Kenny Advanced Primary Care Clinic demonstrates that excellent primary
care can improve a person’s health and health care experiences, reduce
hospitalizations, and lower health care costs. The Advanced Primary Care Clinic
is a state-certified medical home where people are managed by a team of health
care professionals. On average people served have 78% fewer hospital days after
enrolling in the clinic, and the average number of days spent in the hospital
each year for each person drops from 12 days to 2.7 days. We estimate this
lowers hospital costs by an average of $1,723 per person per month.
In 2017, Courage Kenny Advanced Primary Care Clinic
served 282 people.
measures used to determine the impact of the Advanced Primary Care Clinic on each
person’s outcomes include:
In 2017, 69% of people with moderate to severe
depression improved during the year.
The Patient Activation Measure (PAM) measures four levels of activation:
“(1) disengaged and overwhelmed, (2) becoming aware but still struggling, (3)
taking action, (4) maintaining behaviors and pushing further”[i]. Forty-nine percent
of people who scored at levels 1, 2 or 3 at the beginning of the year, improved
throughout the year. "Each point increase in PAM score correlates to a 2%
decrease in hospitalization and 2% increase in medication adherence"[i].
Kenny Rehabilitation Institute has a data-sharing agreement with the Minnesota
Department of Human Services that allows for the tracking of hospitalizations
and emergency department visits for the clinic’s Medicaid-insured people before
and after their enrollment in the clinic.
care utilization data was collected for 198 Advanced Primary Care Clinic
patients who have Minnesota Medicaid insurance. As of December 2017, the
average hospitalization rate for this group was:
average, people had fewer hospitalizations after enrolling in the clinic,
indicating improved or maintained health or better access to their primary care
difference equates to an 78% reduction in hospital days or an estimated
hospital cost savings of $1,723 per Medicaid or dually-eligible people per
month, which totals to $4 million for all Medicaid or dually-eligible people for
[i] Insignia Health. (n.d.) Pam
For more information about the Advanced Primary Care Clinic, please call 612-775-2600.