As part of its participation in the IHI Triple Aim Community from 2012 to 2014, Signature Healthcare in Brockton, Massachusetts, initiated its Complex Care Clinic, a 12-month pilot program focused on one of its most challenging patient populations — high-risk Managed Medicare elderly patients with complex needs. For this population, Signature decreased acute admissions by 43 percent, reduced emergency department utilization by 30 percent, and improved patient care by restructuring its primary care practice and connecting these patients with resources readily available throughout the surrounding community. This improvement story is based on an interview with Lorraine (Lori) Pigeon, NP, former Director of Clinical Geriatrics and High-Risk Populations at Signature Healthcare. The Complex Care Clinic at Signature Healthcare continues under the leadership of Marc Greenwald, MD, and Cristine Waldron, NP.
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