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Collaboration

Avoid fragmented care by partnering with the other healthcare entities to successfully deliver quality VBC.

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Care fragmentation is much higher in the US than in other western countries. For example, "just under half of U.S. primary care doctors said they get information from specialists about changes to their patients’ medications or care plans, compared to 70% or more of doctors in Norway, France and New Zealand” (1). This puts negative pressure on the US healthcare system as care fragmentation leads to lower quality of care and increased costs. 

One goal of VBC is to increase the coordination of care. Accountable Care Organizations (ACOs) and Direct Contracting Entities (DCEs) are two examples of healthcare organizations that were formed with that exact intention. In order to reduce care fragmentation, these organizations create partnerships with other healthcare resources. These include hospitals, urgent care clinics, primary care practices, and insurers, which are all crucial in transitioning members to outpatient care. Facilitating this transition are third party software companies and data applications, which have helped providers pivot from paper records to digital records. Digital records can be accessed more easily across the healthcare spectrum than paper records, and can allow providers to review discharge reports or ED lists in the moments that they need them the most. One example of these third party data applications is Juxly Vault, which is an EHR workflow tool that allows providers to easily risk adjust and HCC code their patients. 

After considering the collaboration efforts that are required for a switch to VBC, the next component in this transition is developing quality improvement strategies.

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References:

  1. Galvin, Gaby. “Survey: Fragmented System Impedes U.S. Health Care.” U.S. News & World Report, U.S. News & World Report, 11 Dec. 2019, www.usnews.com/news/healthiest-communities/articles/2019-12-11/survey-finds-fragmented-us-health-care-impedes-coordination-among-providers.
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Care fragmentation is much higher in the US than in other western countries. For example, "just under half of U.S. primary care doctors said they get information from specialists about changes to their patients’ medications or care plans, compared to 70% or more of doctors in Norway, France and New Zealand” (1). This puts negative pressure on the US healthcare system as care fragmentation leads to lower quality of care and increased costs. 

One goal of VBC is to increase the coordination of care. Accountable Care Organizations (ACOs) and Direct Contracting Entities (DCEs) are two examples of healthcare organizations that were formed with that exact intention. In order to reduce care fragmentation, these organizations create partnerships with other healthcare resources. These include hospitals, urgent care clinics, primary care practices, and insurers, which are all crucial in transitioning members to outpatient care. Facilitating this transition are third party software companies and data applications, which have helped providers pivot from paper records to digital records. Digital records can be accessed more easily across the healthcare spectrum than paper records, and can allow providers to review discharge reports or ED lists in the moments that they need them the most. One example of these third party data applications is Juxly Vault, which is an EHR workflow tool that allows providers to easily risk adjust and HCC code their patients. 

After considering the collaboration efforts that are required for a switch to VBC, the next component in this transition is developing quality improvement strategies.

‍


References:

  1. Galvin, Gaby. “Survey: Fragmented System Impedes U.S. Health Care.” U.S. News & World Report, U.S. News & World Report, 11 Dec. 2019, www.usnews.com/news/healthiest-communities/articles/2019-12-11/survey-finds-fragmented-us-health-care-impedes-coordination-among-providers.
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