Improving Care to Patients with Multiple Chronic Conditions

November 10, 12:00pm, MST - 1:00pm, MST




What you'll learn

Providers often struggle with ways to care for patients with multiple chronic conditions. These patients tend to be older, have fewer resources and often require a multidisciplinary approach. Although the U.S. Department of Health and Human Services (HHS) provides resources, including a strategic framework for care, the burden mostly falls on clinicians at the point of care.

Fortunately, new technologies – like telehealth, remote patient monitoring, AI and better use of patient data – can empower providers and caregivers to treat patients with multiple challenges more effectively, improving outcomes and patients’ quality of experience. This webinar will demonstrate how providers and health IT staff can work together to leverage new technologies – from EHRs and workflows to AI, telehealth and more – to improve care delivery for patients with polychronic conditions.

Topics covered in this webinar include:

  • Assessing the patient pop. in preparing to risk stratify polychronic patients using multiple data sources (e.g., clinical data, social determinants of health data, PHQ-9 scores, external registry data)
  • Preparing a patient-focused care coordination plan based on collected data
  • Implementing and monitoring the plan, modifying as necessary – leveraging sophisticated data analytics to identify gaps in care and opportunities for care optimization
  • Optimizing workflows for EHRs to meet the challenges of telehealth and variance in social determinants of health, while enforcing accountability for the standard of care
  • Measuring results to manifest best possible outcomes and reduce readmission rates, using machine learning and predictive analytics