5 Quality Improvement Tools You Should Be Using

January 16, 2017

As a health plan provider, you’re in the life improvement business. Health plans that not only keep their members, but also grow in size, are able to reduce expenditures while providing benefits that improve the member’s quality of life.

The following is a list of tools that can be used to simplify the healthcare process while also providing members with crucial information about their health:

1.  Comprehensive Health Risk Assessments

By providing members with the option to partake in a comprehensive health risk assessments, you and your member can gain valuable information not ordinarily found in your standard doctor’s visit. The information contained on the assessment may allow you to prevent chronic disease, stabilize the current chronic condition, and ensure that the health plan is meeting the needs of the patients who are within your program.

For example, if after meeting with a trained professional for a comprehensive health risk assessment, a member finds that they are likely for being diagnosed with a chronic disease in the future, they are able to take precautions against the disease while the plan accelerates them to a higher risk category.

2. Comprehensive Health Risk Assessment Scheduling Tools

There are a large number of scheduling tools available on the market today. Any internet search for ‘scheduling software’ or ‘scheduling tools’ will garner thousands of hits. Scheduling tools will put in place a straightforward process for both the scheduler and member to set up a convenient meeting time. This ease of access makes the member more comfortable and more likely to schedule the appointment, granting both plan and member a better picture of the member’s health.

3. Ancillary Service Reminders

Just as important as health assessment, ancillary services consist of the diagnostic, therapeutic, and custodial aspects of healthcare. Lab work, audiology screenings, radiology screenings, and much more are vital when providing quality healthcare. Quite often, these processes are ignored or forgotten by members. By developing a reminder system for these members, the likelihood of various ancillary services being performed rises. This in turn gives that member’s primary care physician the information needed to provide an accurate diagnosis and properly treat the medical condition.

4. Member Engagement Software

Creating a semi-automated system in which both healthcare and health plan providers can conveniently communicate with members helps demonstrate the importance of proper health education. This means that members will not only be able to communicate directly with professionals, they are also able to receive access to tools like reminders, tips about preventative maintenance, as well as general articles that can help people with various issues that they deal with, such as weight loss, high blood pressure, and much more. The mostly automated system will simplify your involvement while providing you with the ability to communicate easily and send out information as often as desired.

5. Risk Stratification Tool

Risk stratification, or the process of identifying high risk patients and implementing proper care and prevention from a worsening condition, is one of the most important aspects to quality healthcare. With the use of an analytic risk stratification tool, it is possible to plan, develop, and implement a personalized care plan for each patient. Some tools are easier to use than others, and can organize the health risk status into different levels, and coordinate the care required for patients, including being able to reach out to additional providers when necessary.

Plenty of tools are available to improve health plan quality; contact MedXM today to learn more about in-home health services.

Previous Article
2 Main Ways Health Plans Can Eliminate the Fear of HEDIS Season
2 Main Ways Health Plans Can Eliminate the Fear of HEDIS Season

Understanding the challenge of HEDIS and improving member engagement techniques are 2 main ways health plan...

Next Article
A Harsher World Awaits | What the World Would Be Like Without Risk Adjustment
A Harsher World Awaits | What the World Would Be Like Without Risk Adjustment

A Harsher World Awaits | What the World Would Be Like Without Risk Adjustment

×

Request More Information

First Name
Last Name
!
Thank you!
Error - something went wrong!