HealthEC is a KLAS-recognized Population Health Management Company improving patient outcomes, managing costs and optimizing patient quality of life for independent physicians, provider organizations and health plans. An array of consulting services supplement inhouse resources and develop or refine value-based care initiatives. Advanced analytics and workflow management tools guide patient care interventions for better care coordination and maximum reimbursement. Arthur Kapoor, President and CEO, HealthEC
What technologies do healthcare organizations need to implement to succeed under value-based care?
The confluence of technology and Big Data in the digital age is transforming the health IT industry; and, as organizations transition to value-based models, population health management (PHM) tools are leading the charge. With simpleto-navigate, interactive dashboards, these platforms provide unparalleled opportunities for healthcare professionals to analyze data and formulate holistic strategies for improving patient outcomes and costs – particularly for the small amount of high-risk and rising-risk patients within a population who utilize the bulk of the resources.
Quite simply, PHM solutions are reinventing how provider organizations manage and administer services – achieving clinical and operational outcomes that were unheard of just five years ago.
Perhaps the most amazing function of certain PHM solutions is the ability to access data from any disparate system, in any setting and in most any format – thereby allowing organizations to aggregate, normalize and analyze decades of information using a single platform.
How does artificial intelligence impact health IT?
Artificial intelligence is not a new phenomenon, but the convergence of AI and Big Data is likely to transform medicine. Healthcare-based AI pairs deep learning with massive amounts of data from multiple sources, such as claims, hospital, health system, physician practice. and laboratory systems. The clinical and financial information can be aggregated and processed in meaningful ways by applying powerful algorithms to millions of data points.
AI, in turn, finds a correlation. The more information capable of being processed by machine -based-learning, the more insightful and beneficial are the applications that integrate and use the data for high performance analytics.
Essentially, AI recognizes and analyzes changing patterns in the patient’s health and care, which gives physicians more time to react to and treat life-threatening diseases, for example.
How can the delivery of healthcare under a value-based care program be improved by analyzing social determinants of health?
Social determinants of health, which include factors such as a patient’s socioeconomic status, physical environment and education, are an increasing consideration of organizations transitioning to new care delivery and reimbursement models. Using PHM solutions designed to automate patient interventions and activities, physicians along with care coordinators can tackle barriers blocking optimal health to improve patient outcomes and reduce costs.
For example, a provider armed with relevant data can help a diabetic patient address health literacy challenges. The diabetes educator can point to healthy, low- cost food choices during a grocery store walkthrough. The pharmacist can also meet with the patient to review the medication list and provide education, and bilingual support staff can bridge language gaps.
Improved patient engagement is an imperative for healthcare organizations. How do you envision healthcare organizations using smart devices and other consumerfacing tools to more fully engage patients in their care?
Some observers have noted anecdotally that we receive more communication from our dentists and veterinarians than our doctors! With that, a tremendous amount of action can be taken employing smart devices and other consumer-facing tools, including: • Sending outbound messages such as e-reminders for upcoming appointments and suggesting preventive care services such as influenza vaccines. • Communicating securely with patients to follow-up after appointments and procedures, or staying in touch with high-need patients to avoid exacerbation of illness. • Supporting data entry by patients with chronic illnesses to more closely monitor weight, blood sugar and other vital signs. • Delivering reinforcement of education and healthy behaviors through pusheducation and knowledge assessment.