Care Coordination for Value-based Care Organizations
Optimize Care Coordination with Risk-Adjusted Insights
Manage the care needs of your patients, tailor care plans to improve quality and health outcomes.
Improve care effectiveness.
Achieve health outcomes.
Identify, engage, and monitor your high-risk and rising-risk patients for care management programs. Improve the effectiveness of care coordination with your in-house and network teams.
Identify Care Coordination Opportunities to Improve Patient Care
Determine effective quality improvement strategies to address the care needs of your members.
Develop dynamic patient care cohorts using a combination of Datalyst™ healthcare cost, utilization, quality, and risk metrics and Johns Hopkins ACG risk markers for improved patient segmentation.
Enhance workflow automation to streamline patient care prioritization and reduce manual processes.
Generate actionable patient lists for care coordinators to focus their resources on targeted high-risk patients with chronic conditions.
Establish care coordination measures to monitor quality improvement.
Determine effective quality improvement strategies to address the care needs of your members.
Develop dynamic patient care cohorts using a combination of Datalyst™ healthcare cost, utilization, quality, and risk metrics and Johns Hopkins ACG risk markers for improved patient segmentation.
Enhance workflow automation to streamline patient care prioritization and reduce manual processes.
Generate actionable patient lists for care coordinators to focus their resources on targeted high-risk patients with chronic conditions.
Establish care coordination measures to monitor quality improvement.
Leverage Data and Automation to Streamline Care Coordination
Streamline care coordination processes to ensure more precise patient prioritization and real-time tracking of patient care activities.
Utilize patient cohorts to seamlessly incorporate real-time care coordination data at the patient level. This ensures patient interactions are accurately tracked, care teams are aligned with the right patients and programs, and care management efforts are continuously refined based on the patients’ needs.
Improve provider engagement with targeted, actionable patient reports for improved coordination of care.
Streamline care coordination processes to ensure more precise patient prioritization and real-time tracking of patient care activities.
Utilize patient cohorts to seamlessly incorporate real-time care coordination data at the patient level. This ensures patient interactions are accurately tracked, care teams are aligned with the right patients and programs, and care management efforts are continuously refined based on the patients’ needs.
Improve provider engagement with targeted, actionable patient reports for improved coordination of care.
Engage Providers to Improve Care Coordination Effectiveness
Engage providers with targeted patient care needs, pinpointing care transitions and chronic conditions to drive appropriate patient care follow-up.
Integrate real-time patient tracking to align care coordination efforts across your healthcare provider network and care team.
Improve provider engagement with targeted, actionable patient reports for improved coordination of care.
Enhance efficiency in care management and lessen administrative burden while upholding high-quality care.
Engage providers with targeted patient care needs, pinpointing care transitions and chronic conditions to drive appropriate patient care follow-up.
Integrate real-time patient tracking to align care coordination efforts across your healthcare provider network and care team.
Improve provider engagement with targeted, actionable patient reports for improved coordination of care.
Enhance efficiency in care management and lessen administrative burden while upholding high-quality care.
Partnering with Koan Health transformed our care coordination processes. The integration and actionable data they provided have streamlined our workflows and empowered our providers to deliver more targeted patient care across our programs.
Director of Clinical Informatics, Regional ACO
FAQs
How does care coordination improve patient outcomes?
Care coordination improves patient outcomes through a more personalized approach to patient care, helping patients manage chronic conditions, transitions of care, or comprehensive primary care needs.
How is care coordination used in value-based care programs?
Accountable Care Organizations use care coordinators to manage the patient needs of their population. The care coordinators use population health analytics to segment the population by patient health conditions. The care coordinators work with healthcare providers and patients to reduce fragmentation and coordinate high-quality care.
What is the best practice for coordinating care against the ACO network of healthcare providers who manage the care needs for the care plan?
ACOs must capture all the patient interventions across their populations in their population health analytics solution to improve health outcomes, manage effective care, and reduce overall healthcare costs.
Managing End-of-Life Care and Costs in Value-Based Care
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