Many organizations currently utilize a fee for-service model where providers are reimbursed for the volume of patients versus the quality of care they provide. The more they do, whether its seeing patients, ordering tests or performing procedures, the more money they make. There is no incentive for ensuring long-term successful outcomes for patients in this type of model. Its inherent nature doesn’t demand a need for care coordination, which leads to fewer positive case outcomes This is not the best model to succeed where it matters most – achieving optimal wellness for individuals at a lower cost for payers and providers.
Enter Value-Based Care
The adoption of a value-based care model is a shift from episodic care to continuous care. Its underlying principle is simple – improving overall public health through better quality and safety for patients and families, at a reasonable cost for organizations. Essentially, care providers are paid to manage care in the most cost effective location – treating the whole patient and the full episode of care. The incentives are tied to keeping people healthy and improving the health of individuals who have chronic or comorbid conditions in a cost-effective way. In a value-based care environment, organizations must work together to coordinate care effectively and assure the right care transitions occur at the right time.
Building and implementing cross continuum care plans is the core component of preparing to make the shift to value-based care. Implementing technology to drive these plans requires the right electronic health record (EHR) which includes a proactive care management module. You need more than a traditional EHR system to capture data and monitor the care provided.
Strength in Numbers
As your organization moves to a value-based care model, a simple EHR isn’t enough. Acute, post-acute and behavioral healthcare providers are banding together to access the full benefits of an integrated EHR. Potential partners are looking for connections who have robust EHRs with proven data exchange and reporting capabilities as well as connectivity to support a larger network that drives value-based care. They are also looking for organizations who show a strong history of reporting positive care outcomes. Considering that less than half of post-acute facilities can currently send data to other providers, the time has never been better for organizations to join the club and go digital.
As part of these integrated care communities, care providers will be asked to assume risk and be accountable for outcomes. It’s time to get ready, it’s time to implement the technology required to maximize efficiency and facilitate coordinated care.
Connectivity with partners is essential to establishing a presence on the value-based care playing field.
The key to forming the right partnership is being proactive. Take time to find the role your organization plays in the bigger picture and begin establishing networks in your region with those who already have the right tools to proactively manage their population’s care.
To enable this collaboration, Netsmart recognizes it takes more than an EHR, it takes a comprehensive technology platform. That’s why we created a robust, affordable interoperability network designed specifically to connect post-acute care providers with local health systems and other community providers.
Most Important Question
At a time when lowering costs, improving outcomes and increasing patient satisfaction are more important than ever, ask yourself, “What is my organization’s risk tolerance? Do we have the tools in place to appropriately manage it?” Click here to watch our latest webinar with Netsmart’s EVP, Corporate Development Kevin Scalia and Strategic Advisor Pamela Pure where they focus on value-based care in the post-acute world. Learn more about what it is, why it’s important and how your organization can be a part of an important and necessary shift in the way we approach healthcare.