Moving to wrap up the day with a plan of action: Survey results: Priority Problem Statements: - There is no care plan that includes my medical and social factors coordinating interdisciplinary input - including the patients.
- The care providers who may have the most input may not have visibility to inform or see the plan. Existing IT Solutions that can be scaled: - Interoperable information exchange
- Get a model that works effectively and scale it.
- More effective risk stratification
Innovation Opportunities:
- Feedback loops when things don't happen.
- EHR/PHR that can merge a medication record, including community pharmacies Beacons:
- Rhode Island offers itself as a Petri Dish looking for partners. - Hawaii - Challenges of an island community - Idaho - 3,000 rural providers in a test of care transitions. - Bangor - Feedback Loops
- Iowa - Patient should own, control and vet the care plan - This is an experiment they will undertake. Feedback loops and cost containment. Plenty of evidence available to show cost reduction potential. NY - Home care: Happens today via paper and fax. Home Care Vendors developing interoperable standards for home care: Treatments, patient goals etc. Things that aren't addressed in other parts of the Care Transitions Efforts.
Start a conversation on http://medicaring.org
- The care providers who may have the most input may not have visibility to inform or see the plan. Existing IT Solutions that can be scaled: - Interoperable information exchange
- Get a model that works effectively and scale it.
- More effective risk stratification
Innovation Opportunities:
- Feedback loops when things don't happen.
- EHR/PHR that can merge a medication record, including community pharmacies Beacons:
- Rhode Island offers itself as a Petri Dish looking for partners. - Hawaii - Challenges of an island community - Idaho - 3,000 rural providers in a test of care transitions. - Bangor - Feedback Loops
- Iowa - Patient should own, control and vet the care plan - This is an experiment they will undertake. Feedback loops and cost containment. Plenty of evidence available to show cost reduction potential. NY - Home care: Happens today via paper and fax. Home Care Vendors developing interoperable standards for home care: Treatments, patient goals etc. Things that aren't addressed in other parts of the Care Transitions Efforts.
Start a conversation on http://medicaring.org
