Why do we need it?
The following road map has been suggested for helping healthcare organizations navigate the path toward implementing effective population health management.
· Establish precise patient registries
· Determine patient-provider attribution
· Define precise numerators in the patient registries
· Monitor and measure clinical and cost metrics
· Adhere to basic clinical practice guidelines
· Engage in risk-management outreach
· Acquire external data
· Communicate with patients
· Educate patients and engage with them
· Establish and adhere to complex clinical practice guidelines
· Coordinate effectively between care team and patient
· Track specific outcomes
Orbital Patient Care Follow-up Solution: What can you expect?
Savings in preventable admissions, readmissions, ER visits, and the costs of patient care, improved patient satisfaction, improvement to your care coordination efforts, detailed reporting that tracks patients’ progress, staff efficiency, and specific care progress (who, what, and when). Immediate EMR updates.
Ability to monitor all patients and any conditions, including multiple comorbidities, identify patients at risk, reduce readmissions and unnecessary ER visits, alert any staff or coordinators when an intervention is needed, and free up your staff to work with more patients.
· High Risk Patients. At any time, a "low" risk patient can become a "high" risk patient. By monitoring patients on a regular basis, you can track progress and make changes to their health plan before it becomes serious.
· Patient satisfaction remains highest amongst monitored patients. Studies show a very high score for hospitals engaged in Tele-Health programs. CONCLUSIONS: Patients reported high satisfaction with their telehealth experience. Convenience and perceived quality of care were important to patients, suggesting that telehealth may facilitate access to care. https://www.ncbi.nlm.nih.gov/pubmed/26269131
Cost of Care
There is no upfront cost for this service, no license fees or hardware or software to purchase. This solution is provided via a Cost Saving Revenue Share Model and can be implemented in 2-4 weeks.
The BEST Solution