Population health management requires care coordination and patient engagement

Healthcare is experiencing unprecedented change at the moment; some would say this is long overdue. Between regulatory and reimbursement reforms, emerging technologies, and the pursuit of the Triple Aim, managing population health has become a fundamental requirement for most health systems. While the benefits of value-based care are many, the transformation to a more patient-centric model is complex, particularly as consumers’ expectations continue to rise, and the need to provide individualized care plans to a much broader spectrum of the population grows to unprecedented levels. To keep up, organizations must look to solutions that enable proactive and preventative care, instead of reacting to health events after they occur.

Building a Roadmap for Strategic Population Health
Successfully managing population health starts with transforming the patient experience in a much more holistic manner. To do so, organizations must improve care coordination to promote collaboration throughout the healthcare ecosystem and with the patients themselves.

  1. Gather data to better coordinate care.
    Armed with the right data, organizations can create more appropriate, personalized care plans that incorporate all aspects of the patient’s health needs. EHRs alone can’t paint an accurate, 360-degree view of individuals, especially when patients are turning to multiple practitioners in various settings to receive complete care, often for multiple conditions. To adapt, care coordination platforms must be able to pull in clinical, claims, and social determinant data to create a holistic patient profile. At Salesforce, our customer relationship management (CRM) technology enables a complete view of all relevant patient data across the continuum of care, presenting that information in the proper context for each caregiver’s role and relationship with the patient.
  2. Collaboratively plan for patient-centric care.
    Currently, healthcare organizations face a number of visibility and scalability challenges that are impacting their efforts to shift to value-based care and to provide more efficient, patient-centric care. Traditionally, different providers and systems functioned in silos and the burden was placed on the patient and/or their family to connect the dots for their various providers, often at a time when they were ill-equipped to do so. Siloed systems also make it considerably more difficult to realize the true impact of interventions on healthcare outcomes. Solving for this challenge requires systems which support care team collaboration to drive specific, measurable health goals.
  3. Set goals and engage patients.
    Successfully managing population health isn’t achievable without the active contribution of patients and their caregivers. The beauty of the digital age is that patients can now participate in this process much more easily, and it’s possible to engage with individuals on a personalized basis through more channels than in the past. At Salesforce, we’re giving care teams the ability to collaborate in real time with patients and caregivers through patient communities and secure communication tools that help keep patients engaged through to-do lists, care assessments, and direct patient feedback. All of this can be done efficiently at scale without sacrificing patient personalization.

When you combine data-driven care coordination and the power of CRM, population health management is literally at your fingertips. Optum and Salesforce are not only helping make value-based care achievable, but also easier to manage. By fueling care coordination workflows with more robust patient data for more effective collaboration, care teams across the ecosystem can better engage patients and move them across the care continuum toward healthier lives.

To hear more about how better care coordination and patient engagement can promote improved population health, register to join Salesforce and Optum for an exciting discussion between Neeracha Taychakhoonavudh, SVP Industry Go-To-Market, Salesforce, and Karen DeSalvo, Professor of Medicine and Population Health, UT Austin Dell Medical School and former Acting Assistant Secretary for Health US Department of Health and Human Services, airing here Wednesday, December 5, 2018.


About the author

susan-collins.jpgSusan Collins
Vice President, Strategic Healthcare Partnerships, Salesforce

Susan has 30+years of experience in emerging technologies and change management facilitation, including extensive experience in the healthcare and life sciences sector. Her belief is that when committed individuals are supported by innovative technology, their ability to collaborate and solve critical problems effectively is tremendously accelerated.

Susan has dedicated her career to helping design and implement business solutions that provide durable competitive advantage, leveraging the intellectual capital within businesses and positioning those firms to succeed well into the future. She previously held a number of C-level positions with healthcare providers as well as senior roles in sales, marketing and product development for several leading healthcare companies. She now leads the Salesforce industry organization for healthcare and life sciences.

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