High-Value Care (HVC) is an idea that’s gaining a lot of attention today from healthcare organizations. The goal is to provide the best care based on balancing a procedure’s risks and benefits to patients, the cost of a procedure to patients who are footing a large share of the healthcare bill, and patient preferences.
HVC also seeks to reduce waste and increase efficiencies, so health systems can continue to operate despite reduced reimbursements.
One way that healthcare organizations can deliver high-value care is by cutting back on unnecessary and high-cost tests. Lab tests account for as much as 5 percent of a hospital’s overall budget, and it’s estimated that 30-50 percent of these tests are not necessary to deliver appropriate care.
Because physicians often make lab test recommendations based on what’s traditionally been done, a utilization program can be used to drive physicians toward new evidence-based best practices.
A healthcare CRM platform can provide the insight needed to drive this change. With real-time insight into what tests are being ordered, by whom and for which diagnosis, utilization stakeholders can track physician progress, create tasks to follow up with the physician, and aggregate data over time to create a holistic utilization picture.
With a high-value care strategy and focused test utilization insight, healthcare organizations can proactively influence physician ordering patterns from multiple angles, reducing costs both for the health system and for the patient.