Transcript
We are focused on solving real problems like the one we discussed with Maria. We believe closing care gaps effectively is paramount for everyone involved, and we are passionate about optimizing this operational process.
Our approach is fueled by a robust, data-driven methodology focused on operational excellence and a personalized, focused approach that makes a difference. This translates into more efficient provider engagement and, most importantly, healthier patient lives.
I always like to mention that we believe it’s critical to review data thoroughly before contacting a provider. We don’t want to bother them unnecessarily. We approach them with a clear, determined plan, not just a general request to review a list.
We coordinate closely with care teams on coding, exclusions, pharmacy records (as Kate mentioned), and appropriate chart documentation. We understand the administrative burden providers face. By working with the care team first, we ensure the patient list is correct before the cardiologist and provider discuss specific cases.
We form relationships and follow up with organizations and clinics. Our team becomes personally invested; we can see the impact in the data as gaps close. Once educated, clinics often come to us for advice on the next measurement year or for tricky situations where a patient isn’t falling off the list. We provide advice, and if it’s clinical, we connect the AristaMD cardiologist to the provider via eConsult or other asynchronous methods that fit the provider’s busy schedule.
Our goal is to make the burden lighter. We track and update patient records. As Kate and I were saying, we will monitor a patient indefinitely to ensure the gap remains closed. We check in to confirm that a patient like Maria, who successfully adhered to her medication last year, hasn’t run into new problems. We let the provider or care team know if she unexpectedly pops up on the list again.
Xanthe Bible
Operations Manager
Xanthe Bible brings proven expertise in healthcare operations and strategic initiatives to her role as Operations Manager at AristaMD…
Common Challenges to Achieve Clinical Quality Goals: Containment
Containment in healthcare involves equipping providers with the appropriate recommendations to effectively manage a patient’s care within their practice without the need for unnecessary referrals or consultations outside of the practice. This is particularly important in ensuring efficient resource utilization and reducing healthcare costs while maintaining high-quality care. Collaboration between the practice and eConsult providers is crucial in this process. By working closely together, healthcare teams can assess patient needs more comprehensively, share relevant information seamlessly, and leverage specialist expertise when necessary, all while keeping the patient’s care within the primary care setting when possible.
Containment is impacted by:
Specificity of the eConsult request and inclusion of appropriate patient history and testing
One critical factor that impacts containment is the specificity of eConsult requests and the inclusion of appropriate patient history and testing. When healthcare providers submit eConsults with clear and detailed information about the patient’s condition, medical history, and relevant tests, it enables specialists to provide accurate and targeted recommendations. This specificity helps avoid unnecessary procedures, tests, or consultations, reducing healthcare costs and improving efficiency. Additionally, thorough documentation of patient information ensures that healthcare decisions are based on a comprehensive understanding of the patient’s needs, leading to better clinical outcomes and overall satisfaction with care. By emphasizing the importance of detailed eConsult requests and extensive patient information, healthcare organizations can enhance containment efforts and optimize resource utilization while delivering high-quality care.
Specialist experience and the comprehensiveness of the eConsult response
Containment rates in healthcare are significantly influenced by two key factors: specialist experience and the comprehensiveness of the eConsult response. The knowledge and expertise of the specialist providing the eConsult directly impact the quality and effectiveness of the recommendations offered. Specialists with extensive experience in their field can provide more accurate diagnoses, tailored treatment plans, and valuable insights into complex medical conditions. Moreover, the comprehensiveness of the eConsult response, including detailed assessments, clear recommendations, and supporting evidence, plays a crucial role in containment efforts. A comprehensive eConsult response can help primary care providers manage a wider range of patient conditions within their practice, reducing the need for unnecessary referrals and promoting cost-effective care delivery.