Scaling the PCMH Delivery Model with Automation

Practices must be reengineered to provide effective PCMHs — and the environment in which they operate must also change to permit seamless care coordination. But all of this change can be less painful and lead to more productive results if practices use the right combination of technologies to scale population health management.

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Using Outreach to Catch Cancer in Time

Connecting with patients in a meaningful way: Hear how outreach and early detection helped identify a patient with breast cancer.

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Provider-Based Patient Engagement

Population health management and influencing patients’ engagement in their own care. This paper discusses the fundamentals of patient engagement and shows how automation tools and web-based care management can facilitate this key process.

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Building the Infrastructure for Financial Risk

Learn what healthcare organizations must do to prepare for risk contracting and the level of maturity an organization must achieve before it can take risk. In addition, this paper includes recommendations for health systems to consider as they develop their strategies, as well as case studies that show what some organizations have done to get ready for risk contracting.

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Ground-Breaking Peer-Reviewed Research: Automated Phone Assessments and Hospital Readmissions

Featured in the Population Health Management journal, this analysis examines the efficacy of an automated post-discharge phone assessment for reducing hospital readmissions.

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Bassett Healthcare Network

Learn how Bassett Healthcare Network targeted gaps in care, and concentrated on chronic needs in primary care, pediatrics, and women’s health such as depression, immunizations and diabetes.

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Interoperability: What ACOs Need

Despite their investments in health IT, more than two-thirds of ACOs are having a hard time assimilating information from specialty-care settings. Learn what can ACOs and their leaders can do as they work to make interoperability a reality.

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Lean Care Management and Automation

The transformation of healthcare delivery requires high-performance care teams and automation. Additionally, Lean thinking, coupled with automation tools, can make care teams more efficient and productive, while helping practices deliver value-based care to patients and payers.

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Managing Populations and Coordinating Care

Hear how to develop a structure that supports not only chronic disease management, but also preventative health measures.

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The 5 Vs of Big Data

Read on to discover how the characteristics of big data are relevant to healthcare organizations in particular.

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Financing Provider-Led Population Health Management with New Value-Based Incentives

This whitepaper features a discussion of new revenue and savings opportunities in healthcare and the delivery models required to capitalize on them.

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Accountable Care Organizations and the Medicare Shared Savings Program

Learn how population health management, enabled by information technology, will be critical to MSSP success for ACOs.

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