Health­care In­for­ma­tion Tech­nol­ogy: Key En­abler of Suc­cess for New Mod­els of Care De­liv­ery

Modern Healthcare - - THE WEEK IN HEALTHCARE -

Health­care is shift­ing to­wards a re­im­burse­ment sys­tem that’s fo­cused more on pay­ing for qual­ity than vol­ume. In­cen­tives are shift­ing to­wards more in­te­grated care de­liv­ery, with a con­tin­ued fo­cus on man­ag­ing pop­u­la­tions of pa­tients. Health­care or­ga­ni­za­tions to­day need to pre­pare for a world that in­volves more ac­count­abil­ity. The con­sen­sus on what ails the U.S. health sys­tem, as well as the avail­abil­ity of new tech­nolo­gies, has led to the cre­ation of new mod­els of de­liv­ery, such as ac­count­able care or­ga­ni­za­tions (ACOS) and in­te­grated health or­ga­ni­za­tions. These health­care mod­els are de­signed to pro­mote ac­count­abil­ity, share risk and sav­ings, and im­prove out­comes for the health of a de­fined pop­u­la­tion. Meet­ing this chal­lenge be­gins with a strong foun­da­tion in Health­care In­for­ma­tion Tech­nol­ogy (HCIT) and ap­pro­pri­ate tech­nol­ogy so­lu­tions in­clud­ing rev­enue cy­cle man­age­ment, elec­tronic med­i­cal records and health in­for­ma­tion ex­change. Start­ing with data cap­ture and risk anal­y­sis, then shar­ing be­tween lo­ca­tions and multi-ven­dor sys­tems, and fi­nally evolv­ing to so­phis­ti­cated care man­age­ment and pre­dic­tive an­a­lyt­ics, HCIT helps make ac­count­abil­ity an at­tain­able goal.

What’s Re­quired Un­der Ac­count­able Care Re­im­burse­ment Mod­els?

Or­ga­ni­za­tions that take on ad­di­tional risk for man­ag­ing a pop­u­la­tion of pa­tients should con­sider how the fol­low­ing tech­nolo­gies can sup­port their pa­tient care goals:

An en­ter­prise rev­enue cy­cle man­age­ment with in­pa­tient and out­pa­tient in­te­gra­tion A high-func­tion­ing, up-to-date Elec­tronic Med­i­cal Record (EMR) sys­tem with qual­ity mea­sure­ment and qual­ity im­prove­ment ca­pa­bil­i­ties that al­low mea­sure­ment at the physi­cian level to sup­port a con­tin­u­ous feed­back loop Stan­dards-based health in­for­ma­tion ex­change to link dis­parate part­ners and ex­change info broadly in the com­mu­nity, since pa­tients won’t re­ceive all their care within the ac­count­able care or­ga­ni­za­tion In­for­mat­ics so­lu­tions to cap­ture and an­a­lyze vast amounts of data Pa­tient en­gage­ment tech­nolo­gies such as por­tals that al­low pa­tients to con­trib­ute to their own clin­i­cal records, and en­gage in ad­min­is­tra­tive func­tions like sched­ul­ing ap­point­ments and mak­ing pay­ments

Us­ing ap­pro­pri­ate HCIT so­lu­tions, or­ga­ni­za­tions can ac­cess and dis­sem­i­nate more ef­fec­tive care meth­ods, co­or­di­nate care to im­prove pa­tient sat­is­fac­tion and loy­alty, and achieve qual­ity im­prove­ments and op­er­a­tional ef­fi­cien­cies that re­sult in sig­nif­i­cant and sus­tain­able cost sav­ings.

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