Presentation: Leveraging Data and Technology to Accelerate Improved Outcomes in a Value-Based Care Environment.
May 12, 12:20-1:10 pm ET
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This talk was originally presented during the 8th Annual Population Health Payer Innovations for Medicaid, Medicare & Duals. It covers the following topics:
- Data and technology offer new methods and opportunities to address the US epidemic of obesity-related chronic conditions in ways that are both systematic (efficient and consistent) and personalized (consider individual patient situations and preferences).
- Patient success with the key, daily self-management activities related to disease prevention and management requires that we use data and technology to increase personalization and focus on the question: How do we help patients live healthier lives?
- Digital tools and an omnichannel approach to engaging patients enables us to scale methods of assessment, treatment, and support for patients.
- This opportunity has been accelerated because of the changes to the system and to patient expectations post- COVID. We can now leverage a blended virtual and in-person care delivery model, with access to an expanded care team that is not geographically bound.
- Patients are willing to share this information. A poll of Americans conducted in 2021 showed that 97% of Americans are willing to spend time prior to doctor visits answering online surveys about their daily health habits if that information allows their provider to help them reach their health goals (e.g., lose weight, eat healthy, prevent or manage chronic disease).
- Using technology to efficiently and consistently collect key patient data in advance of scheduled visits allows in-person treatment time to focus on problem solving, solutioning, and planning with the patient.
- A holistic, patient-centered approach that is informed by patient-generated personal information will reduce health inequities by enabling clinicians to tailor patient care plans to the specific, culturally relevant, geographically relevant issues, barriers, and social factors that impact patient and population health.
- Leveraging new IT is critical as it can be low friction for care teams. It offers multitouch and multichannel options for engaging patients in both short-term and long-term care.
- Population-level data and AI will add a next level of value resulting from patient-generated and patient- reported data (wearables, remote home monitoring, and behavior diagnostics, etc). When this data is added to the existing data lake, it will power efficiencies and new insights that can drive our approach to value-based care at scale.
- Business models are shifting to support more widespread adoption of these technologies and approaches. In a value-based care model, these technologies will enable shifts in activities from those that are low-value or have exclusively short-term impacts to those that are high-value and have longer-term health benefits.
- The highly diverse clinical needs of the Medicare/Medicaid/Duals population will require more in-depth condition specific tools to collect key information/data.
- Use of technology to collect data more efficiently paired with meaningful interventions by clinical staff will drive ongoing patient engagement.
- Data collection and of patient populations can be instrumental in process improvement for clinical staff, potentially identifying gaps in system programs, or individual clinician performance.
Chief Scientific Officer, Silver Fern Healthcare
RN, Former Head of Population Health, Wellspark Health
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