With patients demanding more cost-effective care and engagement with providers, telehealth and other digitally based services becoming more commonplace, and care delivery shifting to the home, the healthcare delivery system needs to embrace value-based care.
One of the most important ways providers can adapt to the changes is to shift toward intelligent care management. Intelligent care management combines advanced technology, automation, and analytics to support clinical decision making and ensure patients receive the right care at the right time. This is critically important in controlling spend, reducing readmissions, coordinating transitions of care, and achieving optimal health outcomes for patients.
How CarePort®, powered by WellSky® can help:
Identifying eligible patients
One example of intelligent care management is the ability to dynamically and automatically identify patients who meet criteria for special value-based programs such as PACE or BPCI-A. This capability proactively surfaces this intelligence embedded directly in the inpatient care management team’s workflow who can then create a referral to get patients the care they need for better outcomes.
For example, to support providers participating in BPCI-A, CarePort can automatically identify patients that fall into a Clinical Episode Service Line Group (CESLG) that the hospital or physician group is participating in.
Powering workflows
After the patient is identified, the information follows the patient throughout CarePort solutions. Case managers and care coordinators can power customizable workflows so they can prioritize interventions or redirect the course of care to ensure better outcomes for value-based patients.
Additionally, CarePort users can document assessments and education that they have done for a value-based patient to increase efficiency and insight.
Reducing readmissions:
CarePort’s intelligence follows the patient throughout the continuum to providers post-discharge. This means as soon as a value-based patient presents to emergency department (ED), the care coordinators have the unique opportunity to engage with ED staff before the patient is admitted. These real-time alerts, coupled with the intelligence, help reduce readmissions- a critical metric for success in value-based care.
CarePort’s intelligent care management technology, powered by the rules engine, unites all stakeholders involved in a patient’s care on a singular platform and enables providers with the right information, at the right time to help guide decision making, drive patient workflows and prioritize interventions.
Learn more about how CarePort can enable better outcomes with increased visibility, intelligence and influence for your organization.
