Avoiding readmissions after acute care is just one manifestation of the move to value-based care, according to Shweta Shanbhag, Director Product Management at PointClickCare in a recent interview with Healthcare IT Today. She points out at least one out of every five Medicare acute stays results in admittance to a skilled nursing facility. It’s important across the board for different teams to work together.
She recommends that the various providers who are partnering in value-based care agree on a small set of shared metrics. These feed into shared goals of reducing readmissions and improving care.
Shanbhag has two major recommendations regarding data sharing. First, it must be timely so that care teams have time to understand which patients to prioritize and what risk factors to examine. If it comes weeks or even days later, she calls it “documentation” instead of improving care. Data on readmissions is a “lagging metric,” because it comes too late to change the outcome for that patient.
Second, data must be presented in a way that generates insights—not just “dumped on staff that is already stretched thin.” Data must capture the whole episode, not just information from one setting or point in time.
PointClickCare offers a service that helps catch problems early, called the Predictive Return to Hospital Model.
She also recommends that partners meet every one or two weeks to look at what has happened and which providers had the most positive results. The term “visibility” came up repeatedly in the interview to summarize effective data sharing.
In general, Shanbhag sees value-based institutions moving from reactive to pro-active care, and making post-acute care more strategic, not just an afterthought.
Check out our interview with Shweta Shanbhag from PointClickCare to learn more.
Learn more about PointClickCare: https://pointclickcare.com/
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