Instilling Effective Care Coordination for Better Cardiac Care- A Case Study

Industry

Healthcare, Care Coordination

Technologies

Python, Angular, TypeScript, REST, SOAP, Web Services

Client Background

The client is a renowned healthcare provider in the cardiovascular specialty based in Alaska, managing chronic conditions such as heart failure, heart attack, ischemic heart disease, and more. The client has treated numerous patients with medical expertise and compassion.

Business challenges

Over a period of time, the client has managed a diverse patient population affected by heart complications with few medical specialists and an EHR software. The client has faced several business challenges as follows:

    1. Post-Discharge Care of Patients

Managing patients with heart conditions requires continuous attention. The client’s existing EHR software lacks real-time patient health vital monitoring capabilities, making it difficult to treat patients post-discharge. This often leads to an increased rate of patient hospital readmissions and emergency visits.

    2. Personalized Care Delivery Challenges

Effective management of chronic conditions, especially for patients with heart complications, requires an individualized, patient-centered care approach. Due to the high patient volume and limitations of the EHR software, care providers were unable to spend adequate time consulting with patients and delivering personalized care. These challenges in providing personalized care affected patient health outcomes.

    3. Communication Barriers

Maintaining continuous communication with patients is crucial to achieving optimal patient health outcomes and gaining their confidence. Post-discharge, the lack of real-time communication facilities prevented care providers from staying in touch with patients and vice versa. This communication gap affected patient health outcomes, confidence, and satisfaction, as patients were unable to discuss their health activities and concerns with their care providers.

Solution

After identifying these challenges, the client recognized the need for care coordination software to streamline practice workflows and enhance personalized care delivery to achieve the desired patient health outcomes. Our team of business analysts and subject matter experts held multiple calls with the client to understand their requirements. After receiving the client's final approval, our team implemented the eCareMD software into the client’s practice.

Solution Highlights

The eCareMD software consists of advanced technological features and follows the regulatory compliances of CMS(Centre for Medicare and Medicaid Services).

Some of the key features that addressed the client’s challenges are:

    1. Remote Patient Monitoring Capabilities

    The remote patient monitoring capabilities of the eCareMD software have significantly resolved the challenge of monitoring patients post-discharge. Assigned devices continuously monitor patients' health vitals and transmit the recorded readings to the care provider’s eCareMD dashboard. These collected readings help patients and providers analyze fluctuations and trends. Based on the readings, care providers can customize the care plan according to the patient's health needs and make necessary interventions if the patient's health vitals go beyond threshold levels.

    2. Patient-Centered Care Delivery Features

    Understanding patient health needs and addressing them through customized care delivery is crucial for achieving expected patient health outcomes. The eCareMD software enables care providers to create and store care plan templates tailored to various chronic conditions. As a result, the software automatically suggests appropriate care plans based on the patient’s specific chronic conditions. Additionally, the alerts and notifications feature helps care providers make necessary interventions when patient health vitals exceed threshold levels. These features have enabled care providers to deliver more patient-centered care and achieve the expected health outcomes for their patients.

Patient-Centered Care Delivery Features image

    3. Seamless communication channels

    The eCareMD feature consists of secure voice/video calls, messaging, and real-time chat functionality which enables care providers to communicate with patients in real-time for their health-related queries and suggestions. This increased patient-provider communication helps to gain patient confidence, satisfaction, and improved health outcomes.

Value Delivered

    1. Enhanced Post-Discharge Monitoring

    The continuous monitoring of patient health vitals post-discharge significantly reduces the risk of readmissions and complications, ensuring better patient outcomes.

    2. Improved Health Outcomes

    The focus on personalized care delivery and timely interventions leads to better adherence to treatment plans and improved overall health outcomes for patients.

    3. Increased Patient Engagement

    Enhanced communication channels foster a stronger patient-provider relationship, increasing patient engagement and adherence to care plans.