Value-based care has been a game changer for post-acute care organizations, pressuring facilities to boost patient care while also controlling costs.
The Centers for Medicare and Medicaid Services (CMS) has set a goal of converting 50 percent of fee-for-service Medicare payments to value-based payment models by the end of 2018. This has PAC facilities scrambling to gain insight into their operations so they can meet the restrictions of bundled payments, deliver effective care, keep readmissions to a minimum, and maintain profitability.
In order to do this, PAC facilities need visibility into patient episodes and real-time analytics to assess progress. Built-for-healthcare customer relationship management (CRM) solutions can help by automatically tracking and reporting on critical patient metrics, such as readmission rates, length of stay, patient safety and test utilization.
Healthcare CRM solutions keep all stakeholders apprised of patient progress, which streamlines care and promotes a better patient experience by reducing duplicative questions and tests, and ensuring that patients are sent home only when they are ready.
The gathering of real-time metrics also helps caregivers to identify trends and make better decisions. By integrating the healthcare CRM with leading electronic health record (EHR) and e-discharge systems, physicians and nurses are instantly aware of patient backgrounds, biometrics, and pharmaceutical history. Real-time alerts and updates on critical patient and quality metrics help PAC facilities identify potential issues sooner with at-risk patients, providers, and payers.
With the data available through a healthcare CRM solution:
- PAC networks can pinpoint where improvements are needed at an individual facility level as well as across an entire organization.
- Networks can visualize compliance metrics and ensure processes are being implemented.
- Decision makers can identify best practices and then replicate these processes across the network.