The push for care coordination improvement, penalties for avoidable readmissions, and consumer adoption of intelligent technologies are trends entrenched in the practice of care. All three are reshaping the healthcare landscape based on one simple fact: It’s much less expensive for a patient to embrace self-care strategies to treat new or recurring symptoms than to end up in the hospital. Otherwise, hospitals and health systems will face even greater challenges transitioning to value-based care.
The solution involves a two-part strategy:
In addition to moving patients from the hospital to the next level of care – long-term acute care, skilled nursing, assisted living, home care, or rehab – providers must expand the traditional discharge plan to help patients navigate the post-acute care transition. In other words, provide the new care management experience of “being connected.”
Specifically, this approach requires new ways of thinking and innovative connectivity tools that engage the patient, family members, and loved ones to encourage proactive self-care measures.
To that end, the post-acute care continuity plan can offer in-home wearable technology as part of the patient’s self-care discharge strategies. The ideal plan would enable the patient, family, and caregivers to connect with a team of clinicians who can monitor health statistics and communicate remotely without extensive oversight. No longer must a patient be confined in an extended stay facility for experts to track vital information.
With care coordination technology, the patient or family member can track vital information and instantly send notes to a case manager or clinician. Likewise, clinicians can connect with the patient – send educational resources along with reminders to take meds, keep appointments, and follow through with important steps throughout the recovery journey. These interventions promote self-care, independence, and better outcomes that reduce avoidable readmissions and emergency room visits.
With the unfolding of health tracking apps, providers must consider the aging global population’s influence. By 2050, the number of people 65-plus is expected to triple to 1.5 billion.
“Clearly there is a disruption,” said Joseph Kvedar, MD, vice president of connected health at Partners Healthcare, during his presentation at the HIMSS18 Global Conference & Exhibition's Digital & Personal Connected Health event. “With twice as many people over age 65, we need more resources no matter how well we’re doing.” Dr. Kvedar explored the critical steps needed to help us lead healthier, more active lives as we get older, and the connected health solutions needed to accommodate the aging population.
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Expanding the traditional care plan to post-acute care continuity extends beyond achieving short-term outcomes to realizing long-term gains through a healthful lifestyle. Providers can play a significant role in motivating self-care choices such as nutrition, exercise, and social connections – customized to each patient’s lifestyle. Not every patient approaches self-care in the same way. Interactive technology is designed to accommodate patients’ varying attitudes and needs. And patient engagement is essential to sustainable outcomes.
Patient engagement starts with giving patients the tools they need to understand what makes them sick, how to stay healthy and what to do if their conditions worsen. It means empowering patients to participate in their care by asking questions, knowing their medications and medical history, bringing friends or relatives to appointments for support and learning about care that may be unnecessary. Engagement varies depending on a patient’s lifestyle, skills, and interests.
Here are 10 tips to promote patient engagement:
We’re experiencing an unprecedented time in healthcare innovation. The advent of high-tech options to engage patients and the entire care team is transforming the traditional discharge plan into a post-acute care continuity plan – a core component of value-based initiatives.
The views and opinions expressed in this blog or by commenters are those of the author and do not necessarily reflect the official policy or position of HIMSS or its affiliates.
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