Using Health IT to Realize the Promise Value-Based Care and Improve Population Health Management

Healthcare has entered a new era of integrated care delivery and accountability. Physicians are now expected to manage patients when they are healthy, when they seek specialized treatments, and as they move between hospitals, nursing homes, and home care services.  To realize the promise of integrating the entire care continuum to enable population health management and successful participation in one or multiple Fee For Value Initiatives requires active care coordination and effective communication between all stakeholders. Active care coordination is not easy to achieve because there had never before been an incentive to connect the entire care continuum. As health systems grow their value-based contact portfolios, they must build their attributed population health capabilities.  In this session you’ll hear how integrated delivery systems are building programs that improve active care coordination, apply analytical algorithms to improve risk stratification, feed actionable clinical, financial, and administrative data into clinical workflows and engaging patients through multiple channels. Examples of these initiatives include:

  • Bridging the care gap and providing real time collaboration that connects providers and patients
  • Technologies that support connectivity and communication between providers to enable value-based care
  • Using predictive analtyics and an algorithmic approach to outreach and disease management
  • Using a combination of automated workflows and high touch patient engagement
  • Communication tools that include dashboards for primary care providers and physician leadership alignment and training