplet, and quintuplet babies are born prematurely and/or have low birth weight.

As a nurse case manager at ProgenyHealth, I enjoy helping new parents of multiples work through their own challenges. I recently had the privilege of providing case management to a family with triplets. Alexander, Belle, and Christopher were born at 26 weeks and they each weighed about two pounds. continue reading

Success Through People

March 2017 Blog Comments Off on Success Through People

ProgenyHealth has grown at lightning speed since 2014. In just over two years, our managed cases have increased dramatically, leading to staff growth of more than 55%. This need for identifying new resources quickly has helped us to fine tune our process, and we have become quite proficient in recruiting the right people. We’ve learned that making the right hiring choices minimizes our training time, enhances our culture, and reduces turnover. If we do this, the end result will be a better customer experience for our clients! continue reading

The Value of Boutiques in a Big-Box Store World

February 2017 Blog, The Business of Health Care Comments Off on The Value of Boutiques in a Big-Box Store World

Once upon a time, Main Street America was filled with specialty shops that reflected the unique character of the proprietors and offered us very personalized attention. When we looked for a special occasion dress the owner took pride in helping find the perfect fit and if it wasn’t available in the store, they would order it, tailor it, and give us the detailed attention we desired. The florist knew our partner’s favorite color roses and the pharmacist understood the specific health challenges of our families. Specialization and expertise at retail points of purchase are increasingly rare nowadays.

Today we enjoy the convenience of one-stop shopping at national chains that carry the same goods from coast to coast. Our time is valuable so we gravitate towards what is expedient. These mass marketers strive to cover all our needs under one roof. Their big data systems optimize the shelf space, but often I find the selection average. And while it satisfies routine purchases, it falls short when I seek something more unique and personal. For example, while wine is available in the supermarket, I prefer the guidance of the specialty sommelier who helps me better match taste and value. Big box retail stores are losing relevance, while e-commerce and specialty stores grow in appeal. continue reading

ProgenyHealth, a NICU company that was not premature!

January 2017 Blog, The Business of Health Care Comments Off on ProgenyHealth, a NICU company that was not premature!

As we begin a New Year, it’s the perfect time to reflect on the birth of ProgenyHealth and share the story behind its inception…

Ellen Stang, M.D. is a board certified Pediatrician who began her career in private practice in Bucks County, Pennsylvania – a Philadelphia suburb. After many years in private practice, Dr. Stang transitioned into the managed care industry and became a Regional Medical Director at Keystone Mercy Health Plan – one of the largest Medicaid Plans in Pennsylvania. As a Medical Director, she saw how Utilization Management and Case Management programs could make a difference in the quality, cost, and outcomes of care. She worked with nurses and social workers focused on educating members and coordinating the timely delivery of inpatient, outpatient and ancillary services. In her role, she also was part of a case management team that worked with members who faced daily challenges with many social determinants of health that directly contribute to a person’s wellbeing. continue reading

ProgenyHealth – Our Year in Review

December 2016 Blog, The Business of Health Care Comments Off on ProgenyHealth – Our Year in Review

The beginning of a new year is always a great time to consider where we have been and where we want to go. Before we jump into what we want for the future and those New Year resolutions, we should pause and celebrate all that we accomplished during the past year. ProgenyHealth enjoyed much success in 2016.

We experienced outstanding growth in several areas of our business: clients, infrastructure, and workforce. We added new clients and expanded existing client accounts by managing the health and wellbeing of many more NICU babies. Our most recent additions have included health plans in Massachusetts, South Carolina, Michigan, and Hawaii. continue reading

A ProgenyHealth Nurse Case Manager’s Tips for NICU Parents

November 2016 Blog, Stories from the NICU Comments Off on A ProgenyHealth Nurse Case Manager’s Tips for NICU Parents

As we observe Prematurity Awareness Month, one of our nurse case managers shares her tips for parents whose babies are admitted to a Neonatal Intensive Care Unit (NICU) or special care nursery as a result of their premature birth or medically complex condition.

Natalie has been a Registered Nurse for 22 years and 16 of those years were spent in the NICU. Her job was to care for babies that should have been safe and growing in their mother’s womb.  Natalie recalls some preterm babies being so small that they could fit in the palm of your hand. Natalie said that it is so rewarding to help a baby born this small survive, and months later see them go home with their parents. She not only helped tiny premature and medically complex babies survive, but she also supported their families during their child’s NICU stay.  It was her passion to help these families that brought her to ProgenyHealth as a NICU Case Manager.  The NICU is a challenging, very fast paced environment making it difficult for many parents. Here are some things that Natalie learned through her many years in the NICU that she shares with families during what can be one of the most stressful times in their life: continue reading

Talk More – Deny Less

October 2016 Blog, Health Management, The Business of Health Care Comments Off on Talk More – Deny Less

What defines an effective patient management vendor? Is it working in a delegated relationship and issuing denials of inpatient days? How about refusing to approve services that might be helpful in moving a patient out of the hospital to home? Maybe making adverse determinations without discussions with medical care providers?

At ProgenyHealth, we don’t believe that any of those things produce effective or sustainable relationships with providers. Instead, we promote proactive and consistent dialogue with our clients’ providers to anticipate clinical needs and prepare for the next level of care. Our nurses and physicians speak directly with the clinicians in the facilities to discuss the care being provided, barriers to patient progress, and anticipated discharge needs. They discuss the best approach to achieving a healthy outcome and, where possible, address discharge needs early. This proactive and consistent dialogue is one of the primary tenets of the ProgenyHealth medical management model. continue reading

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