SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

Onsite Ventilator Complex Care Management

SOSCM BRIDGING THE COVID19 DIVIDE:

Connecting families and their loved ones on ventilators, and updating the families and health plans with critical information real-time. Networking with the acute care medical team.

We honor the indwelling spirit of patients fighting to survive, the families isolated at home, the health care community, and all working to bridge the divide this pandemic has created.

Over the past 21 years, SOSCM has specialized in providing coordination of care, family engagement, and real time clinical information for patients on acute prolonged mechanical ventilation. And we are there now to support patients and their families, and will be there after the pandemic across the care continuum.

With each surge of Covid19 (SARS-CoV-2) across the country, there are post-surge waves impacting prolonged ICU recovery, impact on resource restriction for urgent non-Covid conditions, care interruptions for chronic illnesses, and psychic trauma, mental illness, economic injury, and HCW burnout.

Research funded by the Agency for Healthcare

Research and Quality, Care Management has emerged as a primary means of managing the health of a defined population. To achieve better care for individuals, healthier populations and lower costs—all factors to achieve value within advanced payment models—healthcare delivery organizations must effectively integrate care management.

Advocacy, Empowerment, Compassion, Accountability

What we do…

SOSCM is the only company that provides on site care management for the most costly patients for health plans. Through our network of hospitals we are credentialed to provide specialized care management services for ventilator dependent and complex patients. The SOSCM complexivist case managers are highly trained and skilled to coordinate the care transitions of these high cost patients. We work collaboratively with the health plan, the hospital and the family to provide the best outcome for these critically ill patients. Our leadership improves the length of stay in the ICU and reduces the rate of re-admission. We provide value to health plan clinical operations and partner with the hospital and the family to provide the best outcome.

For Health Plans

SOSCM directly impacts the most costly inpatient expenses related to catastrophic hospital charges by coordinating the transition of care to a Long-term Care Hospital, Skilled Nursing Facility or to the home. We improve overall quality measures by reducing the length of stay and re-admissions.

For Health Plans

SOSCM directly impacts the most costly inpatient expenses related to catastrophic hospital charges by coordinating the transition of care to a Long-term Care Hospital, Skilled Nursing Facility or to the home. We improve overall quality measures by reducing the length of stay and re-admissions.

For Health Systems

SOSCM provides credentialed complexivist care managers to the hospital and has access to provide leadership on-site for these critical beds that are not currently being managed by the health plan. We provide the coordination for the transition of the patient to a lower level of care.

For Health Systems

SOSCM provides credentialed clinicians to the hospital and has access to provide leadership on-site for these critical beds that are not currently being managed by the health plan. We provide the coordination for the transition of the patient to a lower level of care.

Families

SOSCM educates the family on process and options they have to provide the most appropriate care for their loved ones. We engage the family and the physicians to understand the options for continuous care of these critically ill patients.

For Members and Families

SOSCM educates the family on process and options they have to provide the most appropriate care for their loved ones. We engage the family and the physicians to understand the options for continuous care of these critically ill patients.

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Hospitals across the country with on-site access
0 Million +
Serving members with leading US payers
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Year operational history with historic and real-time data analytics

The Challenges With Mechanical Ventillation

  • Rapid Increase in Usage

    An aging population and advancing medical therapies will contribute to rapid increases in the usage of mechanical ventilation.

  • ICU Patients

    Over half of ICU patients are ventilated in the first 24 hours upon admission into the intesive care unit.

  • RISING COSTS

    Due to its technical and complex nature, the cost of mechanical ventilation remains disproportionally high within ICU care.

  • Increase in patients' Average Length of Stay

    Mechanical ventillation leads to longer Average Lengths of Stay (ALOS) for patients.

These challenges impose an urgent need for specialized ventilator care management and analytics.

  has a proven record and history in helping health plans reduce medical costs related to mechanical ventilation and reduction of readmissions.

The Challenges With Mechanical Ventillation

  • Rapid Increase in Usage

    An aging population and advancing medical therapies will contribute to rapid increases in the usage of mechanical ventilation.

  • ICU Patients

    Over half of ICU patients are ventilated in the first 24 hours upon admission into the intesive care unit.

  • RISING COSTS

    Due to its technical and complex nature, the cost of mechanical ventilation remains disproportionally high within ICU care.

  • Increase in patients' Average Length of Stay

    Mechanical ventillation leads to longer Average Lengths of Stay (ALOS) for patients.

These challenges impose an urgent need for specialized ventilator care management and analytics.

  has a proven record and history in helping health plans reduce medical costs related to mechanical ventilation and reduction of readmissions.

Bridging the Continuum

Transitioning with patients

CASE STUDY

Acute Ventilator Program

(Based On Actual Health Plans Contracted With SOSCM)

Mechanical ventilation over non-ventilation
SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

On average, an intensive unit bed with mechanical ventilation has an incremental daily cost of $600 to $1,500 over a non-ventilator intensive unit bed, which totals to $2,000 to $4,000 for a night of stay at the hospital.

Average length reduction
SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

Compared to other DRG-related acute care hospitals that do not employ SOSCM’s acute ventilator program, the target hospital, upon employment of SOSCM, experiences a minimum reduction of 8 days in the average length of stay of its patients, a 25% reduction.

Reduction in hospital expenses
SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

Upon discharge, readmissions rate to acute care hospitals also contracts from over 40% to below 10%, which contributes to a substantial reduction in hospital expenses paid by health plans.

Costs
SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

Since the mean intensive care unit cost is approximately $31,000- $34,000 per stay, the reduction in projected readmissions rate would result in a cost savings of approximately $23,000 – $25,000 per ICU patient for the health plan, per the DRG-related category.

CASE STUDY

Acute Ventilator Program

(Based On Actual Health Plans Contracted With SOSCM)

Mechanical ventilation over non-ventilation
SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

On average, an intensive unit bed with mechanical ventilation has an incremental daily cost of $600 to $1,500 over a non-ventilator intensive unit bed, which totals to $2,000 to $4,000 for a night of stay at the hospital.

Average length reduction
SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

Compared to other DRG-related acute care hospitals that do not employ SOSCM’s acute ventilator program, the target hospital, upon employment of SOSCM, experiences a minimum reduction of 8 days in the average length of stay of its patients, a 25% reduction.

Reduction in hospital expenses
SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

Upon discharge, readmissions rate to acute care hospitals also contracts from over 40% to below 10%, which contributes to a substantial reduction in hospital expenses paid by health plans.

Costs
SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

Since the mean intensive care unit cost is approximately $31,000- $34,000 per stay, the reduction in projected readmissions rate would result in a cost savings of approximately $23,000 – $25,000 per ICU patient for the health plan, per the DRG-related category.

RESULTS

SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-
SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-
SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-
Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

Hospital costs by the numbers

In the United States, at $971 billion as of 2014, hospital inpatient care constitutes almost one-third of the $3.0 trillion in health care expenditures.

In 2012, there were 36.5 million hospital stays with an average length of stay of 4.5 days and an average cost of $10,400 per stay.

Mechanical Ventilation and associated DRG’s and procedures, including ECMO, tracheostomy, and septicemia are among the top 5% of submitted hospital inpatient charges.

SOSCM- Specialized on- site care management-Acute ventilator Care Management-Acute Complex Care Management-Referral Authorization-Onsite Case Management-Insight Result Analytics-

Impacts the entire continuum of care including the STACH, LTCH, SNF, and discharges to home.

Why SOSCM?

Compassion for patients. Partner Empowerment. Results Driven.

solutions

Referral authorization

Health plan refers members on prolonged mechanical ventilation. Effective engagement window within 72 – 96 hours.

Onsite Case Management

Specialized ventilator care managers onsite at the acute care hospital intensive care unit.

Insights result analytics

SOSCM provides predictive modeling. Our proprietary EMR collects real-time clinical and demographic data with a robust analytics reporting platform.

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6100 Blue Lagoon Drive, Suite 360
Miami, FL 33126

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