Maury Regional Health Post-Acute Care Network

The Maury Regional Health Post-Acute Care Network (PACN) is composed of post-acute agencies that meet quarterly conditions of participation and agree to provide high-quality care for Maury Regional Health (MRH) patients following a hospital stay. PACN members meet select criteria that are related to quality patient care and outcomes, such as:

  • A favorable historical working relationship with MRH physicians and case managers
  • Admission of sufficient patients from MRH
  • Average or better than average results on performance surveys, either by the state or by accrediting bodies
  • For skilled nursing facilities (SNF)s:
  • Caregiver RN in facility 24/7
  • Ability and willingness to accept unplanned weekend admissions on a timely basis
  • Full implementation of Interact III (or comparable evidence-based resources) in the agency operating and clinical delivery practices
  • Availability of therapies seven days per week
  • Willingness to work closely with a community-based palliative care program in treating residents’ symptoms and stress associated with serious illness 
  • Willing to participate in the Third-Party Payor Plans

The purpose of establishing the Maury Regional Health Post-Acute Care Network is to:

  • Improve quality of care and clinical outcomes
  • Improve coordination and continuity of care
  • Control total cost of health care
  • Improve the relationships of our post-acute relationships (SNF, Home Health, IRF, LTACH and Hospice/Pall Care) in the network
  • Eliminate unnecessary clinical care variation by the adoption of clinical protocols and pathways
  • Apply evidence-based medical interventions
  • Support coordinated, comprehensive clinical care with information technology solutions

Quality Controls

MRH has developed a set of metrics for post-acute venues (“Preliminary Metrics”) within its PACN to assure a seamless and integrated continuum and to meet the objectives of the Quadruple Aim: high quality patient outcomes; superior consumer experience; low per capita cost and workload balance. The expectation is that all members of the PACN will demonstrate compliance with the metrics at the established levels of achievement, beginning in May 2018. MRH intends to support the efforts of all members of the PACN through education, communications and collaborative care redesign for the acute/post-acute/home continuum.

Clinical Protocols

Clinical protocols are evidence-based clinical practices that are standardized across the acute/post-acute continuum for MRH patients. Clinical protocols will be developed collaboratively with PACN members through workgroups that include representation from PACN members. The process for developing clinical protocols for MRH patients is as follows:

  • PACN clinical workgroup members prepare clinical protocols for selected patient conditions.
  • Whenever possible, clinical protocols will reflect evidence-based practice published in peer-reviewed professional journals or promulgated by national organizations such as the National Quality Forum, Agency for Health and Research Quality, and other organizations that produce evidence-based clinical practices.
  • The PACN clinical workgroup will achieve consensus on the clinical processes as a first step.
  • Subsequent steps that must be completed prior to adoption of the clinical protocol include feedback from key stakeholders and experts, modification of the protocols to reflect valid feedback, and finalization of the consensus clinical protocols by the workgroup.
  • Next, the consensus clinical protocol along with an implementation timeline is submitted by the workgroup to the PACN Coordinating Committee for review and approval.
  • Following approval of the clinical protocol by the PACN Coordinating Committee, the clinical protocol will be adopted and implemented by PACN members in accordance with the implementation timeline.

Additional PACN information

Please use the links below for additional information and resources related to the Maury Regional Health Post-Acute Care Network.