Lack of Health Care and Social Service Resources
- Patients and caregivers have no single resource for managing care transitions and complex care.
- 93 million informal adult caregivers have limited service options.
- Health care and social services are fragmented and uncoordinated.
- Health reform and the baby boomers are demanding alternatives.
Limited Understanding of Care Transition Requirements
- Inadequate patient and family education drive poor transitional care.
- The inability to understand health needs, coupled with limited access to community resources, drives avoidable re-admissions.
Low Health Literacy
- 1 in 3 Americans have low health literacy.
- 50 million Americans do not speak English at home.
- Low health literacy "...is a stronger predictor of health than age, income, employment status and race." Journal of the American Medical Association.
- Income, housing, food security, and social support are significant contributors to health outcomes.
- Americans with lower socio-economic status are more likely to over-utilize the Emergency Department for medical care or return unnecessarily to the hospital. Avoidable re-admissions cost about $50 billion annually.
- Failure to properly manage medication costs an estimated $290 billion annually.
Patient and Provider Needs are Growing
- Health care customers nationwide are demanding more. Currently, there are 850+ Integrated Delivery Networks and 428 (250+ Medicare) Accountable Care Organizations, over 5,200 hospitals, and over 1,200 Federally Qualified Health Centers.
- Over 39 million patients are discharged annually from the hospital. Of these, 20% are discharged to rehabilitative or institutional care programs.
- There are nearly 130 million Emergency Department discharges annually.
The Triple Threat
- The aging population, rising health care costs, and poor comparative outcomes are creating an environment that is ripe for change.