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Tag: NICU care management

Honoring All Those Fighting to Improve the Lives of NICU Babies and Families

September 2018 Blog, Stories from the NICU Comments Off on Honoring All Those Fighting to Improve the Lives of NICU Babies and Families

As Neonatal Intensive Care Awareness Month comes to a close, we’d like to remind everyone of the unique challenges that families, providers, and communities face in caring for premature and medically complex newborns – struggles that often endure well beyond infancy.

The March of Dimes is one of the most widely known and respected charities. They’ve been leading the charge for healthier babies and moms for decades, and their mission is near and dear to our hearts here at ProgenyHealth.  Fighting Premature Birth: The Prematurity Campaign puts focus on many of the issues that we also face in providing care management services for such infants and their families in the first year of life.

According to CDC data as of 2016 cited in the campaign, 9.8% of all births in the US are preterm (<37 weeks gestation). Unfortunately, the rate of such births is growing, and the national opioid epidemic is contributing to the problem. To-date, a single solution has proven elusive. Until one is found, the best approach is a renewed focus on the issue that encompasses its inherent breadth and depth.

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World Prematurity Day Highlights Population on the Rise

November 2017 Blog Comments Off on World Prematurity Day Highlights Population on the Rise

November 17th is World Prematurity Day. At ProgenyHealth, our mission is to improve outcomes for this vulnerable population. Prematurity (birth prior to 37 weeks gestation) is the leading cause of death worldwide in children under five years of age. Here are a few facts illustrating why prematurity remains at the forefront of population management agendas. continue reading

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

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

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

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 – 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

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