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Value-based care (VBC) is a paradigm shift in healthcare delivery focusing on improving patient care quality and outcomes, rather than the volume and revenue of services. VBC aims to align the incentives and goals of providers, payers, and patients, and to promote a more holistic, proactive, and preventive approach to health management.

Transitioning to VBC can be challenging for many healthcare organizations, especially in the face of complex regulations, diverse patient populations, and fragmented data systems. To succeed in VBC, you need a partner who can provide you with the right tools, guidance, and support to navigate the VBC landscape and optimize your performance.

In this blog post, we will highlight some of the key features and benefits of a population health management platform. Learn how you can better identify, reach, prepare, and engage your patient populations for optimal VBC performance and financial stability.

Identify and Reach Your Patients

One of the first steps to achieving VBC success is to identify and reach out to the patients who need your care the most, based on their risk profiles, care gaps, and chronic conditions. This includes patients who may have been lost to care or have not been seen by their care team in a while. A robust population health management platform allows you to segment your patient population into different cohorts, such as high-risk, low-risk, diabetic, hypertensive, etc., and to create customized outreach campaigns to engage them via email, text, phone, or mail.

By using targeted patient outreach, you can schedule patients with needs, including those lost to care, increase your patient retention, loyalty, and satisfaction, as well as improve your quality metrics, such as preventive screenings, immunizations, and chronic disease management. You can also reduce your costs by avoiding unnecessary hospitalizations, readmissions, and emergency visits.

Prepare for the Patient Visit

Another key step to achieving VBC success is to prepare for the patient visit in advance so that you can make the most of your time with the patient and deliver efficient and effective care. A population health management platform that offers huddle functionality can provide you with a summary of the patient's history, needs, and opportunities for intervention before you see them in the clinic.

By using huddle functionality, you can access relevant information about the patient, such as their demographics, insurance, medications, allergies, care gaps, risk score, social determinants of health, and more.

Leverage Point-of-Care Insights

The third key step to achieving VBC success is to leverage point-of-care insights to deliver personalized and evidence-based care, close care gaps, and create actionable care plans with the patient. A population health management platform that integrates with your electronic health record (EHR) system can provide you with real-time alerts and recommendations at the point of care, based on the latest clinical guidelines and best practices.

By using point-of-care insights, you can enhance your clinical decision-making, improve your documentation and coding, and increase your compliance with quality measures. You can also engage the patient in shared decision-making and create a personalized care plan that aligns with their goals, preferences, and values.

Measure and Improve Your Outcomes

The final key step to achieving VBC success is to measure and improve your outcomes using analytics and reporting tools that track your quality measures and cost savings. An effective population health management platform can provide you with comprehensive insight to understand your performance on various VBC indicators, such as risk scores and quality measures.

By using analytics and reporting tools, you can monitor your progress, identify your strengths and weaknesses, and monitor your performance. You can also generate insights and feedback that help you improve your clinical, financial, and operational outcomes.

A trusted partner like NextGen Healthcare is essential to achieving VBC success. Our population health management platform can transform your practice and deliver high-quality, cost-effective, and patient-centered care. Visit here to learn more about how our population health solutions are enabling VBC across the continuum of care and improving financial stability with enhanced quality measures. Contact us today to learn more about how we can help you.

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Susan DiAngelo, MS, BSN, RN

Sr. Consultant, Professional Services

Susan is a Board-Certified Registered Nurse with a Master's Degree in Business Administration. She has an extensive background in Primary Care Administration, Care Management, Patient-Centered Medical Home (PCMH), Diabetes Education (CDE), Population Health Management, and Value-Based Care. She joined NextGen Healthcare in 2018 as a Senior Consultant in Professional Services on the Population Health Team.