Episode Transcript
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Ashton Jones (00:04):
Hi everyone, I'm
Ashton Jones and this is Home is
where the health is. Thispodcast brings you the latest
news on progress and innovationin the home based healthcare
space in association withcompasses. At the end of the day
every person deserves to becared for with compassion,
whether they're recovering athome dealing with a serious
illness or nearing the end oflife, and in the place they call
(00:27):
home no less. That's why everymonth we feature different
subject matter experts, and wedive deep into how their work is
improving home based care forpatients. In today's episode,
we're discussing partnershipsand why health systems physician
practices and other types oforganizations are focused with
compasses on improving homebased care with our guest, Jeff
(00:48):
Marsh, Chief growth officer atcompasses will address how such
partnerships improve clinicaloutcomes and business
performance. And we'll share apersonal story with you about
how this work is transforminglives. There's all that more
coming up on Home is where thehealth is.
(01:12):
Hey, everyone, it's so great tobe back for our second episode
of Home is where the health is.
Thank you to everyone who tunedin last time for our first
episode on advanced caremanagement with Jordan Holland.
Our podcast already has over 200downloads and that's all thanks
to you as listeners. So today wehave a great guest on today
compasses his chief growthofficer Jeff Marsh, Jeff, how
(01:34):
are you today?
Jeff Marsh (01:37):
I'm doing great,
Ashton. Thanks for having me on
your show. Yeah,
Ashton Jones (01:40):
of course. So
thank you for agreeing to guest
hosts. I want to start offtoday's episode by telling our
listeners a little bit moreabout you. Maybe let's start off
personally, your family life.
Your interests, likes, dislikes.
Jeff Marsh (01:54):
Well, I'm into music
I enjoy listening to and also
perfect for for performing withfellow colleagues and friends. I
had a I had a band when I was upin Michigan and moving to
Tennessee, I thought it'd bereally easy to find other
musicians to play with. And Igot busy with work. And that
(02:15):
wasn't quite the case. So Ienjoy the fact that I share a
lot of common interests withmany of my fellow colleagues
here at compasses. My wife and Ihave been married for almost 20
years. So if you've got any good20 year anniversary ideas, you
or listeners, I'm yeah, I'm earswide open here. We've got two
dogs. Both rescues we've hadrescues throughout the 20 years
(02:39):
we've been married a total ofsix dogs over the course of our
marriage.
Ashton Jones (02:44):
Okay, well, I have
to know the two dogs names
Jeff Marsh (02:47):
are our oldest dog
right now is about three years
old. Her name is Lola and me isour new puppy. She's about eight
months old. Oh,
Ashton Jones (02:55):
that's so sweet.
So how about your professionallife? What do you want people to
know? Sure. Well,
Jeff Marsh (03:01):
for starters, I've
spent my whole career in health
care. I've spent that timebuilding partnerships with
customers who want to improvethe efficiency of how healthcare
is delivered, while alsoimproving the health and the
outcomes for their patients ortheir member populations. I'm a
nurse by education. I attendedthe University of Toledo and the
(03:21):
Medical University of Ohio nearwhere I grew up. I also learned
pretty early that I was moredrawn to the business side of
healthcare than I was the actualclinical delivery. And I was
fortunate to find anentrepreneurial startup company
right after I graduated that wasfocused on primarily wellness
(03:41):
and prevention and worked withpayers and large employers to
build and deliver programs thatwere aimed at improving the
health and well being ofpopulations.
Ashton Jones (03:52):
So as we said, You
are the chief growth officer at
compasses. So tell us a littlebit more about what growth means
to you that includes your team,your role and the value that it
brings to the organization?
Yeah,
Jeff Marsh (04:05):
well, I'm
responsible for the company's
growth across our variousservice lines. That growth
includes expanding access tomore patients across the 29
states that we serve. As well asadvancing our partnerships and
product strategy to payers inthe value based care initiatives
similar to what Jordan talkedabout in the first podcast. What
(04:26):
I really love about the job iswe're always innovating. We're
constantly innovating with ourpartners developing new
products, services and ways tomeet the objectives of those
that we support.
Ashton Jones (04:38):
And how about how
you found yourself in the home
based care space and thenspecifically compasses.
Jeff Marsh (04:44):
Sure i i joined
compasses in 2017. It was about
that time when compasses wasventuring into new types of
business development, namely,forming partnerships with large
national organizations, and Iwas recruited from my former
employer to build out apartnership or an account
(05:06):
management function for ourfirst couple of national
Preferred Provider agreements.
Ashton Jones (05:13):
Yeah, and that
kind of brings us to our first
main topic of the day. So todaywe are touching on partnerships
with home based care providers.
So, Jeff, what is a partnershipwith compasses involve
Jeff Marsh (05:26):
a partnership with
compasses could take on a number
of different forms. Some arefocused on creating a real high
performing narrow network.
Others involve the purchase andthe implementation of value
based care products, like wewere just talking about. Other
partnerships can be structuredas joint ventures and these
jayvees, or joint ventures arereally becoming our most common
(05:48):
type of partnership.
Ashton Jones (05:53):
Yeah, and so what
type of organizations do you
focus on?
Jeff Marsh (05:58):
As far as
organizations, we're really
focused on partnering withhealth systems, as well as
provider groups, particularlythose provider groups that are
leading the charge in advancingvalue based care initiatives?
Ashton Jones (06:10):
And so how are
health systems thinking about
home based care?
Jeff Marsh (06:15):
Well, they're
mindful of the the shift in
care, from an acute environment,really into delivery of care in
the home. And in many cases,health systems have their own
home based care services. Andagain, these services may
include home health, homeinfusion therapy, palliative and
(06:37):
or and hospice care. And many ofthese health systems acknowledge
that having a partner likecompasses, who this is all we do
we specialize in the provisionof care in the home can really
help them improve their overallperformance of those services.
And so some of the some of theperformance measures might
include quality of care, qualityof care through the star rating
(06:59):
performance throughproductivity, but also the
financial performance of thoseassets.
Ashton Jones (07:06):
And, you know,
we'll touch on those star
ratings in just a moment. Buthow does the approach vary from
one health system to another?
Jeff Marsh (07:15):
Yeah, each health
system that we've worked with
has their own unique challenges,those unique challenges can be
due to the geography wherethey're at in the country we
operate in in 29 states. Sowe've worked with health systems
from the northeast, up in theMaine, New Hampshire area, all
the way into Texas, Arizona, NewMexico. And each one of them is
(07:37):
very different. Yeah. Some ofthe common themes across health
systems and the focuses are ontheir overall hospital length of
stay on their rehospitalizationrates, their inpatient
mortality. And on the just thecontinuity of care associated
with the provision of home basedservices.
Ashton Jones (07:58):
So going along
with that, do you have an
example that you can share abouthow, you know we're helping out
health systems?
Jeff Marsh (08:06):
Sure. That's a great
question. Case in point, we've
had remarkable improvement inour Home Health Star Rating
performance with one of ourhealth system partners, we took
over operational responsibilityin 2020. And at that time, the
home health programs had anaverage between a two and a four
(08:28):
star on Medicare's five starrating scale. Yeah, none of
their programs were five star,which is as good as you can get.
Within two years, our averagestar rating is now approaching
4.3. With all of our programsabove a 3.5. And I believe this
year, all of our programs willbe over four star. That's
(08:49):
amazing.
Ashton Jones (08:50):
Yeah. And we've
touched on the star ratings a
couple of times so far. Can yourevisit that and elaborate on
what the star ratings are forany of our listeners who might
not be familiar?
Jeff Marsh (09:00):
Yeah, it's a great
question, Ashton. The star
rating system, in its most basicexplanation is an apples to
apples comparison throughMedicare standards of the
quality of care that's beingdelivered by a home health
agency.
Ashton Jones (09:15):
Well,
congratulations on that. That's
amazing to see those ratings goup such a significant amount.
Well, thanks.
Jeff Marsh (09:22):
The credit goes to
our clinicians and clinical
leaders throughout theorganization. They're really top
notch.
Ashton Jones (09:29):
Well, with that,
we're going to take a quick
break from our main discussionto share a story with you. And
the reason we want to spend sometime on a single story is
because when you're looking atthe big picture, it's so easy to
forget all of the people who areimpacted by this work. And at
the end of the day, it's allabout touching a life. So before
we get started, I asked Jeff tocome prepared with the story to
(09:51):
share with all of you somethingthat's impacted him both
professionally and personally.
So Jeff, your story is relatedto caring for the person not
just the patient, is that right?
Jeff Marsh (10:02):
That's right,
Ashton, we call that our care
for who I am culture. And it'sreally a focus on the who I am
in understanding who theindividual really is not just
being focused on theirdiagnosis. And I've had some of
the most amazing opportunitiesto hear some of these Person
Centered stories over the lastseveral years. It's a, it's an
ask that I make to our careconsultants, when they first get
(10:24):
hired with our company. As theygo through training. I asked
them, please share with me someof the patient's stories that
you helped create out in thecommunity. One of the stories
that still resonates with me andwhen somebody asks me the
question you did what what storyfirst comes to mind when you
think about the impact thatcapacitor is having I think
about a, an experience that wecreated for a patient about
(10:48):
three years ago. And this was a,this was a patient but also a
resident of a nursing home. Andthis was right during the start
of COVID. And as I'm sure youremember, COVID was most
challenging for nursing homeresidents. Yeah, for sure. And
it was about a patient namedMarjorie and Marjorie was a well
(11:10):
known watercolor artist throughthe 1970s into the 1990s. And
each year, she would have herwork put on display in art fairs
throughout the community. Andwhen our Care Consultant
actually went to the home ofMarjorie's children to go
through the documentationprocess for enrolling her in our
(11:31):
hospice program. She noticedthat throughout the whole home,
the walls were covered withpaintings and portraits that
Marjorie had done over herlifetime. And we got to
thinking, again, more about whothis individual was, Marjorie
had been diagnosed withdementia. And so she could no
longer paint, but she still hadan eye for color and an eye for
(11:52):
beauty. And so our team workedclosely with the nursing home to
put on in an art fair, withinthe nursing home. And this was a
really challenging thing to tryto coordinate during the
beginning of a pandemic. Oh,yeah, of course. But our team,
our team was able to work withthe nursing home. And we put on
a week long exhibit, where wehad all of her art brought into
(12:14):
the nursing home. And thenresidents and staff would go
through in small groupscompliant with all the
regulations, and they would viewher art. They would write down
and leave notes. And they putthis all in a reception book
that for her was one of the mosttreasured possessions that she
had. Marjorie was given a redcarpet treatment. She wore her
(12:38):
favorite lavender outfit. Shewas gifted a corsage, and she
told our team that this was thesecond most wonderful day in her
life. Oh, she said the first dayfor her best day was when her
husband proposed to her this wasthe second most favorite day
that she had in her life.
Ashton Jones (12:55):
What a beautiful
moment. And we have so many
great care moments like thatone. But I mean to coordinate
such an extravagant event thatreally is a red carpet
experience,
Jeff Marsh (13:06):
where we take that
for granted, we our teams across
the country are creating thosetypes of moments for patients
every single day. Yeah.
Ashton Jones (13:15):
Well, let's go
ahead and continue our
conversation on partnerships.
And we're going to be touchingon the outcomes this time
around. So, Jeff, what otheroutcomes does compasses help to
create with partners?
Jeff Marsh (13:29):
Well, for health
systems, we address outcomes
that are top of mind for ourcustomers. Right now, optimizing
performance, safety for patientsand reducing overall hospital
length of stay are top of mindfor health systems. There's a
continued high demand for acutecare. And so hospitals need
(13:50):
support in discharging patientssafely to home as quickly as
they can, and our joint venturepartnerships with them allow for
those type of results. Hospitalsare also focused on reducing the
total cost of care withoutsacrificing the quality of the
care that they're providing. Andone way that they do that is to
ensure that their patients arereceiving care from a high
(14:13):
quality provider like compasses.
And when we're able to providethat type of care safely in the
home, it lowers the likelihoodthat they'll be rehospitalized
within the next 30 or 60 days,which is one of the ways that a
hospital is measured.
Ashton Jones (14:29):
So, along those
lines in one sentence, how would
you say that compasses reallyhelps a partner reach their
organizational objectives?
Jeff Marsh (14:38):
Well, whether it's
hospital length of stay, whether
it's rehospitalization rates,inpatient mortality, continuity
of care, or improving quality ofoutcomes, such as Star ratings,
we have partnered with healthsystems to deliver an integrated
Home Based Care strategy thathelps them improve performance
in these areas.
Ashton Jones (14:58):
So what about the
health system? isn't quite ready
for a joint venture
Jeff Marsh (15:03):
if a health system
isn't ready for a joint venture,
and I would also add providergroups or long term care
organizations, we've partneredwith them very effectively as a
preferred provider. Yeah, andLong Term Care Organizations and
hospitals are trying tointentionally reduce the
variation of care provided. Andso they're seeking high quality
(15:24):
organizations to narrow theirnetwork might surprise you to
know some hospitals and longterm care organizations work
with as many as a dozendifferent home health or hospice
companies. And that's notnecessarily good for the
patient, because not allproviders are equal.
Ashton Jones (15:39):
So we've talked a
lot about growth generally. And
so what would you say is on thehorizon for compasses,
Jeff Marsh (15:48):
I'd say over the
next year to three years, we'll
enter into many more jointventure partnerships with health
systems will continue to buildout our product roadmap to
include more value based optionsfor payers, and any type of risk
bearing entity. And I expectwill continue to grow
(16:10):
organically across the 29 stateswe currently serve. And the many
more states I believe will enterover the next few years.
Ashton Jones (16:17):
So before we wrap
up today's episode, what message
do you want to leave ouraudience with?
Jeff Marsh (16:23):
Well, my message
would depend on who's listening.
If you have an affinity for homebased care, and you're a
clinician, a nurse, an LPN, asocial worker, a physical
therapist, or even a volunteer,we've made great strides in
becoming a Home Care's employerof choice, and we'd love to work
with you.
Ashton Jones (16:42):
And how about any
listeners who see themselves as
potential partners.
Jeff Marsh (16:47):
We're continuing to
innovate. We're providing new
products and care models thatare resulting in better outcomes
for patients, and betterperformance for health systems
and advanced provider groups. Soif you're a health system or a
provider that would like toexplore options for improving
performance of home based careassets, then we'd love to talk
with you.
Ashton Jones (17:14):
Well, that brings
us to the end of this episode of
Home is where the health istoday we talked about how
partnerships can improveclinical outcomes and business
performance. Jeff, I want tothank you for being our guest
and sharing such insightfulinformation. For our listeners.
We hope learning more about HomeBased Care partnerships was
beneficial to you. If you liketoday's episode, and you're
(17:35):
listening on a streamingservice, go ahead and give us a
like and a follow. And be sureto tune in next month for
another in depth discussion oninnovation in the home based
care space with one of ourexperts. Until then, this is
Ashton Jones with Home is wherethe health is. Thanks for
listening