Integrating Social Determinants of Health in Care Management

Episode Overview

Social determinant of health (SDoH) factors have a great influence on the quality and care management of a population’s health. As technology advances to better capture SDoH factors, clinicians can explore new ways to integrate this data into clinical workflows to proactively identify patients at high risk for adverse outcomes – resulting in better quality care.

On this episode of Value-Based Care Insights, host Daniel J. Marino and Amy Valley, Vice President of Clinical Strategy and Technology Solutions at Cardinal Health, discuss the importance of incorporating social determinants into care management.

Key Takeaways:

  • There are five main categories of SDoH: medical, environmental, physical, behavioral and social. These factors create a proliferation of data that can be difficult for clinicians to manage, however, new technology aims to identify the signals of a potentially high-risk situation for a patient.
  • SDoH provide a perspective into health conditions - and incorporating these factors into clinical workflows help to proactively identify patients at risk for adverse outcomes.
  • The recent staffing shortages are forcing organizations to re-evaluate their approach to navigating care. Analytic platforms are a necessity to support care delivery. These tools have been proven to increase efficiencies and improve clinical outcomes.
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The Evolving Role of Telehealth

Episode Overview

Telehealth is poised to see continued growth as the health care industry experiences the benefits of telehealth models, specifically supporting patient care delivery and closing care gaps.

On this episode of Value-Based Care Insights, host Daniel J. Marino and Dr. Alan Kumar, Senior Vice President of Medical Affairs and Chief Medical Officer at Community Healthcare System, discuss the key factors for a successful rollout and how to increase adoption during the ongoing evolution of telehealth.

Key takeaways:
  • COVID forced health care organizations to adopt telehealth, and adopt it quickly. In the post-lockdown world, organizations are now looking at how they can continue to evolve telehealth. It is expected that the various telehealth platforms and EMR (electronic medical records) will continue to integrate the technology.  In the next five years, we will see the marketplace evolve to greatly improve operational efficiency.
  • The shift to telehealth has provided primary care providers the ability to identify care gaps that they can close during the telehealth visit; alerts pop up on the screen to help providers in real-time, which leads to better outcomes for the patient.
  • Large IT initiatives are expensive, complicated, and require buy-in. Adopters must be methodical, diligent, and patient with the approach. Converting to new telehealth models will take time and effort.


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How to Launch Telehealth Services

Episode Overview:

The current COVID-19 pandemic is putting new pressures on healthcare infrastructure and providers, challenging them to meet increasing patient care demands while maintaining the safety of staff, patients, and even entire communities.

As a result, providers are being called on to pivot their care delivery models and leverage technology, providing patient care at a distance while meeting the health and safety needs of the community.

In this two-part series, Daniel J. Marino and Shaillee Chopra first revisit Lumina’s “Patient Care in Crisis: How to Launch, Code and Bill Telehealth Services” webinar to review Dr. George Mayzell’s insights on setting up telehealth visits within a practice. Then we’ll hear Lucy Zielinski’s suggestions for documenting and billing for telehealth visits to ensure practices are reimbursed appropriately.

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