How Community Care Coordination Drove Down Avoidable ED Visits

From Patient Engagement HIT:

MHCP adopted a tool, MyHealthDirect, aimed at streamlining the referral process. The technology allows care managers to pull up a “menu” for patients, complete with different primary care provider options, appointment availability, and geographic location.

This approach puts patients at the center of healthcare decision-making, Stadter noted, because it allows patients to select a primary care provider based on patient need and preference. Those choices are broken all the way down to a clinic’s cultural competence, he added. If a patient has certain cultural needs or experiences a language barrier, they are able to select a clinic that can fill those gaps.

The program is also staring down patient data exchange challenges. Working with disparate providers can make it hard for all clinicians to view and use patient records. But because of the referral tool’s cloud software, it can plug into numerous different EHRs, Stadter added.

And through WISHIN, Wisconsin’s health information exchange, as well as limited use of fax machines, the MHCP is able to fill in any patient data exchange gaps that may arise.