Un-fragmenting Patient Care

Aug 27, 2013
Although there is more healthcare data available than ever, separate data points are sent to multiple providers. ExpressAlliance coordinates the data and the care.

Medications that keep blood pressure levels in check – also known as ACE inhibitors – play a critical role in keeping patients who have been hospitalized with heart failure healthy. Omitting these drugs or nonadherence to the treatment regimen could lead to worsening symptoms, disease progression, and emotionally and financially costly readmission.

So you would assume that ACE inhibitors would be prescribed for every heart failure patient after a hospitalization. But what if a patient is discharged without a prescription for these vital drugs? Worse yet, what if the team responsible for patient care following discharge isn’t aware of the omission? If you find that unthinkable, think again.

Unfortunately, in today’s complex and fragmented healthcare landscape, such critical gaps in care are all too common, thus creating potentially fatal patient safety risks.

Real-Time, Actionable Data 

ExpressAlliance 

ExpressAlliance® – an Express Scripts patient safety solution – combines clinical specialization and data to give all providers access to real-time, actionable patient healthcare information. Case managers for a heart failure patient, for example, are able to view the patient’s prescription history, as well as potential gaps in care, such as nonadherence or the omission of critical drug therapy. This allows case managers to address potential issues before they lead to an avoidable readmission.

The program also offers consultations with specialist pharmacists in Express Scripts' disease-specific Therapeutic Resource Centers℠.

Payers and healthcare professionals can focus on one patient at a time through a detailed patient profile, including claims history, eligibility, and clinical and savings opportunities or review cases across their population to allow nurses and case managers to prioritize patients based on their condition or risk.

ExpressAlliance also offers doctors and nurses the ability to collaborate on a case through an online exchange of treatment notes.

Fragmented Care

Lack of communication among providers is a key risk factor not addressed by other programs. Although there is more healthcare data available than ever before, patient information is sent separately to multiple providers, as well as to care management teams that can include disease management specialists, clinics, pharmacy managers and other case workers. Lack of direct collaboration and exchange of vital patient data creates blind spots — areas of concern that would be invisible but for the comprehensive view offered by ExpressAlliance.

Support for Patients ‘Just Diagnosed’

Access to such actionable data also is vital in effective disease management for newly diagnosed patients. For instance, nonadherence to medication is a common cause of hospitalizations in asthma patients. ExpressAlliance alerts the disease management team when a patient fills a prescription for asthma medication for the first time. Appropriate patient outreach and education at the beginning of therapy can help the patient manage their condition better, be more adherent and, in the long-term, avoid costly and unnecessary doctors’ visits and hospitalizations.

Tools for Better Patient Care

ExpressAlliance provides the tools and constantly updated, detailed information that leads to better decisions, more specialized care and healthier outcomes for patients.

Author Bio

Lab Staff
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