Helping Bon Secours Mercy Health improve diabetes care

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THE CHALLENGE

More than nine percent of the US population suffers from diabetes.

And 1.5 million people are diagnosed with this costly and chronic disease each year. For Bon Secours Mercy Health (BSMH), a large hospital system that serves poor and underserved people in the Midwest, reducing the cost and community impact of diabetes was an urgent matter. Finding a pharmacy benefit manager that could support their initiatives with clinical expertise and up-to-the minute data about its patient population and individual high-risk members was key.

BSMH developed and implemented a multifaceted diabetes
management and adherence program that included:

Cascading communications.

Beginning at enrollment, BSMH communicates continuously with the patient to answer questions, track progress, share information, and encourage members to stay adherent. Communications channels include emails, outreach phone calls, and in-person visits by specially trained staff.

Technology.

BSMH uses MyChart, a secure, online tool that connects patients to their electronic medical record and allows them to view test results, schedule appointments, and securely send and receive messages with their provider.

Expert care team.

BSMH’s clinical and case management team are specially trained and coordinated to help people manage diabetes. It includes: Physicians, pharmacists, diabetic educators and ambulatory care coordinators.

A whole health approach.

BSMH takes a holistic approach to care, particularly for individuals with diabetes who experience a variety of other serious and chronic conditions. Since these patients have a higher-than-average rate of heart disease, BSMH waives co-payments on medications that lower cholesterol.

Metrics.

The BSMH team carefully tracks the number of people enrolled in its diabetic management program, the number of outreaches, lab results, costs, adherence to diabetes medications, statins, and other drugs.

AT A GLANCE

Bon Secours Mercy Health

43

HOSTPITALS

57000

EMPLOYEES

2100

PROVIDERS

7

MILLION PATIENT ENCOUNTERS ANNUALLY

1000

SITES OF CARE

Clinical and financial stability

BSMH’s efforts, in partnership with MedImpact’s team and technology, was able to achieve significant clinical and financial results.

Clinical

7% improvement in number of patients with Hbg A1cs<8 mg/dl
7% improvement in members with 70% oral diabetes medication adherence
32% improvement in members on statins
21% improvement in members on ACE/ARB
5% improvement in formulary compliance with preferred diabetes medications

Financial

21% reduction in PMPM costs for prescription-related claims since the program began
20% decrease in member copays from 2017-2018
Projected savings of $1.24 million cost avoidance from program clinical interventions

RESOURCES

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