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ProgenyHealth’s Quality Focus Delivers Results

October 2017 Blog, The Business of Health Care Comments Off on ProgenyHealth’s Quality Focus Delivers Results

In business, engineering and manufacturing, quality has a pragmatic interpretation as the non-inferiority or superiority of something; it’s also defined as fitness for purpose. Quality is a perceptual, conditional, and somewhat subjective attribute and may be understood differently by different people. In healthcare, we deal with people’s lives, not tangible things so the definition changes. The Institute of Medicine defines health care quality as “the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.”

ProgenyHealth has a quality management (QM) program, the purpose of which is to ensure that our team, interacting with clients and our client’s members uses a coordinated, integrated and comprehensive approach to address preventive and clinical care, while ensuring safety and access to services for all client’s members. continue reading

Neonatal Intensive Care Awareness Month

September 2017 Blog, Stories from the NICU, The Business of Health Care Comments Off on Neonatal Intensive Care Awareness Month

September is Neonatal Intensive Care Awareness month, an observance designed to honor families experiencing a stay in the neonatal intensive care unit (NICU) and the health professionals who care for them. In honor of this, we have dedicated the September Blog to the families who have received NICU care coordination services from ProgenyHealth over the past decade.

ProgenyHealth works with providers and families coordinating the care of thousands of infants admitted to the NICU each year. Partnering with health plans across the United States, ProgenyHealth’s team of physicians, NICU nurses, pediatric nurses, and social workers is improving the health outcomes of these medically fragile infants one baby at a time. To illustrate, we share a story of one of our recent cases….. continue reading

Lactation Expertise Serves NICU Families

August 2017 Blog, Breastfeeding Comments Off on Lactation Expertise Serves NICU Families

The anticipation of a baby’s birth is an exciting time for many people. The mother-to-be is anxiously awaiting the arrival of the newest family member and has given some thought about how she will feed that child. Many mothers choose to breastfeed so that their baby can receive the numerous advantages of breastmilk. When a baby is sent to the NICU, many of the things that a mother anticipated are taken away: skin to skin holding immediately following delivery, breastfeeding early, and spending every moment getting to bond with the baby. The NICU is a frightening place and the mother sees her baby in this complex medical environment, feeling somewhat helpless. Pumping milk is the only thing that she can “do” for her baby as she watches the various caretakers provide the care that she feels she should be providing for her baby. Studies show that establishing a milk supply and eventually establishing a breastfeeding relationship helps a mother establish her role and view herself as a “good mother” which may be a factor for higher sensitivity and secure attachment to the baby. continue reading

Clinical Conversations Deliver Healthy NICU Outcomes

July 2017 Blog, Health Management, The Business of Health Care Comments Off on Clinical Conversations Deliver Healthy NICU Outcomes

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

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