CHMP is dedicated in improving the quality of care in our SNP population by offering the Special Need Program (SNP) to members who qualify. The following are CHMP’s SNP Program updates:
CHMP’s SNP team continues to serve our SNP members by providing health education regarding management of their chronic health conditions. We continue to improve on our care plan software to facilitate SNP care management. In the last quarter of 2017, our Health Risk Assessment (HRA) completion rate and timely completion of individualized care plan have improved to 78% and 86%, respectively.
Our SNP team is dedicated to reducing 30days readmission rate to < 15% in our SNP population. For the 3rd quarter of 2017, we achieved 11% in 002 and 9% in 006 members. We are continuing to improve the re-admission rate of 18% in 009 members. Our inpatient case managers work closely with our SNP case managers in addressing the transition of care needs of our members.
The GRACE Team (Nurse Practitioner and Social Worker) continues to conduct home visits to our high risk members. Beginning in June 2017 to December 2017, the Congestive Heart Failure Quality Improvement Program (CHF-QIP) project has a total of 34 members enrolled. Our GRACE Team conducts home visits and follow-up calls to enrollees where they encourage live-in companions to promote lifestyle changes and support the enrollee in his/her self-care to help the enrollee maintain optimum health status.
Improved SNP member experience is evidenced by our consistent score of > 80% on our Member Satisfaction Survey. In 2017, we achieved a score of 91%.
In the last quarter of 2017, more than 60% of our SNP members achieved HbA1c score of < 7-9% (002 = 94%, 006 = 86.5%, 009 = 86%).