The Role of Informatics in Accountable Care – InterSystems

Date: 05.15.2013 | Zach Urbina">Zach Urbina

“Accountable care models appear to be driven less by legislation than by an imperative to better manage costs, measure and improve outcomes, and address growing consumer dissatisfaction with the healthcare system.”

Intersystems recently released a white paper examining the constituent elements of both the need for accountable care organizations and the infrastructure necessary for their success.  Covered in the paper are detailed breakdowns of clinical care, advanced analytics, and care coordination.

Below is an excerpt:

Savings and Outcomes Depend on Three Core Competencies

Savings and outcomes lie in the data collected, aggregated and acted upon by clinicians operating within an ACO.

The payment model of an ACO is different from traditional fee-for-service models. ACOs are paid based on the quality of care delivered and patient outcomes, rather than on the amount of care delivered.

Industry research firm Gartner states that savings and outcomes lie in the data that is collected, aggregated and acted upon by clinicians operating within the ACO. The amount of data will be substantial, and it will come from various systems.2Clinical, administrative and operational systems all will contribute data. Taking advantage of this data to achieve savings and outcomes requires the following:

  1. Clinical integration of various systems and workflows, including EHRs, healthcare information systems, departmental systems, claims systems and other applications. Sharing data from disparate systems across the ACO promotes care coordination and a long-term, holistic view of wellness.
  2. Analytics that make use of all relevant clinical data—both unstructured data, such as text, and structured data, including financial and operational data—and serve up just the right information at the right point for clinicians and senior managers to make the optimal decision.
  3. Care coordination over time and across patient settings, among providers, and with patients themselves participating.

Intersystems is currently pushing their HealthShare informatics platform which they believe will allow ACOs to integrate smoothly utilizing health information exchanges and the connection of disparate systems, which will translate downstream to the achievement of bottom-line benefits. In 2011, InterSystems began integrating physician engagement with the Chicago Regional Health Information Exchange.

Read the white paper in its entirety here: Intersystems

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