Medical/Dental Professionals

Addressing Gaps in Care to Maximize Population Health

Physicians and staff spend an average of 15 hours per week closing gaps in care and satisfying quality measures, while provider organizations spend an average of $45,000 per physician per year to satisfy their quality initiatives. This cost is expected to continue to grow due to the prevalence of value-based contracts. Accurate and timely data allows foresight into opportunities for process improvement to reduce the administrative and financial burden surrounding this process. Health plans and regulatory bodies set standards that at times overlap and alternately never intersect.

Giving providers better visibility to gaps in care, and reducing the effort required to manage them, is one of the key objectives of our deployment of population health technology. There are three foundational components to our strategy:

1. Give providers broader and more timely data about their patient population,
2. Make it easier to provide recommended care and
3. Supply easy-to-use analytics that track our progress.

Studies have shown that the patient visit is the optimal time for the care team to address gaps in care. To make it easier to identify and provide recommended care, an integrated electronic medical record aggregating data on patients from multiple health system sources into one centralized repository, such as HealtheRegistries, will allow the care team to review and update measures/expectations within their workflow. Clear and concise data and guidance on patient health status will allow providers and care teams to have a full picture of that patient’s health situation. This offers insight to the practitioner to take the appropriate steps to close gaps and provide next-step guidance to impact efficiency and provider value levels while maximizing population health outcomes and patient and provider satisfaction.

Registries and provider scorecards will be available to provide timely visibility to the quality measures for the provider’s population and provide easy access to provider performance against key care metrics. Support teams and care management interventions at key points along the care pathway will be crucial to achieving success and providing next-step guidance.