Pre-visit planning is a strategy used to maximize the benefits of a healthcare visit with extra preparation, focusing the appointment, and creating a patient-specific care plan. Overall, pre-visit planning ensures a smoothly operating clinic and benefits both patients and healthcare providers.
Traditionally, a patient’s medical care for an issue begins at an appointment, but patient care can begin before your time together and can extend past the current visit. It helps to think about someone’s medical care as a continuum rather than as isolated incidents.
We think of a healthcare visit in three major stages:
First introduced in the mid 2000’s, value-based care was brought to the forefront of medical practice with the 2015 passage of MACRA1. Designed to treat the entire patient, both in illness and health, and reward improved health, value-based care was the antidote to a fee-for-service (FFS), solely treatment- and diagnostic-based approach to the practice of medicine. In theory, it was exactly what both doctors and patients needed to create a culture of improved health and reduce the healthcare system burden of disease. So why, then, has it failed so spectacularly thus far?
While it’s nearly impossible to attribute just one, or even a handful of causes to the lack of traction or success for value-based care, it is possible to assess influence and recommend focused avenues for positive change. Here are a few key areas where changes could have a profound impact and lead to greater success for value-based care.
Data in healthcare is now essentially ubiquitous: there are mountains of it everywhere. With the promise of tech and big data, healthcare systems snapped up technology that promised to capture all their data and provide enhanced and unprecedented insights. EHRs were pushed on physicians, claiming better data collection, organization, and utilization. And yet, very few physicians can even access real-time information, let alone derive practice-informing insight from it1. How then, do we bridge the gap from data ubiquity to real-time, meaningfully informed medical practice?