Population Health

While American providers need it for value-based care, hospitals abroad want the tools for their own quality initiatives, but the high cost may hinder developing countries.

DeSalvo, who also served as Assistant Secretary for Health at HHS, will be a professor in Dell Med's Department of Internal Medicine, with a secondary appointment in the Department of Population Health.

The San Francisco Health Network affiliates also achieved increases in patient and physician satisfaction rates.

The hospital tapped FHIR-based alerts to deliver recommendations about genomics and genetic testing without bogging down doctors with too many extra clicks.

Salesforce continued its march into healthcare this week when, along with analytics specialist Geneia, it unwrapped an app for population health and value-based care. The jointly developed tool, which the companies announced at Dreamforce in San Francisco, combines Geneia’s Theon analytics with the Salesforce Health Cloud’s communications services and workflows for hospitals, health plans and employers. [Also: Cloud computing decision guide: Breaking down 7 top solutions for healthcare] Geneia said customers can use the new app for population health and value-based initiatives, including identifying gaps in care to increase Medicare star ratings, reducing inpatient hospital and emergency department admissions, and cutting down on claims costs. Salesforce General Manager of Healthcare and Life Sciences Susan Collins said combining those population health and value-based care capabilities with Salesforce’s customer and patient relationship management also can help hospitals move to patient-centric models of care. The software-as-a-service CRM vendor has been adding healthcare-centric functionality to its portfolio since 2015 — when reports emerged that CEO Marc Benioff was projecting the company could earn a cool $1 billion in the market. That began when the company announced Health Cloud in September 2015, which Chief Medical Officer Joshua Newman, MD said described at the time as a platform for the post-EHR world. And the company has been adding to Health Cloud since then. Salesforce in August of 2016 debuted telemedicine tools in Health Cloud that clinicians and care teams can use to conduct video consults with patients via Apple and Android phones or tablets. Then in February of 2017, the SaaS vendor added new capabilities to identify at-risk patients, including analytics for risk stratification and patient engagement, communication and management features. Twitter: SullyHIT Email the writer: tom.sullivan@himssmedia.com

Cerner Oncology platform go-live, Stage 7 adoption and rolling out a 24/7 mobile app are all on tap this year.

Co-founded by the Mayo Clinic, the company develops tools outcome measurement, patient engagement, care coordination and analytics.

The deal holds big promise for analytics, interoperability and pop health, while other organizations are already contemplating ways to make use of retail health data.

Healthcare providers tackle the top three population health challenges

Providers are among those most impacted by the turbulence in today’s healthcare landscape – whether it be adding facilities, covering more patients, changing leadership, providing additional services or entering new value-based programs, such as MACRA, Bundled Payments or DSRIP. The “Quadruple Aim” was put forward to address the experience of providers in delivering care that is increasingly tied to cost and quality metrics. The so-called, second wave (post-EHR) of digital technology might be their greatest hope as providers manage this massive transformation to new value-based care and reimbursement models. With clinicians supporting new populations, managing multiple data sources and being tasked with additional processes, the burden of administrative tasks should be eased through the availability of resources that drive efficiency and enable a community-oriented, risk-based care approach. Paradoxically, it seems the introduction of new technology and processes can often be an added weight for clinicians to learn and adapt to. As we continue down the path of digital transformation, these tools should evolve to smoothly integrate into workflows and yield quick, measurable benefits for teams. So how do organizations scale activities and enable their teams to deliver care more efficiently and consistently throughout this period of rapid change? Weather the uncertain regulatory environment While lawmakers continue to battle it out, we should face one fact: value-based care is here to stay. Providers should push forward with a “no regrets” strategy. Prioritize efforts to drive more consistent, efficient and coordinated care, integrate your IT systems to support accurately forecasting patient risk, lowering cost structures, and building deeper relationships and loyalty with patients. Providers should not miss out on this incredible time of innovation in healthcare that I believe is going to accelerate even more as healthcare organizations build off their early successes and learnings. With uncertainty in legislative direction for healthcare (ACA, Value Based Payment Reforms, etc.), providers may feel uncertain about their IT buying decisions. Rather than feel uncertain, I suggest providers should continue moving forward, with a keen focus on flexible and extensible solutions to support any outcome of legislative direction. Quick time to value with an eye for the end game Healthcare organizations need strong capabilities to aggregate data from across the community to connect all clinicians responsible for a targeted population. Providers should demand short implementations to ensure rapid time to value. Beyond this, seeking a flexible and configurable solution “future proofs” the organization to accommodate new programs that may be launched. This “future proofing” will provide organizational agility to rapidly configure to meet continuously evolving payment reforms and legal requirements. Selecting a population health tool should include an evaluation of the vendor’s ability to meet organizations where they are and grow with them across programs, such as Medicare Shared Savings Program, Comprehensive Primary Care Plus, Bundled Payments, etc. Intelligent analytics and sophisticated tools Finding tailored software applications that enable clinicians to streamline workflows will drive positive results throughout your organization and help achieve scalability. Tools that facilitate targeted care management activities for prioritized patients will support care team efficiency. Interoperability is especially key in the case of mergers and acquisitions, considering the critical need to bring together data from potentially dozens of systems. Sophisticated risk stratification tools that consider clinical and claims data, financial information, social determinants, behavioral factors and that employ predictive analytics will further help organizations determine where to focus constrained resources to achieve the highest return and greatest impact on patient outcomes. These are all factors to consider when searching for the right IT solutions to support your organization’s growth and goals, while advancing the health of the population. Application integration into clinical workflows –  they can only use it if they can find it While many providers recognize the value of using data and analytics to improve the quality of care and lower costs, there are many that have not yet integrated these directly into clinical workflows to realize the greatest impact and efficiency. This integration is especially important for accountable care organizations (ACOs) and clinically integrated networks (CINs). Timely access to data is critical when you are responsible for the health of a population of patients who may be geographically dispersed and receiving care from several hospitals or specialists. IT solutions should be leveraged to surface gaps in care, risk scores and full medication histories so that a clinician can make educated care decisions while in the presence of the patient. Value-based care initiatives should be addressed as a series of interconnected activities rather than as distinct, siloed efforts. A successful strategy takes a team-based approach and engages staff across different facilities to focus not only on individual patients with individual diagnoses, but also the health and wellness of the community. IT solutions need to create a unified user experience to support the interconnectedness that plays an integral role in an organization’s evolving strategy. ACOs and CINs should integrate an enterprise solutions portfolio encompassing the capabilities critical to success in value-based care programs, including: data control, healthcare analytics, and care coordination and engagement. Providers should also partner with vendors that have deep industry experience to provide advisory services. The pace of change in our industry continues to accelerate, and no organization should feel they are navigating these waters alone. For more information staying ahead of the curve in healthcare, check out the ebook “Improving Transitions of Care in Population Health.”  About the Author Caradigm CEO Neal Singh