The issues of access and available trained personnel are more complex in a world that has gone through a pandemic. “We’re seeing practitioners who are truly burned out,” says Chi. “COVID really drove everyone to the mat. It caused a large transition in specialty and PCP levels—people who were thinking about retiring are saying, ‘I’m done.’ ”
The rapid shift toward telehealth accelerated the adoption of remote patient monitoring and played a significant role in making at-home care a reality. This new care delivery model helped to reduce the spread of COVID-19 among the most vulnerable and allowed providers to deliver the full continuum of care for patients with acute and chronic illnesses.
VBC should be a familiar concept these days, as CMS is pushing to have 90%–100% of reimbursement under VBC by 2030. That’s driving commercial relationships, employer/employee relationships, contracting, and more.
Albert Tomchaney, MD, became the first chief medical officer of the Indiana-based Franciscan Alliance, which operates as Franciscan Health, in 2008. He has managed the physician practices for a time and overseen hospital operations such as pharmacy and care management. But throughout, and especially now, his focus has been on population health activities.
The study, “AI Estimation of Gestational Age from Blind Ultrasound Sweeps in Low-Resource Settings,” funded by the Bill and Melinda Gates Foundation and published in March in NEJM Evidence, demonstrates how AI technology can empower nurse midwives to perform ultrasound scans at the level of trained sonographers.
3D printing technology in healthcare has allowed fabrication of perfect replicas of patients’ organs based on their imaging. But those models could only serve as visual aids since no existing 3D-printing polymer could replicate the mechanical properties of human tissue.
The shift toward care at home has already overcome some of its biggest obstacles. An explosion of remote monitoring solutions, wearable technology, and virtual care connections make it easier than ever for individuals to bring certain elements of care home.
In a partnership with Denver-based Strive Health, the Cincinnati-based health system, which includes 50 hospitals across several states, will use a technology platform and “Kidney Heroes” interdisciplinary care teams composed of nurse practitioners, dietitians, pharmacists, care coordinators and licensed clinical social workers to create a personalized care plan for patients. Among other things, the platform will allow care providers to chart the progression of the disease and the patient’s risk for hospitalization.
To preserve the well-being of clinicians who are fighting their way through these struggles, organizations are looking to innovative technology. Recently, the University of Michigan Health-West piloted an ambient clinical intelligence solution from Nuance, Dragon Ambient eXperience, that reduced the time physicians spent working on notes and decreased patient wait times.
As new guidelines become available, a unified CVIS platform featuring structured reporting needs to integrate this information with no lag time to ensure the clinician has the latest data. Furthermore, by having access to the latest techniques, medical devices, protocols, and clinical recommendations, a cardiologist can offer the most accurate diagnoses and perform the most suitable procedures. Such innovations benefit the clinician and the clinic, but most importantly, they benefit the patient.