DESIGNING VALUE-BASED MODELS
Leveraging Tech To Identify & Prevent Adverse Health Impacts
At any given moment, the clues to our health are being collected: diagnoses, blood test results, when we last saw a doctor, and if we exercise, sleep through the night, or miss a day of school.
But these days those records can do more than just tell a story about well-being; they can transform the kind of care patients get in real-time and empower them to take control of their health journeys.
How do we harness all that info? And will it hold the key to improving quality of life? Our Data, Analytics & Technology team believes it can and are leveraging data in novel ways through a set of tools integrated within our electronic health record.
8 Ways We’re Putting Data to Work
These critical functions are key to providing “value-based service” — delivering efficient and effective health care early and often to keep communities healthy:
The Right Care
Ensure patients receive the right care in the right place from the appropriate provider to control costs
Identify At-Risk Individuals
Identify at-risk individuals and patterns of different populations in our community to better assess and intervene
Improve Patient Care
Improve patient care after diagnosis with individual care plan prompts that help families stay on track with care
Leverage Conversational A.I.
Leverage conversational A.I. to provide real-time support and personalized care for families managing chronic conditions or episodic care
Detect Health Disparities
Detect and eliminate health disparities
Address Care Gaps
Address care gaps in vaccinations, immunizations and well-child visits to keep kids’ health on track
Alert of Absences
Notify the health system when a student misses multiple school days
Identify Challenges
Identify challenges with social determinants of health, including food security, transportation, economic stability and more, to offer support to families