“Striking the right balance of risk, clinical quality improvement, and financial savings is no easy matter for health systems working to embrace the ACO [accountable care organization] model. To help, below is a recommended roadmap to successful population health management that will assist organizations to be well positioned to achieve quality outcomes and financial success.
1. Commit to the Patient-Centered Medical Home (PCMH) Delivery Model ...
2. Secure Payer Involvement and Alignment …
3. Leverage Team-based Care and Care Management Resources …
4. Implement Technology to Identify and Address Gaps in Care
A critical complement to organizing the care team is implementing health information technology that empowers the team to efficiently manage population health and scale their system for value-based care. We recommend implementing evidence-based, protocol-driven registries that automatically identify care gaps and trigger messages to patients for recommended care; applications that stratify patient populations according to identified health risks and create personalized, automated interventions; automated communications that follow a patient’s hospital discharge or ED visit to help prevent unnecessary readmissions; and sophisticated analytics that measure an organization’s effectiveness in its quality improvement initiatives.
5. Measure Quality-improvement Effectiveness with Analytics …“
The foregoing quote from the IBM Watson Health Perspectives blog post of October 28, 2016, by Donna Daniel, Senior Program Director, Clinical Quality Research at IBM Watson Health entitled “5-Step Roadmap to Transition to Value” (https://ibm.co/2px7I9L) gives a glimpse of the benefits of IT-enablement for ACO benefit realization in particular and the transformation of medical practice and healthcare delivery in general. A Cloud Healthcare Appliance Real-Time Solution as a Service (CHARTSaaS) solution compliant with the CHARTSaaS IT reference architecture (RA) includes easy-to-use tools for healthcare provider subject matter experts (SMEs) to design, develop, deploy and use IT applications or “apps” to realize these ACO-related benefits.
Please validate this proposition to your own satisfaction by reading the white paper at http://bit.ly/2nhwqpd and then by reviewing the details of CHARTSaaS and the CHARTSaaS RA in these presentations:
… and its Reference Architecture or CHARTSaaS RA™:
Healthcare providers will benefit significantly from appreciating and then applying a CHARTSaaS RA-compliant IT solution. To do so will mitigate medical mistakes (currently the third leading cause of patient deaths. per Makaray and Daniel http://www.bmj.com/content/353/bmj.i2139), thereby minimizing patient adverse events and optimizing clinical case outcomes while maximizing the cost-effectiveness of care and treatment while accelerating the accrual and application of medical knowledge.