Connected Care+: What is Care Excellence?

Medical error is the third leading cause of death in America, just behind heart disease and cancer. Common lapses like diagnostic errors, miscommunications, and medication mix-ups make it clear that putting something as valuable as your health into the right hands is critical.

Top hospitals across the country, often referred to as Centers of Excellence (COE), help address these issues by offering the highest quality specialty care for those with complicated, serious, or rare conditions like heart disease, cancer, multiple sclerosis, and much more. For these individuals, receiving the best, appropriate care possible is essential, as they are at the greatest risk for misdiagnosis, complications, and other negative outcomes. But how do they gain access to these world-renowned centers? The answer at Premise Health is our Care Excellence solution.

By opening the door to globally recognized facilities, Care Excellence ensures members are never alone when making complicated decisions about their health. Premise care teams can provide members with rapid access to care at Mayo Clinic to facilitate evaluation, accurate diagnosis, and appropriate treatment with a seamless transition back to local care. From the rare to the persistent, to the substantially disabling, Care Excellence tackles the most complex health issues effortlessly.

What is Care Excellence?

Care Excellence, a vital offering that’s part of Premise Health’s Connected Care+ approach, partners with Mayo Clinic to help reduce medical error and provide specialized, accelerated treatment for those with complex health conditions. This solution ensures a smooth referral process and provides specialized, high-quality, evidence-based treatment for those who need it most.

Here’s how it works – members who could benefit from this program connect with their Premise care team, who then work to collect medical records and transfer them to Mayo Clinic for review. Once Mayo Clinic schedules a treatment plan, Premise and Mayo Clinic work together to make the necessary appointments and coordinate travel and lodging for the member and a companion. The member and companion then travel to Mayo for diagnosis and treatment.

Once complete, the member is transferred back to their local provider for ongoing care and follow-up. By helping members access premium, specialty care and expertise at leading facilities like Mayo Clinic, Care Excellence reduces misdiagnosis, complications, and duplication of services while enhancing the overall member experience and improving the standard of care they receive.

The programs that make up the Care Excellence solution include:

Care Pathways – The Care Pathways program provides managed access to Mayo Clinic subspecialty medical experts for well-defined episodes of care like orthopedic, spine, transplant, and much more.

Complex Care – Members gain access to some of the world’s leading experts from virtually every medical specialty and subspecialty, benefiting from hassle free, coordinated transitions of care from their provider to the Mayo Clinic and back again.

What are the key benefits?

Care Excellence ensures that members who have complex and serious health needs get seamless, rapid access to the highest quality care. This solution removes financial and accessibility barriers by offering travel and lodging that’s not only coordinated but paid for – letting members and their companions rest easy knowing their health is in the best hands.

With Care Excellence, quality is a top priority, and complex care often requires medical experts from multiple specialties. U.S News & World Report recognizes Mayo Clinic as the number one hospital overall and top-ranked in 12 specialties. Along with this, Premise Health and Mayo Clinic providers are salaried, ensuring members receive premium care from care teams who aren’t incentivized to provide unnecessary treatments or procedures but are instead motivated to provide care that’s in the member’s best interest. Mayo Clinic’s team of experts collaborate to get the right diagnosis and treatment plan, delivering better outcomes and promoting cost savings.

Additionally, Premise and Mayo Clinic care teams work closely together to ensure the best possible results for each member while simultaneously creating exceptional experiences. Given their experience with high volumes of uncommon illnesses on a regular basis paired with their subspecialized expertise, Mayo Clinic specialists have identified the optimal approach to diagnosing and treating members with complex or rare needs to get them back to work, or back to their lives, as quickly as possible.

Care Excellence delivers value that:

• Provides solutions for complex, serious, or rare conditions
• Plays a pivotal role in mitigating medical error
• Utilizes one shared electronic health record for streamlined interoperability
• Avoids unnecessary healthcare costs for organizations
• Offers high-touch support starting and ending in the primary care setting
• Travel and lodging are both coordinated and covered, removing access and financial barriers
• Delivers easy access to high-quality specialty care
• Minimizes complications, revisions, and readmissions
• Facilitates shorter hospital stays and faster return to work times

Optimizing value for your organization.

With Premise Health’s Care Excellence solution, there’s no problem that’s too big or too complex. By leveraging our partnership with Mayo Clinic, we offer organizations and their members access to Complex Care and Care Pathways programs, connecting their people to specialized care when they need it most. Today, this partnership with Mayo Clinic allows us to offer high-quality care to members, in the future, we plan to expand this network to other leading facilities.

Learn how Premise Health can help optimize the care of your employees. Contact us today.