miércoles, 8 de julio de 2015

It’s Team Work: Using Patient Data to Improve Outcomes

Dept. of Health & Human Services
July 7, 2015
By: Glenn Madrid, MD, Grand Junction, Colorado
It takes a village, or at least a well-coordinated team, to care for our patients.
While our medical practice in Grand Junction has always tried to provide personal, transparent and coordinated care, the Comprehensive Primary Care Initiative (CPCI), under the Affordable Care Act, is allowing us to commit to that goal in even greater ways. The funds we have received from participating insurers have allowed us to hire case coordinators, a clinical pharmacist and in-house behavioral specialists. There’s no way we would have been able to do this without CPCI.
Along with improvements in electronic health record technology and the 24-hour-a-day access to patient data, we’re able to take care of our entire patient population, not just the people coming in the door.
What does this mean for our patients? I was able to know that one of our older patients hadn’t been seen for several months and I needed to check on how she was managing her diabetes. Our clinical pharmacist wondered why another patient’s thyroid condition wasn’t responding to medication and learned from the local pharmacy that she wasn’t filling her prescriptions because she had lost her insurance—we helped her get covered again.
And the process of regularly reevaluating patients’ risks has helped us prevent at least seven hospital admissions in three months, as well reduce a “frequent flier’s” overuse of the emergency room.
READ MORE: It’s Team Work: Using Patient Data to Improve Outcomes
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