Seamless clinical workflow integration is critical to improving care coordination, closing gaps in care, and ensuring accurate risk adjustment in support of value-based care performance. As healthcare organizations evolve, Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), Health Systems, Management Services Organizations (MSOs), and even payers must adopt EHR-integrated solutions that drive provider and care team engagement while reducing administrative burdens.
By embedding the right technology and information into clinical workflows, organizations can enhance provider and care team satisfaction, improve patient outcomes, and strengthen payer-provider collaboration. Here are five must-have features for effective clinical workflow integration in value based care programs.
1. Seamless EHR Integration for Real-Time Engagement
Data that exists outside of the EHR slows down or prevents providers and their care teams from accessing and using valuable insights, hindering success in performance improvement programs. Organizations need EHR-integrated solutions that provide awareness and actionability of risk adjustment insights, care gaps, patient utilization, and risk management opportunities directly within the EHR. By embedding clinically relevant insights and information at the point of care, organizations can drive higher provider engagement and improve overall program performance.
2. Automated Quality and Risk Adjustment Workflows
Manual data entry and fragmented processes between paper, web portals, and EHRs increase the risk of documentation gaps and missed opportunities. Automated tools for supplemental data reporting, HCC coding, and referrals/ordering enable compliant actions while reducing administrative burden. By moving beyond surfacing relevant information within EHR workflows to making them actionable, providers and care teams can save time and improve performance without disrupting patient care.
3. Intelligent Clinical Decision Support
Providers need real-time, actionable insights at their fingertips—not in separate portals or cumbersome documents. Intelligent clinical decision support (CDS) tools embedded within EHRs that surface beneficial information at the right point in care guide providers with targeted recommendations on evidence-based best practices, suspected documentation opportunities, and whole-patient care program enrollment, improving patient outcomes.
4. Interoperability for Better Payer-Provider Collaboration
Risk-bearing entities must ensure seamless payer-provider data exchange to drive accurate performance in value-based care models. A well-integrated solution should support bidirectional interoperability, enabling providers to take action on insights and provide information back to the source, all within their clinical workflow—eliminating the need for multiple logins or manual data reconciliation. When EHR-embedded solutions are leveraged in addition to claims, bidirectional data feeds can improve accuracy of reporting and expedite closure of gaps.
5. AI-Powered Workflow Support for Efficiency
Leveraging AI-powered workflow support tools allows providers to shift the focus back to their patient while benefitting from predictive risk insights, increased gap closure, and reduced manual documentation. This optimization of the provider’s time delivers time savings to the provider, improvement in patient outcomes, and effective cost/utilization management.
To succeed in value-based care programs, healthcare organizations must streamline workflows and empower providers and care teams with seamless EHR-integrated tools that enable compliant actions. Vim’s clinical workflow integration platform embeds essential data directly into provider workflows—enhancing engagement, improving documentation accuracy, and optimizing care delivery, while reducing administrative burden.
