There have been many questions and concerns about how to make the value based healthcare model successful. Already in play in many areas, the value based healthcare model is most successful when structured in the following way:
Step One: Get People Connected.
Learning more about the group with which you are working means getting them connected. Getting the data you need and leveraging that data is one of the first and most important facets of the population healthcare model. That can be challenging in that healthcare data is often funneled into different systems.
That means that the data is not always where it can be reached by the companies or providers who can use it to do the most good. Organizations need to be connected or networked with multiple other groups such as family practices, pharmacies, laboratories and EMRs in order to ensure sharing of data and continuity of care across all areas.
Second Step–Analysis of Data
Once the group has become connected, the financial and clinical care data must be used to provide better care and better financial management. This means analysis must be undertaken. The analysis of the data must take every patient’s health and personal situation into account. What makes this so difficult is that patients tend to be reticent to share some information and may not always be honest about their situation.
Good analytics uses predictive modeling to provide for the many different scenarios and to ensure that no one is left behind in this type modeling.
Patients who are non-compliant can be identified and the problems with their care can be addressed.
Patient registries can be created that will track all patients with a given condition and recommend new care methods when one method isn’t working properly.
Third Step–Interventions and Planning
Good analysis of the data will help to identify the people who require some type of intervention. That could mean closing the gaps that are existent in their care or figuring out why they aren’t using the medications that they were prescribed or the treatments they were given.
Step Four, Engaging the Groups
Multiple groups exist in this healthcare model that must be engaged. Not only the patient must be engaged in the practice, but also the clinical practitioner, the physician or family practice group must buy into the value based model of care and become part of the network.
Education is a key component of engaging both the health care practitioner as well as the client or patient in their own care.
To sum it up, according to every review and overview of value based care that exists today, both the patient and the physician network will need to make substantial changes and investments to embrace the value based method of practice. This is one of the main issues to be overcome by all involved groups. It is the one main component or area of resistance that currently exists that prevents the embrace of the methodology by both patients and healthcare practitioner.
In part 4 of this 7 part series on the transition from volume to value based care we will tackle the idea of creating integrated networks to that it is easier for health care providers to access needed patient information to coordinate care.
Mitch Robbins is an expert as it relates to Interim and Permanent Nursing Leadership Recruitment for hospitals and clinics, helping organizations build best in class clinical leadership teams in the USA.
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