社区提供商

Collaborative care for complex patients.

Learn how Landmark works with you and what services are available to you and your patients.

英雄的背景
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Landmark partners with care delivery systems, 包括现金足球网哪个好计划, 卫生系统, 以及基于风险的供应商群体, to bring additional care to high-need patients. Patients qualify for the Landmark program based on their current health state, number of chronic conditions and complex health needs.

协调的家庭护理.

You continue to serve as your patients’ primary care provider. Landmark is a provider group that supports your care plan. We go to patients where they reside. Landmark provides interdisciplinary care and coordination for your highest acuity patients, updating you after each home visit. We also provide urgent home visits and post-acute care visits to treat in place and help patients avoid unnecessary emergency trips to the hospital.

协调的家庭护理.  图像
我们的目标是护理差距. 图像

我们的目标是护理差距.

As a value-based provider, we focus on long-term outcomes of patients. We facilitate health care that is not easily addressed in a clinical appointment, 比如条件教育, 照顾者的压力, 药物依从性, 根源的角度来看, 所有后续, 护理对话的目标, 及以后. Landmark providers are experienced in thorough documentation and identifying ways to positively impact your quality measures.

我们的跨学科护理团队.

Landmark’s care is based on treating your whole patient with a dynamic team of Complexivist® and Urgentivist™ providers, as well as an interdisciplinary team, who are also available at your request. The local Landmark team may include:


我们的跨学科护理团队.
  1. Providers (doctors, nurse practitioners, physician assistants)
  2. 行为现金足球网哪个好专家
  3. 社会工作者
  4. 药剂师
  5. 护理经理
  6. 营养师
  7. 护理协调员
  8. 医疗保健大使

Landmark’s care team supports the individual needs of the whole patient. Our patients have access to a range of specialized roles.

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经过验证的结果.

97%

of Landmark patients stated that we have helped them stay out of the hospital or emergency room.

28%

decrease in hospitalizations in the portion of Landmark’s patient cohort that has actively engaged with its services.*

26%

reduction in mortality for patients engaged in the Landmark program, compared to those non-engaged.


* For Landmark patients in the first six months of engagement compared to the trend in utilization for statistically matched non-engaged patients. 楚,Lihao. A House-Call program that reduces unnecessary variation in utilization and spending among patients with poly chronic conditions. Academy Health Annual Research Meeting, June 25 2018, Seattle, WA. 未发表的会议论文. Landmark Health有限责任公司, Huntington Beach, 2018. 打印.

我们的社区伙伴说了什么.

"Landmark providers do an exemplary job communicating with the patient, the family and the patient’s personal physician which contributes to their ability to help patients comfortably remain in their homes."

Dr. 弗里德曼 综合医院

"As a PCP for the most challenging members of our community, I felt such relief to know that there is a program that is able to attend to their urgent care needs in lieu of having to send them in to an ER. Landmark is one of the first organizations in my area to understand that is takes a village to keep our elders safe at home and out of the hospital."

Dr. O ' brien 来访人员

"Landmark proactively identifies and addresses problems and needs that would otherwise go unnoticed and unmanaged, making timely additions and adjustments to treatment plans with primary care providers that better support patients and caregivers. I have found Landmark Health to be an invaluable partner in the care of my most complex home care patients."

Dr. 科斯特洛 奥尔巴尼医学院

“I welcome Landmark evaluations and appreciate the collaboration because they are done by providers similar to my skills that I can trust. It's like I went to the patient's home. There are insights to patient care that Landmark can find at a home visit that are easily missed in a brief office visit.“

Dr. 阿姆斯特朗 Riverbend医疗

"MH struggles to leave her home so it’s been great that Landmark is able to make meaningful contact with the patient and help take care of her in her home because she is so challenging. I appreciate the collaboration by Landmark."

Dr. 凯西 瑞典

Looking to talk with your Landmark care team? 接触!