What the Health!

A Blog For Change.
Healthcare Change, That Is.

Demystifying High Performance Healthcare (Part 2)

Posted by Teresa O'Keefe

 

Part 2 – Healthcare cannot be High Performance without quality-based physician-patient matching

So how do we get to true quality transparency that takes into account access, equity, patient experience and patient safety? It’s Quadruple Aim - the hard way. It may not be in my lifetime when we will wrangle real quality data out of providers, but keep in mind that the audience for this data must understand risk adjustment, facility characteristics and the fact that medicine is messy by nature and bad things happen to the best doctors. Fortunately, CMS is penalizing hospitals for readmissions and you don’t see as many mishaps in the operating room after Atul Gawande’s Checklist Manifesto became infused into common practice for surgery. But quality needs to be recognized as paramount when matching patients with physicians.

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Topics: AI in Healthcare, Quality Transparency, access to quality healthcare, bad healthcare experiences, physician referrals, specialty care, doctor referrals

Demystifying High Performance Healthcare (Part 1)

Posted by Teresa O'Keefe

 

Part 1 – Employers are embracing High Performance Healthcare, but what is it?

In 2017, the Joint Commission Journal on Quality and Patient Safety published a paper attempting to define a High-Performance Healthcare System[1] by surveying published literature on the subject. They didn’t come up with a consistent definition, but reported that articles they reviewed cited these criteria: quality (93% of articles), cost (67%), access (35%), equity (26%), patient experience (21%) and patient safety (18%).

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Topics: AI in Healthcare, Quality Transparency, access to quality healthcare, bad healthcare experiences, physician referrals, specialty care, doctor referrals

Making the Most of Your Telehealth Visit

Posted by Kathy Sullivan

Your QualityCare Connect Care Navigators always consider your preferences and call each doctor's office before recommending them to make sure they take your insurance, are accepting new patients and fit your needs.

 

Many states are beginning the re-opening process and medical facilities are starting to accept new and established patients again. In addition to inquiring about appointment availability, we also ask each office if they support telehealth services so that you can have peace of mind during a time where it could be difficult to see a doctor in person.

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Topics: value based care, healthcare quality, physician referrals, access to healthcare, specialty care, doctor referrals, telehealth, telemedicine, virtual medicine

It’s Time for Clinical Navigation-as-a-Service

Posted by Teresa O'Keefe

The term “Software-as-a-Service” popularized the use of …as-a-Service. It went beyond describing the “Intel-inside” – the technology, but also implied services wrapped around technology - the human element of managing the software – backing it up, applying system updates, troubleshooting and fixing bugs, etc.

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Topics: Quality Transparency, value based care, medicare star ratings, improve Star ratings, physician referrals, access to healthcare, doctor referrals, second opinion services

Misdiagnosis and the Gender Gap

Posted by Suzanne Clough, MD

3 minute read

It might be the year 2020, but when it comes to getting the right healthcare, gender equality hasn’t quite evolved yet. We haven’t been able to reduce the occurrence of healthcare errors, misdiagnoses and wasted spending either.

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Topics: value based care, healthcare quality, bad healthcare experiences, healthcare dilemma, physician referrals, access to healthcare, specialty care, doctor referrals, second opinion services

An Opinion About Second Opinions

Posted by Teresa O'Keefe

3 minute read

Friends who know I work in the healthcare industry often reach out to me with stories about their medical misfortunes and sometimes ask for help. An otherwise healthy friend – Stephanie - recently relayed a story to me about intermittent numbness in her arm which got to the point where it started waking her up at night and turned into her self-navigating down a rabbit hole in healthcare.

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Topics: value based care, healthcare quality, bad healthcare experiences, healthcare dilemma, physician referrals, access to healthcare, specialty care, doctor referrals, second opinion services

A New Approach to Referrals: Getting People to the Right Doctor the First Time

Posted by Suzanne Clough, MD

3 minute read

It’s 2019. Technology is everywhere. Information is everywhere. So, it should be really easy to find a doctor when you need one. Right? Nope. Unfortunately, many consumers of healthcare don’t even know what the “right” doctor looks like, even though they may think they do. This is not saying people aren’t intelligent. The reality is that navigating the healthcare system is like navigating a mine field whether you have a 6th grade education or you’re a PhD.

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Topics: value based care, healthcare quality, bad healthcare experiences, healthcare dilemma, physician referrals, access to healthcare, specialty care, doctor referrals

Please Get a Primary Care Physician

Posted by Suzanne Clough, MD

1 minute read

Let me get right to the point of this blog: Please get a primary care physician (PCP). I want you to have the best shot at your healthiest self and having a PCP quarterback your healthcare is a great way to do that.

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Topics: value based care, healthcare quality, bad healthcare experiences, healthcare dilemma, physician referrals, access to healthcare, primary care

When Denial of the Problem Turns Deadly (Part 3: The Solution)

Posted by Susan Torroella

2 minute read

A Crisis in Healthcare Access

(Part 3 of a 3-part series)

In Part 1 and Part 2 of this post, I described a fundamental problem we have in accessing quality healthcare: finding the right doctor and its impact on the quadruple aim of our healthcare system.

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Topics: value based care, healthcare quality, bad healthcare experiences, healthcare dilemma, physician referrals, access to healthcare

When Denial of the Problem Turns Deadly (Part 2: The Impact)

Posted by Susan Torroella

2 minute read

A Crisis in Healthcare Access

(Part 2 of a 3-part series)

In Part 1 of this post, I described a fundamental problem we have in accessing quality healthcare: finding the right doctor.

Why is this happening? Let’s start by defining the “right doctor”. The process of accessing healthcare, specifically, the right doctor for a specific condition, is in the stone ages. Physicians are grouped into broad specialties, but tend to have a fairly narrow sub-specialization or “sweet spot” where their experience, training and passion coincide – this is when the “right” doctor is treating a patient. 

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Topics: value based care, healthcare quality, bad healthcare experiences, healthcare dilemma, physician referrals, access to healthcare

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Here at ArmadaHealth, we measure success by the number of people we help. Every day, we connect people to the right doctor for their unique needs. We pair industry-leading data science with a touch of clinical navigation expertise to provide our members with a High Tech. Right Touch.® exceptional experience that makes members (and companies) happy.  Visit ArmadaHealth.com to learn more.