Contenu connexe Plus de Health Catalyst (20) Patient-Centric Care Management is a Strong Strategy2. © 2016 Health Catalyst
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Patient-Centric Care Management
Formalizing care management
is an important contribution to a
culture of quality healthcare.
This field integrates vital
aspects of quality management
in healthcare, such as quality
planning, assurance, and
monitoring processes.
It is exemplified through a culture of continuous improvement and
supported by a technology platform specifically designed for the task.
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Patient-Centric Care Management
Care management establishes criteria
to identify persons with a high risk for
serious medical problems who could
benefit from interventions by a good
care management team.
These trained teams address the
needs of their assigned patients
and build relationships of trust and
communication with patients and
their families, as well as with their
healthcare providers and staff.
This is the critical component of
patient-centric care management.
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A Culture of Continuous Improvement
While care management is a specific
example of a field that contributes to a
foundation for quality healthcare, every
healthcare organization needs an
underlying structure for continuous
improvement and success.
Health Catalyst promotes the import-
ance of three systems that lead to
outcomes improvement:
• Best Practice
• Analytics
• Adoption
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A Culture of Continuous Improvement
Texas Children’s Hospital (TCH), used
this model to achieve remarkable
improvements in various areas.
TCH saw impressive results in its
diabetic patient cohort, including a
significant decrease in the percent
of patients with recurrent diabetic
ketoacidosis encounters.
Texas Children’s has developed a
strong quality culture, promoted by
its quality department and other
executives and staff throughout their
governance structure.
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Care Management Technology
Technology to facilitate the functions
and processes of care management
is becoming more and more essential
to ensuring timely and quality
healthcare for all patients.
Health Catalyst’s Care Management
Suite is one example of a technology
platform that supports the objectives
of care management teams, and
contributes to an overall culture of
quality in the healthcare arena.
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Patient Case vs. Patient Centered
A persistent, patient-centric focus is one of the
most significant capabilities behind appropriate
care management.
Yet there is an ease with which we lose this focus.
Consider the contrasting styles of two physicians
working within the same healthcare system:
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Patient Case vs. Patient Centered
Brilliant neurosurgeon in top hospital system:
• Highly skilled in surgical abilities
• Quickly worked through procedures
• Generous and patient with peer teaching
• Poor bedside manners with patients
• Limited in patient communication
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Patient Case vs. Patient Centered
Internal medicine practitioner in same system:
• Well developed people skills
• Outstanding clinician
• Physician of choice by other physicians
• Strong patient advocate
• Effective communicator
• Trusted by patients
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Patient Case vs. Patient Centered
It should be no surprise that the internist
with better patient communication skills
had a significantly greater impact on
patient’s quality of life.
In one terminal case ̶ a patient with
metastatic cancer in the lymphatic system,
the patient’s last few days were improved
by the doctor’s continuous follow-up and
solid care management principles.
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Above All, a Patient-Centric Focus
No combination of methods, tools, and
techniques is complete without the essential
principle of a patient-centric focus throughout.
This focus empowers the healthcare
professional to leverage available resources
in a manner best suited for each patient’s
well-being.
This includes bridging cultural and language
barriers that can impede outstanding
treatment to meet the patient’s needs.
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Above All, a Patient-Centric Focus
There are significant challenges presented
by differences in culture and language.
An English-speaking patient, for example,
may understand the medical term
“scapula,” but most likely calls it a
“shoulder blade.”
Likewise, it is common to hear the
Spanish word “paleta” among
Spanish-speaking natives, rather
than the words “escápula” and
“omóplato,” which are the more
educated terms.
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Above All, a Patient-Centric Focus
Similarly, the culture where one practices,
influences how one practices. For example,
legal pressures in the U.S. promote a significant
overutilization of lab tests.
In Mexico, socioeconomic conditions discourage
ordering any but the most essential lab tests.
Instead, the culture promotes a greater
dependency on the clinician’s ability to do
quality histories and physicals to arrive at a
precise diagnosis and treatment plan.
Neither approach is ideal but in a patient-centric
world, the patient’s needs predominates.
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Care Management Requires a Multi-
Dimensional Approach
The basics of care management include both
complex and simple requirements:
• A culture of continuous improvement
• A technology platform to support this culture
• Care management teams that put the
patient at the center of everything
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Care Management Requires a Multi-
Dimensional Approach
In her book on preparing for the PMP
Exam, Rita Mulcahy wrote that quality is the
degree to which requirements are fulfilled.
If we are to nourish a culture of continuous
improvement in healthcare, then we must
keep a patient-centric focus by always
fulfilling patients’ requirements.
This cannot be achieved immediately,
but it can come through cycles of
continuous improvement at both
individual and organizational levels.
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Care Management Requires a Multi-
Dimensional Approach
Now we have the technology platform—the
EDW and specific applications—to assist
care management teams with a data-driven
structure for navigating this new field.
It is exciting to see the progress already
being made toward having this patient-
centric culture of quality permeate all
facets of healthcare, and to be a
participant together with many others in
striving toward this great achievement.
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For more information:
“This book is a fantastic piece of work”
– Robert Lindeman MD, FAAP, Chief Physician Quality Officer
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More about this topic
Link to original article for a more in-depth discussion.
Patient-Centric Care Management Is a Strong Strategy
How Patient-Centered Care Turns Patients Into Leaders
Kathleen Merkley, DNP, APRN, Sr. VP Clinical Improvement Line
Why a Patient-centric Approach Is Best: Stories from a Physician
Dr. Bill Knowles, Senior Director of Client Engagement
Population Health Management: Implementing a Strategy for Success (white paper)
Dr. David Burton, Former Executive Chairman
Population Health Management: Systems and Success
Health Catalyst
Moving Healthcare Outcomes Improvement Projects to the Finish Line
Dr. Bill Knowles, Senior Director of Client Engagement
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Dr. Bill Knowles has a unique background to support the vision to transform healthcare
through the application of relevant experience, processes, and technology. His
certifications as a physician, certified Oracle developer, and project management
professional (PMP), combined with the years of experience he has working in these
areas, have formed a strong foundation for achieving success in Life Science programs
and projects.
Bill has established and been the director of several project management offices, in addition to being
a project management team lead and senior technical consultant. He has travelled to domestic and
international client sites to lead software implementations, and has years of experience providing
program and project management, as well as technical and clinical registry guidance, mentoring,
and training to healthcare professionals and support staff. Bill has been a senior director of client
engagement at Health Catalyst since 2014, and he is fully bilingual in English and Spanish. He also
is a graduate of the accredited Health Catalyst University Accelerated Practices Program, which
trains professionals in the acceleration of outcomes improvement.
Other Clinical Quality Improvement Resources
Click to read additional information at www.healthcatalyst.com