Development and Implementation of Team-Based Panel Management Tools: Filling the Gap between Patient and Population
Brook Watts1,2, Renée H Lawrence1, Paul Drawz3
11 Department of Medicine, Louis Stokes Cleveland Department of Veterans Affairs Medical Center , Cleveland, Ohio.
Population Health Management
|October 7, 2015
Summary
Locally developed electronic health record (EHR) tools enhance team-based care by enabling efficient patient population management and quality improvement. These tools provide timely data for clinical teams to monitor and improve patient outcomes.
Area of Science:
- Health Services Research
- Clinical Informatics
- Quality Improvement Science
Background:
- Effective team-based care models, like the Patient-Centered Medical Home, necessitate robust electronic tools for proactive population management.
- Existing electronic health records (EHRs) and population health tools often lack local control over data, timeliness, and efficient patient outcome monitoring.
Purpose of the Study:
- To describe the development and implementation of a flexible panel management (PM) tool to enhance care for patient subpopulations within a hospital system.
- To explore barriers and facilitators in creating a PM registry tool for team-based management using EHR data.
Main Methods:
- An in-depth case analysis approach was employed to develop and implement a flexible panel management tool.
- The tool was built using standard data elements (e.g., laboratory values, pharmacy records) extracted from EHRs.
- The project focused on adapting the tool for team-based management needs.
Main Results:
- The developed PM tool was successfully adapted for 6 disease-focused subpopulations, covering over 200,000 patients.
- Consistent collaboration between clinical end-users and information technology was crucial for refining the tool.
- Locally developed population management tools demonstrated efficient data tracking capabilities for clinical teams and leadership.
Conclusions:
- Locally developed PM registry tools, built from EHR-derived data, can address critical gaps in population management.
- Successful implementation requires sustained collaboration between clinical teams and IT departments.
- These tools offer a viable solution for improving patient outcomes through efficient data tracking and team-based care.
Related Concept Videos
01:18Guidelines and Strategies for Safe Computer Charting
3.2K
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
3.2K
01:15Methods of Documentation VI: Case Management Model
1.0K
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
1.0K
01:21Methods of Documentation III: PIE
2.2K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
2.2K