The Longitudinal Patient Record Dramatically Affects Population Health: 2 Ways Its Impact is Being Realized

November 3, 2016 Dave Bennett, EVP, Product & Strategy

As healthcare moves away from a fee-for-service (FFS) model to a value-based model, the very nature of how health records are sourced and utilized is also changing. With the advent of the longitudinal patient record (LPR) and community care plan (CCP), the old definition of an EMR system—one that’s long been used in both the outpatient and inpatient setting for the documentation of care—must now be expanded. Healthcare providers can now instantly access a patient’s LPR and CCP with integrated data sources from payers’ claims, providers’ EMRs, the patient themselves, and even wellness smart devices. This personalized health record allows the visualization of a comprehensive patient story, while the ability to integrate huge volumes of patient data creates a detailed and precise snapshot of a patient’s history and current status that will shape how a healthcare provider attends to that patient’s specific needs.

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Learn how Maine HealthInfoNet delivers a statewide HIE where healthcare providers can share patient information to deliver population health​. Download the case study now!

Naturally, this is having a dramatic impact on population health. Here are two ways that impact is being realized.

  1. More information means fewer mistakes. Fostering an LPR and CCP is essential as we steer away from FFS. The healthcare system is changing quickly, yet the way records are delivered to healthcare providers—with an utter lack of visibility and a lot of noise from various data sources—creates unnecessary risks for everyone involved. Treatment can be disrupted as providers recommend medication that the patient may find antagonistic when mixed with other medications that a different doctor prescribed. Similarly, without an LPR and CCP, a physician might inadvertently prescribe drugs that a patient is allergic to and create a dangerous adverse event. The call for more patient-record visibility means fewer chances for errors and more opportunities for the patient to feel truly confident about their medical care. Mistakes are less likely to occur with a comprehensive clinical summary of a patient-based clinical experience versus an episodic clinical experience, which can leave giant gaps in patient history and cause mistakes. As longitudinal record-keeping is implemented, individual patient health may improve, but so may the general population’s health, because longitudinal-record analytics provide clinicians with the ability to aggregate information, review the population, do predictive modeling, and proactively intervene at both the population and individual levels of care.
  1. New technology innovates the way healthcare works. With the LPR and CCP in effect, the visibility of care that comes from external services and facilities is heightened. Different providers often use different systems—even within the same provider network—based on their job functions. With so much information in so many different areas, healthcare providers and care coordinators don’t always have access to each other’s record entries. However, with an LPR and CCP, a patient’s entire comprehensive history is now available, giving providers a panoramic view of what’s going on and how to treat a patient. Moreover, a better view of patient records allows for a decrease in costs as providers can see what’s already been done so the patient doesn’t have to go through the stress of another procedure, test, or unnecessary treatment. With events and notifications pinging within the systems, providers are given real-time visibility, which makes proactive treatment possible and allows a new way for providers to practice.

From the micro level to the macro, the healthcare system will soon offer a more effective, safer approach that will benefit all healthcare players—patients, providers, payers, and more.

And at its heart will be the LPR and CCP—invaluable tools that give providers the ability to gather all the information needed for a patient or population in order to create a better treatment plan that will keep costs low, mistakes at a minimum, and patients and families happier, and thus achieve the IHI Triple Aim

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Learn how Maine HealthInfoNet delivers a statewide HIE where healthcare providers can share patient information to deliver population health​. Download the case study now!

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