General Case Study (Bridge)

Client Background  
:   Accountable and Coordinated Care Organizations The American Recovery and Reinvestment Act of 2009 (ARRA) initiated a movement in healthcare towards community-wide coordinated care systems to achieve the triple AIM - Improved health, Better care and Lower costs.Today, the majority of these new systems are recognized as Accountable Care Organizations (ACO). These organizations consist of various healthcare providers working together to deliver high-quality, coordinated care to the patients they serve. ACOs strive to treat each patient, especially the chronically ill, with proper care at the right time, while simultaneously avoiding unnecessary duplication of services and reducing acute care instances. Financial incentives are provided to ACOs for containing costs and improving quality of care.

Problems  
:  
  1. With disjointed providers and data, healthcare organizations cannot understand a patient's full spectrum of health. This situation makes continuous care impossible. The results, in the current healthcare environment, are unchecked chronic conditions and repeat emergency department admissions, which are expensive to the system and the patient.
  2. Hard to access patient data, from multiple providers via disjointed system (some still paper-based) inhibits the quality of care from various healthcare organizations the patient would visit.
  3. Population health management (PHM), with old or no data and an unengaged population, is virtually impossible. This results in avoidable and expensive interventions such as emergency department visits, hospitalizations, imaging tests and procedures. Since ACOs are still an early concept, most organizations struggle with defining a population-wide coordinated care system and the knowledge of how to build one.

Solution  
:  

The Bridge platform can help your ACO jump-start activities to engage in meaningful population health management.

  1. Bridge allows providers to manage a population's health by focusing on high-risk patients who generate the majority of health costs, and systematically addresses the preventive and chronic care needs of each patient. Bridge also allows organizations to better assess and understand population needs based on high-quality data sets, including geography, health status, lifestyle, resource utilization and demographics.
  2. Bridge allows for real time monitoring of key quality metrics that define overall performance of the ACO. The tracking is real time and allows for ACOs to proactively manage expected quality outcomes.
  3. For better coordination and quality of care, Bridge allows patients easy access to update their own medical records. ACOs can now share all of a patient's high quality information with all providers via mobile platforms for easy access anytime and anywhere. Bridge also fulfills the need for easy access to eReferrals, scheduling, secure messaging and provider collaboration.
  4. Bridge creates an interactive 360 degree approach for patients and ACO members, giving patients unparalleled access to providers through a best-in-class HIPAA compliant messaging service.

Benefits  
:  

Implementation of Bridge for accountable care organizations has resulted in the following benefits:

  1. Lower healthcare costs for patients at all risk levels by following them through the continuum of care, increasing awareness of chronic conditions, reducing emergency department admissions and promoting a preventative care delivery system.
  2. Full compliance to program objectives and better clinical and financial performance.
  3. Improves the quality of care by allowing the patient’s information to be at the fingertips of providers no matter where they are.
  4. Increases patient and provider satisfaction by enabling an easy to use direct and secure messaging environment.