Leveraging Continuum of Care Tracking for Value-Based Care

Leveraging Continuum of Care Tracking for Value-Based Care

Track Your Patient’s Journey for More Informed Growth Planning

By Jennifer Beck

As we countdown the days to the 2020 election, political debate over how to improve the US healthcare system continues. A push for lower cost, higher quality care is a top focus for many candidates. Meanwhile, mergers and acquisitions between hospitals and health-care focused companies continue to transpire. These unions often tout similar goals of better care and reduced expenses, though there is debate, of course, over the likelihood of those results. 

No one truly knows what the future of healthcare in the US will look like. But for the immediate future, the shift by insurers and health systems to a value-based reimbursement methodology is already underway.  

In a value-based reimbursement model, providers are compensated for the quality of the care they provide which is measured by patient health outcomes. They are rewarded for effectively managing the health of individuals and populations. 

As value-based reimbursement models become more common, the need for a more team-oriented approach to patient care is also a must. Care must be coordinated across the continuum to deliver the best health outcomes possible.


What is the Continuum of Care?

As stated by College of Lake County Professor Frank Ardito, Ed.D., “the contemporary health care continuum is clear, concise, and needs‐based.” The continuum flows through the categories of primary, secondary, and tertiary care, with the added dimension of preventative care, focused on reducing the need for any category of care.

Tracking a patient through the continuum of care means following them over time through a comprehensive array of health services spanning all levels of intensity of care. With the increasing focus on value-based reimbursement, the ability to track patients through the continuum of care has taken on more importance. “When hospitals, post-acute providers, home care agencies, patients, and families work together to ensure patients are engaged in their care, follow treatment plans and get help before chronic conditions take a turn for the worse, better long-term health outcomes can be achieved for patients while limiting unplanned trips to the acute setting. This can result in higher quality scores, enhanced patient satisfaction, and reduced costs,” Luis Castillo, HIT Leaders & News.


How Stratasan’s APCD is Relevant to the Continuum of Care Conversation

The right data is key to tracking patients through the continuum of care. Stratasan’s All-Payer Claims Data (APCD) gives detailed insight into patient movement throughout the healthcare continuum. Patients can be longitudinally tracked based on an anonymized identifier, which is assigned before data is received. This identifier uses multiple pieces of identifying information to confirm that it is indeed the same patient across care settings.

With this tracking, users can not only see where an episode of care happened, but also in what department—from hospitals and ambulatory surgery centers to physician offices and urgent cares. 

As visualized below, when using APCD to track a patient through the healthcare continuum, you gain valuable insights that can inform how you serve patients, reduce leakage, and expand offerings.


APCD analysis will help identify: 

  • Leakage from your facility to other sites of care
  • Patient Patterns into and out of competitor settings
  • Opportunities to improve access and quality of care


The Takeaway

Stratasan’s APCD provides the intelligence needed to track a patient’s health journey. With more accurate, detailed tracking of patients through the continuum, your hospital system and the community of providers you are connected with can more effectively make the transition to providing value-based care. 

By tracking patients from primary to specialty care, and so on, you can map out the best growth opportunities for your hospital system. Additionally, armed with the physician referral insights you gain from this data, you can more effectively target your physician outreach strategy. Find potential gaps in your care offerings by tracking where physicians refer patients and determining where the greatest areas of leakage are.

For more information on how Stratasan’s APCD can inform your value-based growth strategy and inform your continuum of care intelligence, contact us and schedule a discovery call today.

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Article by  Jennifer Beck, Health Data Analyst at Stratasan

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all-payer claims data apcd care continuum continuum of care