How to Improve the Patient Journey and Achieve Better Outcomes

February 25, 2020 Melissa Bagnoli

In order for senior care providers and health systems to achieve better care coordination across the continuum, they must be better connected. Regulatory changes and industry shifts are driving this change, and with the right data and connections, LTPAC providers are able to create the best possible health outcomes for patients. By working together, they can achieve an appropriate length of stay for each patient, reduce hospital readmissions, and improve care efficiencies.

Ending Data Silos

Ninety-five percent of hospitals and 90 percent of office-based physicians are now using electronic health record (EHR) platforms, but many still struggle with sharing information outside of their facility. This creates data silos and has a major impact on transitions of care.

Close collaboration helps to ensure patients are placed into the right care setting after being discharged from the hospital, helping to ensure a quicker recovery. Discharge planning should start during the resident’s admission and continue throughout the stay. The discharge plan should clearly state what capabilities the resident needs to have upon discharge. This means that having an EHR platform that can provide discharge content and a personalized plan for each resident is critical to their recovery and reducing the risk of rehospitalization.

Empowering Providers and Health Systems

Without the right information exchange costs will increase for providers and care for patients is delayed. Despite best efforts and intentions, many providers still aren’t sharing all patient data and information. Many acute‐care providers say they share only the “most critical” data points when it’s time to move a patient to post-acute care. This means that key elements imperative to coordinating care – measurements and observations, location and patient status – are still missing.

Healthcare systems and LTPAC providers are bracing for the “silver tsunami”, which will drive baby boomers into hospitals and post-acute care facilities in record numbers. By implementing changes in your share data now, you’ll be able to better-manage the care transitions that will come with this influx of patients. You should consider:

  • Implementing a cloud-based infrastructure that streamlines secure data exchange between all patient-care providers
  • Use health data exchange to improve communication
  • Educate staff about the benefits of information exchange

Our new solution, Harmony by PointClickCare, will enable acute and post-acute providers to eliminate data silos between care partners. Connect with us to request a demo and learn more how Harmony can help your facility.

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