Each year National Nurses Week coincides with Florence Nightingale’s birthday (May 12). The week not only celebrates the legacy of ‘The Lady with the Lamp’ who made rounds at night attending to wounded soldiers, but it also recognizes the unwavering commitment to the service our nation’s nurses provide day in day out.
As we acknowledge the important work our nurses provide, we have dedicated this Spotlight to our Caravan Health nurses who deliver value-based care one patient at a time.
Leota Gormely, RN from Broadwater Health: “I oversee infection control and quality. This really isn’t my role, but I am so passionate about Population Health work and the outcomes it provides our patients, so I am overseeing the work to make sure it is getting done.” 
Sherri Fulton, RN from Syringa Hospital & Clinics: “I am not going to stop when we meet our goal. I believe in the work we are doing with Chronic Care Management and how it helps our patients. I plan to let this program grow and grow.”  
Britta Shirtliff, RN from St. Luke Community Hospital has a 70-year old female with Diabetes, Hypertension, Obesity and other chronic conditions who sees multiple specialists. Alone and isolated, especially during the pandemic, the patient enrolled in CCM. Britta meets with the patient monthly and has worked with her to lower her A1C from 7.9 to 7.1. They have been able to decrease her long and short-acting insulin. As she worked with Britta, the patient lost 20 lbs. and lowered her bipap pressure. Due to her primary provider leaving and other office changes, the patient has gone through three providers, yet due to Britta’s work and the CCM practices, the continuity of care has remained consistent. 
Erin Korb, RN from Hutchinson Clinic shared a story about a patient who was experiencing chest pains at home. His wife spoke with Erin over the phone and despite the patient having no prior history of MI or obvious risk factors, she recommended he immediately go to the ED. Both patient and wife resisted and Erin consulted with a Cardiologist who agreed that the patient was at risk. Erin convinced them to go to the ED immediately where it was quickly determined that the patient was mid-heart attack. The patient’s life was saved. An additional caveat to the story is that the patient had recently enrolled in the CCM program based on the word-of-mouth recommendation of a friend. Erin was so highly regarded for her hands-on skills and compassion that one of her patients made the referral that ultimately helped save someone’s life.
Shelby Zenahlik, RN from Clark Fork Valley Hospital has a patient who has multiple comorbidities. The patient was so physically compromised he was unable to walk long distances. In the last year he agreed to seeing a psychiatrist and allowed home visits which led to seeing a cognitive behavioral therapist. He began seeing a physical therapist which resulted in him being able to walk a mile. Today he is nearly weaned from his prn medications and has lost 100 lbs. This is team-based success story as Shelby’s work with the patient led to a collaborative approach which has benefitted the patient.
Adriana Arbelaez, RN from WakeMed works with her colleagues to produce a ‘Pop Hits’ newsletter. The monthly newsletter is a quick and easy way for all team members to stay up-to-date on their population health projects. Each newsletter includes upcoming events, new projects, kudos, and a fun fact.

Image from Wake Meds "Pop Hits Newsletter"

Recent Resources

CMS Actions in Response to the COVID-19 Public Health Emergency

The Centers for Medicare and Medicaid Services just issued a lengthy set of policy changes to address the growing COVID-19 public health emergency (PHE). These changes will help hospitals and health providers to respond to the crisis more quickly and safely, including many more options for telehealth in Medicare.

ACO, Policy, Webinars & Events, Quality, Value-Based Care, COVID-19

Stop Standing Still: How to Get Started in a High-Performing Caravan Health ACO

Tuesday, September 24 at 9:00am PT / 12:00pm ET

ACO, Webinars & Events

10 Reasons ACOs Can Fail

Just published in Becker’s Hospital Review – Caravan Health Senior Vice President Tim Gronniger discusses ten reasons Accountable Care Organizations can fail.

ACO, Blogs & News, Value-Based Care


NEWS: Signify Health Completes Acquisition of Caravan Health

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