Ideal care management should be an evenly balanced win-win in health care – a way to ensure patients receive the most appropriate medical services based on their individual maladies while also guarding against abusing the healthcare system and practicing overly defensive medicine. Why then do care managers often report such difficulty in navigating the system on behalf of their patients?
It’s no great stretch to say that a care manager’s efficacy is directly proportional to their ability to orchestrate coordinated care. Care coordination involves deliberately organizing a patient’s care activities and sharing information among all of the participants concerned with the patient’s care to achieve safe and effective outcomes. This implies a certain degree of transparency – that all providers in the care delivery stream know the patient’s clinical status. And it’s exactly here where things get convoluted.
Although the need for care coordination is self-evident, there are obstacles within the U.S. healthcare system that must be overcome to provide this type of coordinated care. Our current healthcare system is often disjointed. Processes vary among primary care sites and specialty sites. Patients are sometimes unsure of why they are being referred from a primary care physician to a specialist, how to make their new appointments, and what to do after seeing the specialist.
Medical specialists do not consistently receive clear reasons for referrals or adequate information on tests that have already been done. Primary care physicians do not often receive information about what happened in the referral visit.
Care managers are often in the dark when it comes to their patients experiencing clinical events, and as a result, the whole care management process becomes more difficult and frustrating for all involved.
To combat this frustration and take the next step towards empowering care managers, organizations need to establish a better way to keep tabs on patients. That’s what our Care Transition Notifications (CTNs) are designed to do – put information that is actionable into the hands of the very practitioners who will benefit from this knowledge the most. Utilizing data absorbed from existing ADT feeds, we generate real-time notifications care mangers can receive and drive action off. In this manner, time to treatment and time to intervention are decreased, care coordination is enhanced, and the management of chronic diseases in at-risk patients is significantly improved.
To learn more about care transition notifications and the role they can play in your care management operation, please contact us and we’ll be in touch.