Care Management

We're making population health management work. We look at an entire population and design care systems that are specifically targeted at improving the care and health of the individuals involved – particularly those at high-risk and who have chronic disease.

Mount Carmel Health Partners has developed a number of programs and services for our population health program as well to better connect patients to the care they need, including:

  • 24/7 Care Line
  • Behavioral Health Social Workers
  • Clinical Rapid Response Team
  • Community Paramedicine
  • ER/Hospital Navigator Program
  • Enhanced Sub-Acute Care Units
  • ER Intercept
  • Health Coaches
  • Home Response Team
  • Integrated Pharmacist
  • Tele-health
  • Workplace Health

We believe our commitment to innovative programs like these will ensure better lifelong health for our patients and the entire central Ohio community.

24/7 Care Line

Mount Carmel Health Partners' 24/7 Care Line provides patients a round-the-clock clinical hotline. This program has been developed to reduce unnecessary ER utilizations by managing population health and addressing emergent patient concerns through one central phone line.

Unlike traditional care lines of the past, this new approach allows home health nurses to be deployed to patients' homes within one to two hours of a call. This "rapid response" is initially available to only 24,000 local residents who are enrolled in MediGold, Mount Carmel's Medicare Advantage health plan. The care line will eventually be rolled out to all Mount Carmel employees who are enrolled in the health plan, then to the rest of the 200,000-plus patients who have an established relationship with Mount Carmel.

The Care Line team will also make patient outreach calls to, among other things, remind patients to schedule annual wellness visits, schedule primary care provider follow-up visits, set up pre-planning visits, get flu shots, ensure medication compliance and provide education.

Behavioral Health Social Workers

Mount Carmel Health Partners' Behavioral Health Social Workers provide assessments and treatment of behavioral health issues that can drive patients' chronic conditions.

Care Managers

Mount Carmel Health Partners employs a team of registered nurses to help you manage population health – whether that means coordinating care between primary care providers and specialists, helping patients easily transition home after a hospital stay, providing resources and tools to help manage chronic illness or offering assistance managing medications. Our care managers help patients get and stay healthy and ensure every step of care is successful.

Clinical Rapid Response Team

The SWAT Team is a team of home health nurses and respiratory therapists who can be dispatched to a patient's home by Mount Carmel Health Partners' 24/7 Care Line. This team treats onsite in a patient's home, but will make requests for referrals and patient transport if needed. This program was created to defer low acute patients from the ER by allowing care providers to work with ER physicians and primary care physicians via Telehealth. After a patient has received proper acute care, the SWAT Team members will coordinate an ongoing plan of care and set up follow-up visits and assessments.

Community Paramedicine

Because high utilizers account for 12% of the low acute, non-admitted population coming to Mount Carmel emergency care centers, Mount Carmel Health Partners has teamed up with several central Ohio fire departments to develop a community paramedicine program. Community paramedicine is a new and evolving model of community-based health care in which paramedics function outside their normal emergency response and transport roles in ways that facilitate more appropriate uses of emergency care resources and enhance access to primary care. This program allows paramedics to treat onsite at a patient's residence or transport a patient to anon-emergent appropriate care settings for treatment.

ER/Hospital Navigator

Connecting Patients to the Care They Need

Many patients in our Emergency Departments (EDs) aren’t sick enough to be admitted as inpatients but aren’t well enough to go home without additional care. That’s why we’re piloting a new resource, the ED/Hospital Navigator program at Mount Carmel West, to help potential observation patients get the care they need in the most appropriate setting and to help patients get home sooner.

ED/Hospital Navigator

A dedicated physician or nurse practitioner (ED Navigator) will be in the ED to support and guide observation patients to the most appropriate level of care. When a patient is identified as a potential observation patient, there will be a coordinated approach among the ED Navigator, ED physician and case manager to partner with the patient and his or her family to create a personalized care plan.

Contact | Questions

Daniel J. Wendorff, MD, President, Mount Carmel Health Partners
A href="mailto:dwendorff@mchs.com">This email address is being protected from spambots. You need JavaScript enabled to view it. | 614-546-4262

Hunter Schouweiler, Project Manager, Strategic Initiatives, Mount Carmel Health Partners
This email address is being protected from spambots. You need JavaScript enabled to view it. | 614-546-4254

Home Response Team

A patient can receive care in the comfort of home when appropriate. Home Response is a team of RNs and other care providers that can be quickly dispatched to a patient’s home to both triage and provide high-quality, convenient care.

Home Response Care Intervention Examples:

  • Triage
  • Wound care
  • Breathing treatments
  • IV fluids
  • Falls injury assessment

Contact | Questions

Daniel J. Wendorff, MD, President, Mount Carmel Health Partners
A href="mailto:dwendorff@mchs.com">This email address is being protected from spambots. You need JavaScript enabled to view it. | 614-546-4262

Hunter Schouweiler, Project Manager, Strategic Initiatives, Mount Carmel Health Partners
This email address is being protected from spambots. You need JavaScript enabled to view it. | 614-546-4254

Enhanced Sub-Acute Care Units

A patient who may not need to be admitted into the hospital, but has complex care needs, can be directly admitted into a sub-acute care unit at one of our selected Skilled Nursing Facilities (SNFs). We’ve partnered with physicians (SNFists) who will provide an expanded level of care to these patients. This team of SNFists will closely collaborate with the acute care team for seamless transitions of care and also will provide oversight to sub-acute care units within the selected SNFs.

Contact | Questions

Daniel J. Wendorff, MD, President, Mount Carmel Health Partners
A href="mailto:dwendorff@mchs.com">This email address is being protected from spambots. You need JavaScript enabled to view it. | 614-546-4262

Hunter Schouweiler, Project Manager, Strategic Initiatives, Mount Carmel Health Partners
This email address is being protected from spambots. You need JavaScript enabled to view it. | 614-546-4254

ER Intercept

The ER Intercept Program is aimed at decreasing healthcare costs by decreasing emergency room observation and readmission rates. The ER Intercept physician is part of a multi-disciplinary team who helps triage patients, in-person or via telehealth features with a clinical rapid response team or a community paramedic, to ensure the patient receives the appropriate coordinated plan of care. Upon patient discharge, the ER Intercept physician works with the Case Manager to improve the process and explanation of post-discharge care to patients and their caregivers. This process improvement is essential to decreasing hospital readmission rates.

Integrated Pharmacist

Integrated pharmacists have the potential to improve medication measures as well as support cost-effective medication use. The interventions provided by these professional will complement measures taken by primary care providers by helping patients with medical adherence and reconciliation, specialty drug alternatives and home infusion programs.

Telehealth

With the help of MDLive, Mount Carmel Health Partners has created a HIPAA and PHI-compliant phone-in program that allows patients to teleconference with a physician in their home to alleviate access to care issues. After registering, patients can have a virtual consult with board-certified healthcare providers to diagnose non-emergency medical issues over the phone, through secure video or on a computer or smart phone.

Our telehealth program also allows paramedics and the clinical rapid response team to communicate during triage using iPads. Working with the ER intercept physician, the team agrees on what the appropriate care setting is for treatment, approves referrals and creates an ongoing environment of safe, high-quality patient care.

Workplace Health

Mount Carmel Health Partners works with employers to identify and address employee health risks before they result in costly healthcare claims. By partnering with our workplace health team, employees get access to a personal health profile which provides our team with needed information to identify unhealthy lifestyle characteristics, modifiable health risks and design programs focused on educating and improving the health of employees. The portal aggregates employee data into a "health snapshot" that allows employers to compare the health of employees to others in the market, identify specific health risks present in the workforce and trends and improvements over time in the health of the workforce. A wall-mounted Health Information Center alerts employees to pertinent health sisues and provides details regarding available health promotion activities and programs. Our workplace health team will also coordinate on-site screenings, body fat measurements and health education seminars.

Mount Carmel Health Partners also provides a whole array of occupational health services including care for work-related injuries or illness, exams, substance abuse and DOT tests, medical surveillance, fitness testing, immunizations and testing, and even onsite services like nurse and physician coverage, mammograms and drug testing.