Data Interoperability for Coordinated Care Can Help PACE Programs Reduce Hospital Admissions

Intus Care

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For PACE programs, one of the main goals is to avoid unnecessary hospital admissions for its participants. This is not only beneficial for the participant's well-being, but also for the healthcare system as a whole. Hospital admissions can be costly and stressful, and often, they can be prevented with the proper care and management. Data interoperability within the PACE program can play a significant role in achieving this goal.

If you are a PACE program looking to prevent hospital admissions for your participants, data interoperability can be a valuable tool. Here are some tips on how data can be used most effectively to reduce avoidable hospital admissions:

Prioritize Comprehensive Health Assessments: Conduct comprehensive health assessments for all participants, including evaluations of medical, social, and functional needs. Use data interoperability to ensure that all healthcare providers have access to the participant's health records, allowing for early identification of health issues and timely interventions.

Improve Medication Management: Medication errors can result in hospital admissions, especially for participants with multiple chronic conditions. Use data interoperability to provide healthcare providers with up-to-date medication lists, medication allergies, and medication history, allowing for more accurate medication management.

Enhance Care Coordination: Care coordination is essential for preventing hospital admissions. Sharing data helps ensure that all healthcare providers have access to the participant's health records and can communicate with each other effectively. This can help prevent hospital admissions due to poor communication or lack of coordination between healthcare providers.

Implement Telehealth Services: Telehealth services can provide participants with access to healthcare providers without the need for in-person visits. This can be particularly useful for participants who have mobility issues or who live in remote areas. Telehealth services should be integrated into the participant's care plan so that healthcare providers have access to the participant's health records.

Offer Patient Education: Education is crucial for preventing hospital admissions. Provide participants with education on self-management techniques, such as managing chronic conditions, preventing falls, and healthy living. PACE programs can use data to identify trends and make more personalize education places based on the participant's health status and needs.

By prioritizing comprehensive health assessments, improving medication management, enhancing care coordination, implementing telehealth services, and offering patient education, PACE programs can reduce hospital admissions for their participants. Intus Care’s software solution and Integrated Care Services can help our PACE partners make the most of patient data by using it to identify trends, mitigate risks, and make more informed care decisions. and This can help ensure that participants receive high-quality care and achieve better health outcomes while reducing healthcare costs.

Learn more about patient safety resources, visit the Agency for Healthcare Research and Quality here.

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