In the age of digital transformation, providers face mounting pressure to optimize clinical processes due to the focus on performance and risk adjustment. Coupled with the rapid adoption of technology, there is a profound need for aligning stakeholder interests to ensure quality care and efficient data utilization, especially across legacy systems like Electronic Health Records (EHRs). Technology plays a primary role in bridging the gap between healthcare entities like payers and providers but if the technology is not focused on provider empowerment and collaboration, challenges can arise.
In this blog post, we take an in-depth look at these challenges and the potential solutions.
- The Need for True Connectivity
Portals and spreadsheets were once the norm, but today’s healthcare demands more. The traditional use of spreadsheets and portals, although initiated with the best interests, adds an unnecessary administrative burden. Clinicians and care teams are often forced to shift away from their workflow to access this data. The key is to help providers maintain their focus within existing systems such as EHRs and proactively drop patient-specific insights right at the point of care where and when providers need the information.
- Elevate Clinical Workflows with Scalable Outcomes
Effective patient care relies on information being readily available within the clinical workflow. Providers need contextually relevant data within their EHR workflows to make informed decisions. When health plans and data partners provide data directly within EHR workflows, it empowers providers to deliver better patient experiences. This not only enhances patient care but also reduces the time wasted in data retrieval.
- Aligning Shared Incentives and Goals
In the shift from fee-for-service to value-based reimbursement models, it’s imperative for all parties – from health plans to providers – to be on the same page. This demands clear targets, supportive infrastructure, and a move away from time-intensive IT projects. Additionally, it’s important to align financial incentives among stakeholders when there is shared risk involved and in other financial arrangements (dependent on a provider’s readiness to manage risk). This is a crucial step to ensure financial success as there is a deeper level of collaboration involved in these alternative payment and operational models.
By embracing digital strategies for the underlying support infrastructure across provider networks (data, line of sight to performance, etc. ) and equipping networks with the latest performance enablement technology, the entire healthcare spectrum benefits.
- Championing Change through Technology Adoption
The traditional methods of direct integration have often been tedious and time-consuming. But there’s good news! Newer technologies, leveraging robotic process automation, agent-based connections, and dynamic API interactions, are powering a new approach. These advancements not only drastically reduce the implementation timelines but also enhance overall clinical performance and engagement.
Next Steps for Stakeholders:
Vim gives our customers virtually unlimited access to provider EHR workflows – at scale. Wherever Vim is connected, it delivers data, actionable insights, and our customers’ tech seamlessly within active EHR workflows. Our unique cloud-based and EHR-agnostic platform is the single source of data from multiple content sponsors delivered to thousands of Vim digitally connected provider organizations – all without a portal.
Vim’s Offerings for the Future of Healthcare:
Vim Clinical Data Exchange: Automate patient chart retrieval at scale during existing in-EHR workflows.
Vim Diagnosis Gaps: Embed suspected diagnoses directly into EHRs for enhanced provider engagement.
Vim Enhanced Eligibility: Save time with instant insurance eligibility status confirmation.
Vim Order Assist: Simplify the referral process with real-time data.
Vim Patient Health History: Expand awareness of a patient’s health journey with claims-based data summaries.
Vim Prior Authorization: Streamline prior authorization processes without leaving the EHR.
Vim Quality Gaps: Integrate quality data directly into EHR workflow for enhanced performance.
Vim Rx Assist: Manage patient-specific medication workflows, improve medication adherence and adoption, and reduce the total cost of care.
Embrace the digital age with the right technology and strategies. The path to optimizing healthcare is through collaboration, streamlined workflows, and patient-centric solutions.
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