Comprehensive Health Assessment: Access
Improving Access to Care (Part 3 of 6)
During a Comprehensive Health Assessment (CHA) visit, Matrix nurse practitioners (NPs) not only leverage evidence-based clinical core competencies while delivering compassionate care, but also connect with the member to evaluate the physiological, socioeconomic and general well-being of the member. Matrix providers live in the communities they serve, helping them build trust with the members they visit. Local knowledge of the community also enables them to identify appropriate local resources available to assist members.
The CHA enables Matrix to identify risk factors or chronic conditions that are often unnoticed or undiagnosed. Early detection of any chronic condition is vital to ensure treatment is initiated before a member suffers debilitating symptoms or to potentially prevent further progression and improve revenue integrity for the plan. Labs and diagnostic testing can be incorporated to increase the quality and care management value and interventions triggered by the CHA.
In the home, following a CHA and needs assessment, NPs have not only delivered medical care, but have also assisted with daily living needs ranging from transportation, food delivery and utilities through to providing information on income adjusted housing, and connections to social support services and counseling.
On a mobile health clinic, as a result of communications and outreach, participants are already more engaged having made the choice where they complete their health visit. Members are ready to learn more about their health and receptive to guidance on getting the care and support they need.
Overall the Matrix approach leads to higher levels of engagement, improved health outcomes, reductions in readmissions and cost containment.
Live the Story
When nurse practitioner Nancy arrived, the member reported dizziness, blurred vision and swollen legs. In checking vital signs, she found the woman’s blood pressure was 210 (normal is 120) while her heart rate was only 52 beats per minute (60 to 100 is considered normal). Nancy convinced the member that she needed to go to the hospital immediately and waited with her until EMS had her ready to go – potentially saving the woman’s life.
Follow our posts this month as we walk through our approach with CHAs, ‘Live the Story’ and share some outcomes.