Transitioning to value-based care (VBC) requires effective patient data capture and integration into provider tool sets, a concept we touched on in The Accountable bet8网站备用的企业: A Powerful Tool for Success in Value-Based Care. But it is not enough to optimize data aggregation from EHR native tools, because value-based organizations need to integrate data from external sources (e.g., 国家注册, 保险索赔, 病人门户, 药房福利经理), all while reducing the amount of data manipulation needed on the provider’s end.
这是我们博客系列的第四部分, we highlight how VBC has raised the demands of information technology (IT) frameworks—and the integral role IT plays in VBC models.
支持工作流和人员配置
The primary goal of VBC is twofold: lower costs and enhance patient care. 这需要高效的工作流程, 熟练的员工, and impeccable coordination between healthcare providers and their teams, 同时加强对患者参与的关注.
IT是实现这些目标的核心. To remain efficient and competitive, health systems must focus on:
- 自动信息捕获, 编译, and display to providers to decrease time spent on data collection and review.
- Actively tracking patient-entered data to drive inclusion in care management initiatives and outside-the-walls care.
- Using gathered data to drive downstream actions automatically (e.g., opening quick visits, adding patients to a care plan, satisfying care gaps, queueing orders).
- Decreasing administrative tasks and EHR documentation, which contribute to provider burnout.
- Increasing data literacy among providers and staff so they understand the patient data available for incorporation into pre-charting, 报告, 订购, 以及决策支持.
促进基于价值的护理的工具
工具 used for VBC care may be classified broadly into three categories: risk stratification and analytics, 护理管理和协调, 病人参与.
Analytics tools are incredibly powerful in extracting insights, 识别趋势, 支持决策过程. 然而, their effectiveness largely depends on the underlying structure and strategy of data management.
- Analytics tools are vital for assessing performance on measures included in payer contracts and identifying noncompliant patients.
- Reports can incorporate scoring algorithms and predictive models to prioritize patients for care management.
- 外部数据可以启动自动操作, such as marking annual wellness care as complete or sending a care plan to the patient portal.
- Successful deployment requires continuous improvement and adaptation of new data sources and 报告 metrics to align with changing goals.
Combining data from different sources may be challenging due to data completeness and data standardization obstacles.
Once patients are stratified with the help of 报告 and analytics platforms, health systems can use EHR tools to engage with patients more effectively. 具体来说,组织可以:
- Send care plans and synchronous or asynchronous visit requests to manage patients with chronic illnesses and increase patient touch points.
- Coordinate and share clinical data with specialists when deciding on referral strategies for patients who need to manage a chronic condition.
最后, 促进与现有和新患者的接触, health systems can integrate tools into their digital front door framework. 工具可能包括:
- 患者自动外展(i.e., 活动), which are offered natively within many EHRs or can be used within customer relationship management (CRM) tools.
- Campaigns can be tailored to outreach to patients that meet specified criteria, 比如那些露天放映的.
- Campaigns may standardly come with reports to assess success metrics like conversion rates or impressions.
- 直接和开放式调度, which integrate with provider scheduling templates and allow patients to conveniently schedule visits in advance or book the next available time slot.
IT策略考虑
While there are many advantages to adopting the tools mentioned above, organizations may run into obstacles that delay or prevent implementation. 具体地说, they may need to choose between implementing EHR-native tools or incorporating third-party solutions. Considerations for native and third-party tools are outlined below.
优点:
- EHR-native工具:
- 提供与现有应用程序的无缝集成.g.、日程安排、临床护理、收入管理).
- Incorporate data across the care continuum, benefiting multiple areas of healthcare.
- 第三方解决方案:
- 解决病人护理连续体的具体点.
- Offer predefined workflows, vast content libraries, and user-friendly interfaces.
- Can cover functionality gaps not addressed by EHR-native tools.
- 可能比ehr本地工具更快实施.
- 实现关注点:
- EHR-native tools may have longer rollout timelines and might need additional licenses.
- Some third-party solutions may not integrate well with EHRs, 导致工作流问题或数据集成挑战.
- 持续的IT支持和培训:
- Due to the evolving nature of VBC IT, continuous provider and staff training is essential.
- 确保最新的最终用户知识至关重要.
- Implementing a strong superuser program can foster a learning culture among staff.
A successful VBC program is characterized by advanced analytics and 报告, 无缝护理管理和协调, 提高患者参与度. 没有IT,这一切都不可能实现, which enables providers to foster team collaboration and elevate patient experiences. Organizations adopting a holistic approach continue to benefit from efficient team operations and an unparalleled patient journey throughout the care continuum.
联系 心电图 experts to learn about adopting this holistic approach.
编辑:马特·马斯林
出版于2024年1月31日