With time, PHM challenges have evolved from mysticism, to inefficient workflows, to employee fatigue. Here is a way out!

Plagued with Population Health Management Inefficiencies?

PHM is a systematic way of gathering, analysing and managing at-risk patients’ data through tools such as Utilization Management, Case Management, Disease Management, Portals etc.

Existing PHM solutions aim to achieve population health management goals for providers by identifying care gaps, preventing medical errors and improving patient outcomes. While it’s a vast improvement, there still exist challenges that need to be addressed

Complex, inconsistent and inefficient workflows
Manual and delayed Authorization Reviews
Increasing employee fatigue from evolving policies/criteria
Convoluted, time-taking and ever changing configurations
Diminishing end user satisfaction (Patients/Providers/Payers)

Enhance your PHM Strategy

How a PHM solution ‘ought’ to help you

With Value-Based-Care (VBC) models gaining popularity both with Medicare/Medicaid and private payers, PHM capabilities are an absolute necessity to stay profitable. To align yourself better with aggressive risk-based payment models, these capabilities are tools for financial risk management, rather than a luxury. Still unsure? Here is a short list for you to ponder

Improve health outcomes

Using standard quality measures and consistent processes through workflow automation like intake, assessment, worklist, submission & approvals.
Eliminate care gaps

Gaps in Care (GIC) plugged using information from claims etc, and assessing appropriateness of member's current care by executing automated rules.
Health Risk Management

Helps identify &stratify high risk patients, track risk scores and enforces health risk assessment, reducing care expense and improving patient satisfaction.

Care coordination Quality Measures (CCQM)

Help in meeting patient needs by enabling pre-emptive care planning customized to each patient leading to safe, appropriate, and effective care.
Lower the health care cost

By automating features like intake, authorization submission, auto approvals of authorizations, which in turn saves case managers’ time and enables focus on patients.
Greater patient satisfaction

As evidence-based care, consistent care plans and preventive/in-time interventions are enforced, with focus on effectiveness of care and not the efficiency of ‘procedures’.

Where you are headed, depends on where you are

Migration to value-based-care is forcing organizations across the US to become more competitive. In order to stay afloat they need to figure out ways to manage their financial risk. Depending on their risk appetite, most organizations are in one of the following phases when it comes to PHM adoption.

Clueless
about it

In order to arrive at what you need, you need to analyse what you want to do with it. With quite a few solutions out there, choosing the right one is crucial. We can help you look at things clearly.
Chosen a solution,
don’t know how to use it

Aligning solution workflows with your needs and way of working is vital to harness the true potential of PHM solutions. Configuring most PHM solutions is more than trivial.
Using it
& struggling

Data inconsistencies, employee fatigue and workflow inefficiencies are the most common issues end users experience after adopting a PHM solution. We can reassess it and help you streamline things.
Successfully
leveraging it

Well, congratulations for doing it all right! Maybe it’s time to figure out new frontiers.

Solutions

As these challenges evolve, so does the approach to solve those. We enable you to focus on what is core to you – improving quality of care and minimizing financial risk.

Customization

We help you build solutions that are easy to maintain and customized to your needs (For instance, focusing solely on Utilization/Case/Disease management)
Automation

We can automate your workflows to trigger authorization approvals, assessments, reminders, alerts, care interventions etc. allowing provider staff to focus on revenue generation and quality care
Engagement

We foster better coordination across patients, payers and providers through end-user portals facilitating users to easily access relevant data, track authorizations, derive insights using reports and dashboards
Usage

We can promote greater end-user (Case managers, care teams etc.) adoption of your UM/CM/DM by eliminating configuration complexity, extensive training and useful solution documentation

Nalashaa has been working with HIT vendors for a while and realizes the necessary ingredients to maintain quality of care throughout the care continuum. Our understanding of the ecosystem and end user idiosyncrasies which is imperative for a PHM solution could aid you in better care provisioning.

Improve care with maximum ROI

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Let's move to value based care

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With time, PHM challenges have evolved from mysticism, to inefficient workflows, to employee fatigue. Here is a way out!

Plagued with Population Health Management Inefficiencies?

How a PHM solution ‘ought’ to help you

Improve health outcomes

Eliminate care gaps

Health Risk Management

Care coordination Quality Measures (CCQM)

Lower the health care cost

Greater patient satisfaction

Where you are headed, depends on where you are

Clueless about it

Chosen a solution, don’t know how to use it

Using it & struggling

Successfully leveraging it

Solutions

Customization

Automation

Engagement

Usage

Let's move to value based care

Search within Nalashaa Health

Clueless
about it

Chosen a solution,
don’t know how to use it

Using it
& struggling

Successfully
leveraging it