Transformative Care Delivered Through PHM Upgrade

By Karla Paris

Hospital network securely connects ambulatory EHRs with in-patient systems and payer claim feeds, including CMS.

Healthcare organizations have a significant opportunity to improve the outcomes with the advent of innovative delivery and payment models tapping into the advances in technology and its adoption. To capitalize on this opportunity, organizations need a solution to measure, benchmark, predict, and manage risk, to close the gaps in coordinating care, to manage cost and utilization, to measure and improve clinical quality outcomes, to leverage evidence based care, and to collaborate with care teams and patients.

Recently, Paladina Health, based in Denver, CO, announced it has expanded its existing partnership with eClinicalWorks, an ambulatory healthcare IT solutions provider, in an effort to expand Paladina’s scope of services delivered in its primary care setting. Additionally, the expanded partnership improves patient health while lowering healthcare costs for patients, employers, and insurers.

With the addition of eClinicalWorks CCMR, Paladina Health’s care providers will have visibility into a patient’s care across all settings, be more effective in managing complex chronic conditions, and be able to make better, more informed decisions at the point of care.

A vendor-neutral, open network securely connects ambulatory EHRs with hospital in-patient systems and payer claim feeds, including CMS, to provide cost and utilization for services delivered to patients.

eClinicalWorks CCMR gives Paladina Health access to:

• Cost utilization dashboards: gain insight into the total cost spent for beneficiaries’ inpatient/outpatient, pharmacy, and DME services. Identify high-cost/high-risk beneficiaries and help case managers and providers create better care plans using closed-loop analytics.
• Clinical Quality Measures: provider outcomes vs. payer-defined quality measures. Dashboards provide insight into performance on PCMH and ACO measures.
• Population Health: create clinical quality dashboards and population health data visualization by zip code and region; analyze local results vs. national health trends.
• Population Health Alerts: configurable by the community, quality threshold alerts, and dashboards to manage them all.

Paladina Health is a wholly-owned subsidiary of DaVita Healthcare Partners, a Fortune 500 company that provides a variety of health care services to patients throughout the U.S. and abroad. While historically focused on delivering dialysis services in the U.S., DaVita began expanding its scope in 2010 when it saw the national imperative to find innovative new models that would materially improve the cost and quality of healthcare in the country.  Since 2010, DaVita has been investing in businesses that harness the power of accountable and aligned physicians.

SOURCE: Newswire Today