Report Card:

Care Coordination for Special Populations

Some patients have unique care needs that require specialized programs to ensure that they remain as healthy as possible. For example, patients with heart failure may need frequent hospitalization, which makes heart failure one of the most challenging and costly conditions to manage. Partners HealthCare has created outpatient programs that help patients like these thrive at home, keeping them healthy enough to avoid hospitalization while reducing cost to the nation’s health care system.

We work to improve care for other special groups of patients as well. Partners HealthCare Connection is a telephonic health-coaching program for Medicaid and financially eligible patients with a primary care doctor at BWH, MGH or NSMC. Connection began enrolling patients in August 2004. To date 7,600 Medicaid patients have been coached by health professionals. Health Coaches make sure their patients are filling their prescriptions, taking the medications, and keeping appointments. To read more about this program, please click here.

Click on any report card name to see more information. Move your mouse over the numbers and icons to see more information.

Report Card	Our Current Performance	Reference Point	How We’re Doing
Connecting Patients with Heart Failure to Services	95% Data through September 30, 2008	80% Partners-wide interim goal	Click here to read more about Keeping Heart Disease Patients Healthy and Out of the Hospital