Discovering New Ways

Discovering New Ways

Discovering New Ways in the New Health

“The fight to save lives has never been so fierce as businesses across the United States vie for innovation, talent, and discoveries. One of the ultimate disputes is how to reduce expenditures in our U.S. healthcare system.” ~ Johonniuss Chemweno, CEO

Increasingly, hospitals and providers, payors and federal agencies are in the spotlight to support initiatives that provide greater oversight in healthcare delivery. This report highlights a large body of clinical data supporting the important initiative to provide insight into additional options for our healthcare providers. By enhancing clinical knowledge, this report is meant to serve as a guide to create shared value in the continuum of care by simultaneously addressing the clinical outcomes and the national burden of illness.

Creating Shared Value in the Continuum of Care       

The Continuum of Care can be broken down into four distinct Healthcare Services: planning and management, care coordination, care-based financing, and integrated information systems. This report details and provides guidance for each.
With every diagnosis comes planning and management of the diagnosed illness. Clinicians are thoroughly trained on the importance, and current clinical guidelines and approaches for each patient. The typical U.S. trained clinician, at minimum, spends four years of medical school and 1 year of residence prior to graduating with a medical degree. For clinicians that are specialized, the range of additional education can begin with an additional four years and quickly expand from there, so they have the experience necessary to be able provide specialized services. With additional training comes greater accountability in the form of complex planning and management of specific diseases. Care coordination plays an important role in clinical outcome and proves to measure patient satisfaction.

Care-Based Financing

  • Government, private insurance carriers, and third-party payors are the primary payors for the delivery of healthcare services. These entities are under greater scrutiny to evaluate new trends on how best to evaluate clinical outcomes from a reimbursement standpoint. Understanding the complexities of reimbursement, clinical outcomes, and care-based financing while focusing solely on the patient at stake is a challenge. Only the most sophisticated companies and corporations will prove successful in the New Health and continuum of care.
  • Shared value in the continuum of care, and this report, will help support additional guidelines to clinicians to provide insight and transparency, to systematically improve patient outcomes, to relentlessly uncover unmet needs, and to address additional options clinicians can consider.

Opportunity to Implement a Shared Value

  • Today, clinicians and major stakeholders can tackle challenges by incorporating a hybrid approach of a preventative and curative system for healthcare delivery. This report is geared to transform, educate, inform, and inspire clinicians, hospitals, payors, and vested parties engaged in the continuum of care. Providing further insight can assist entities to engage in new guidelines for their perspective facilities and clinical practices, and support guidelines for federal, state, and private insurance carriers.
  • Implementing a shared value across the continuum of care requires fairly major steps. One such step begins with identifying a partner who can measure and track specific post-acute complications. This will greatly increase the oversight to provide a clear communication channel with patients and will ultimately complement the clinicians’ efforts to support the patient in an entirely new way.

Catalyze and Enhance Shared Value Recommendations

Recommendations to follow are geared toward stakeholders in the continuum of care and are directed to benefit patients, providers, health systems, and payors.

Shift from a curative treatment model to a hybrid approach before ultimately reaching a preventative and curative model

Specific shared value, motivated by preventative approaches to post-acute care outcomes, is critical in addressing any unmet needs that ultimately reduce cost on the off-set of negative patient-outcomes. This can substantially increase outcomes and patient satisfaction. Where these approaches are not yielded, clinicians can further educate and explain the role of their decisions and intentions.

Increased oversight on healthcare delivery

Clinicians, hospitals, and payors can identify specific partnerships that can provide greater insights and oversight to reduce complications or readmission rates while being transparent on costs.

Innovate through transparent communication channels

Clinicians and facilities should monitor results with specific partnerships to ensure they are complementing clinical efforts and are improving in their respective health systems. Clinicians who create patient-centric partnerships will prove beneficial in their strategies for planning and management, care coordination, and care-based financing to enhance their respective service lines and increase patient satisfaction for specific diagnoses and treatments.