|Alfred Clavel, MD, Minnesota Head & Neck |
Pain Cllinic and FPA Staff, Mike Schlichting
Data sharing and reporting
We are providing Fairview Health Network independent primary care clinics with information to manage patient populations by enhancing care, patient experience and shared savings.
Transitions of care
We are working to reduce the number of avoidable hospital readmissions and improve the movement of patients from one level of care to another. Efforts include:
• Automated discharge reports from all Fairview hospitals
• Inpatient and Emergency Department visits to Fairview Health Network primary care clinics
• 48-hour follow-up calls and seven-day primary care physician visits.
We participate in Fairview's remote monitoring program, providing 30-day post-hospital surveillance for Medicare fee-for-service enrollees with congestive heart failure, chronic obstructive pulmonary disease (COPD) and other chronic and orthopedic conditions. Patients can enroll at no cost after discharge from a transitional care unit or hospital.