360 Patient Pulse: The Importance of Real-time Care Tracking

No value-based care model can be complete without efficient care management being the cornerstone. Developing a comprehensive strategy focusing on the patient whereabouts, health information, episode details, and accessing all the relevant information at the point of care can be a complex undertaking for any healthcare organization. There are multiple, sprawling sources of healthcare information which have produced widespread fragmentation of patient data and can lead to degraded health outcomes.

The need for a 360൦ Patient Pulse
A comprehensive, 360-degree view of a patient’s health information and history is integral to delivering quality care to the patients. A real-time, single view information of a patient will allow healthcare providers offer patients a more holistic care, aimed to improve their integral health and well-being:

• Continuous Monitoring: Assessment of a patient’s health state in any care setting and conduct an extensive analysis of the underlying risk factors.
• Patient-centric care: Focus on personalized care delivery suited to every patient’s needs and increase patient satisfaction.
• Patient experience: Create a detailed roadmap to implement and ensure adherence to care plans and improve patient engagement.
• Organizational coordination: Improve organizational care coordination once the entire care team can see and understand the potential complications.
• Patient compliance: Enhance behavioral changes and communication in patients and caregivers, and measure the quality of care being delivered.

The looming questions

When observed closely, there were several challenges physicians and caregivers frequently faced, ranging from inefficient data sharing to analyze important patient information:

• How to unify patient data coming in from various sources and reduce the fragments in data silos?
• How to ensure top-notch quality of data pertaining to patient and keep it updated?
• How to incorporate format change or schema redesign for new diagnostics, monitoring equipments, or wearable devices?
• How to narrow down on duplicate records and eliminate redundancies?
• How to ensure data sharing between different providers, services, devices, and databases in real time?

Creating a 360൦ Patient Pulse

Given the dynamic nature of healthcare industry where sprawling data systems come up with valuable metadata about patients’ health, the major challenge is efficiently tying these disparate silos together and keep adjusting the updates dynamically. A comprehensive patient 360 pulse could comprise of:

• Big Data Architecture: A big data storage repository can ingest structured, semi-structured, and unstructured data carrying valuable insights and integrate it on a single platform, so providers can identify high-risk patients, gaps in care, plan interventions, with an overall focus on population health.

• Data analytics: It’s important to analyze acquired data to gather insights into a patient’s health to pinpoint anomalies, stratify and prioritize patients, monitor the impact of care plans, and deliver timely care.

• Remote monitoring: With a rise in the number and appreciation of wearable technology and remote monitoring devices, it’s vital that data recorded from these devices is incorporated into clinical decision support.

• Longitudinal view: Once the patient data is gathered, it should be summarized into longitudinal records in a way that is easily understood and accessed by providers to assess their patient’s health trends.

Datashop’s Patient 360

Datashop’s Patient 360 is a combination of solutions, services, and strategic monitoring that helps providers deliver patient-centric solutions across the care continuum and achieve exponential growth with lower costs. Datashop acts as one stop solution to view all health records pertaining to a patient, in a longitudinal form with instant access to a patient’s demographic information, care summaries, claims details and other care management activities:

• Integrated Big data lake: Datashop’s integrated big data lake acts as the single source of truth, ingesting data from over 45 EMR systems, claims, billings, episodes, disease registries, and risk scores related to a patient and integrating them into a single, holistic record.

• Smart capture from smart devices: Datashop has the ability to capture a patient’s clinical records and real-time health information from telephonic conversations, wearables, portals, etc. through advanced patient monitoring and incorporate them into their records.

• Dynamic readjustment: With a Hadoop-based infrastructure coupled with a scalable architecture, Datashop’s flexible data lake can automatically redesign the underlying schema and update health records to enable real-time alerts and notifications.

• Bi-directional interoperability: Coupled with 2-way interoperability, Datashop allows providers to share critical patient data among all the physicians and health coaches in and across the network and help them take necessary measures.

• Advanced analytics: Datashop runs sophisticated analysis on the collected data and identifies patterns in health trends in the present as well as in the near future and enable push notifications on account of potential complications.

The Future is Here

Creating and monitoring a unified view of patient data ranging from episode history to claims is no less than a challenge. By creating a Patient 360 view of all relevant patient data across all of its data silos, healthcare organizations can run an accurate analysis, coordinate seamless care across the care continuum, and reduce the gaps in care. Moreover, the overhead of maintaining a universal schema with real-time updates of a patient’s health increases agility and cost-effectiveness.

Datashop counters these barriers of aggregating new or changing data, while providing real-time alerts, patient data security, and a robust set of data analytics. 360 Patient Pulse gives healthcare organizations the agility to respond to changing patients’ needs and requirements and develop a quality, cost-effective care plan and achieve better health outcomes. A healthcare where every patient is taken care of- not treated as an average but as a unique individual, providers addressing their patient’s needs, empowering them with the decisions of their own health, delivering the right care, at the right time, the first time is true value-based care achieved.

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