Integrated data and analytics drive more proactive and collaborative care models
Effective population health management solution requires breaking down data silos and gaining a comprehensive view of patient interactions across the healthcare system. Disparate clinical, financial and operational data from various sources like EHRs, claims, lab results and more need to be consolidated to identify at-risk patients, coordinate care teams and address social determinants of health. Leading providers are leveraging modern technology platforms that integrate diverse data sources and apply advanced analytics for a more proactive approach.
At the core of these Population Health Management Solution is clinical and claims data integration which provides a single view of utilization patterns, treatment outcomes, medication adherence and cost of care over time. This longitudinal view of patient populations helps stratify individuals based on their risk levels. By pinpointing high-risk, rising-risk and chronic condition patients, coordinated interventions can be targeted more effectively. The integrated solutions also factor in social determinants data from community resources to gain a holistic perspective of non-medical barriers impacting health.
Collaboration and coordination are enhanced through robust care management modules within these platforms. Secure communication channels enable multidisciplinary care teams to securely access consolidated patient information, develop comprehensive care plans as well as monitor compliance and track progress in real-time. configurable alerts and automated workflows ensure coordinated handoffs between providers, community health workers and caregivers. Real-time status updates keep all stakeholders on the same page to maintain continuity of care.
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