Saturday, October 27, 2012

Using care coordination to build an ACO presentation

Ecw user conference in Washington

Care Coordination Medical Record

Anupam Kashyap

Building blocks
Care giver longitudinal view involving providers, families ,
Analytical tools

Care coordinator connector interacts with multiple EHRs
Referral network
Care planing
Patient engagement

Ability to print action plans to paper, portal and health tracker
Track utilization across multiple domains; hospital, pharmacry, etc

Community dashboard
Evaluate all measures to identify patients at risk as well as barriers
Outreach can be customized to patients preferred contact methods
CHAPS. Patient satisfaction surveys

Two ACOs are currently using this system

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