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Leveraging data

  
  
We use data to help make care more consistent and improve transitions of care to support population health. We are working to provide independent primary care clinics in Fairview Health Network--our shared savings network-- with information to manage patient populations and enhance care and shared savings.

Commercial payer contracts
We receive claims data from our commercial payer contracts and work to integrate this information with real-time clinical data to coordinate patient care.

Data sharing and reporting
We provide 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.

Telemonitoring monitoring
We participate in M Health 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 conditions. Patients can enroll at no cost after discharge from a network hospital.

Discrimination is Against the Law. We comply with applicable Federal civil rights laws. We do not discriminate against, exclude or treat people differently because of race, color, national origin, age, disability or sex.
 
 
 
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