Episodic Care Management Use Cases
Patients require episodic care management when they utilize a provider or health care organization that they do not have a pre-established health care relationship with, such as care received during visits to anemergency room or walk-in clinic. Episodic care providers can struggle to gain access to patient data since it is often not available within the database for their organization. Gaining access to patient data via a Health Inforamtion Exchange allows providers to make more informed decisions about a patient they may not be familiar with.
Persona Story
Doug is the CIO of a treatment center, who would like data access via hospital or elctronic health record through a Health Information Exchange when initiating new patient intake, managing chronic coniditions, and ongoing patient care. Doug wants to support his staff with clinical data and heath IT tools to ensure they can provide high-quality care. As a technology leader, Doug wants to provide the tools and infratsructure to care providers to share relevant and timely clinical information, in ordere to increase care quality, patient outcomes, annd reduce expenses. Doug also knows that supporting his staff with complete patient care information ensures quality, compliance and the ability to analyze work to hold staff accountable to a higher level of care, demonstrating the value that his team can bring to the patient.
Persona Story
Sue is a nurse manager who needs to have access to comprehensive patient information to best help providers make decisions based on most current and complete patient data available. Sue has struggled to bridge the gaps between Vermont & New Hampshire, due to limited access of data for Vermont residents seeking care in New Hampshire. Currently only one facility provides the real time data that Sue is seeking. The lack of available data between states hinders the best possible care. Access to up to date patient data enables providers within her multi-state network to make more holistic decisions for patients seeking care in more than one state.
Persona Story
Maria is a nurse working in a hospital emergency room. In her job, she encounters many patients who make multiple trips to various health care organizations, and may or may not request many different procedures. Maria is able to make vital determinations regarding a patients' request for procedure, length of hospital stay or prescription by analyzing data from the patients' record, which helps her understand potential trends in the patients' care. Access to quality data with a single point of truth allows Maria to improve the quality of patient care by making procedure, prescriptive and length of stay decisions that are best for the patient based on their previous care and care requests.
Longitudinal Care Management Use Cases
A Longitudinal Care Plan takes into account the holistic needs of a patient or client, aggregating information from various providers, care visits, and incorporating the patient's unique health care goals over time. Longitudinal Care Management depends on networks of data sharing to generate the "big picture" of a patient, taking into account behavioral, mental, and physical needs and goals.
Persona Story
Amy is a behavioral analyst working in an elementary school setting. As a busy professional, Amy finds it difficult to serve students holistically - from a social, emotional, behavioral & medical perspective - when policies restrict the data that can be shared with schools. Amy wants to provide the most comprehensive care to students as possible, and having access to student data beyond the data contained within the school setting would allow her to better serve the students and families of her community by making informed recommendations based on each students' medical history.
Persona Story
Rick is mental health therapist and often encounters patients who have sought support through various care sectors, such as the Department of Children & Families, primary care providers, and emergency room visits. Many of these systems rely on manually collecing, scanning, and entering data in patient EHR, and challenges occur due to manual processes. Rick knows that having access to all sectors of patient data assists in retuning clients to normative developmental trajectory by providing a more holistic view of the patient's care history.