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The Affordable Care Act in the United States has led to the emergence of new outcome-based care models that are heavily focused on the needs of patients.
One such model is called ‘patient-centered collaborative care’, in which the role of patients and their families is greatly enhanced. Forward-thinking healthcare providers are now embracing this model as they seek to incorporate health-related IT into their delivery systems.
In this new piece of thought leadership, Accenture Technology Labs explores the concept of a continuity-of-care reference architecture and a foundational technology—the orchestration engine—that can assist you in addressing core data challenges to providing healthcare and accelerate the transition to an outcome-based delivery model.
The Affordable Care Act includes a range of policies to help physicians, hospitals, and other caregivers improve the safety and quality of patient care in the United States.
In contrast to the fee-for-service model, the Act mandates delivery-system reforms that are focused on the needs of patients. It also links payments to outcomes to incentivize quality care, while helping to reduce costs.
Among the new patient-focused care models that are emerging, health-related technologies are primed to play a major role. Among other things, health IT can be used to:
Facilitate provider-payer collaboration
Increase care-plan adherence
Encourage patients to take a more active role in their own health
Technology products currently on the market include smart-phone apps for health tracking and behavior modification, HIPAA-compliant social networks, advanced electronic health records (her) systems and health information exchanges (HIE).
While these solutions all reflect a degree of progress, companies in the field must also address a range of other challenges, including:
Proliferation of data in application silos
Need for real-time patient-health monitoring
Requests from multiple stakeholders (providers, payers, patients, families) for access to this data
To address these challenges, we recommend a reference architecture for continuity of care comprised of three key IT components:
The core of this architecture is the orchestration engine, which consists of
a series of data-processing technologies and associated orchestration services,
The data-processing layer, meanwhile, provides the foundation for services
offered by the orchestration engine, including:
We recommend a new continuity-of-care reference architecture, at the heart of
which lies the orchestration engine.
The engine is a foundational technology that can help you address the core
challenges of data proliferation, patient monitoring and multiple stakeholder
access—and accelerate the transition to an outcome-based care delivery model.
We believe this technology is a key element of the continuity-of-care approach,
supporting significant improvements in patient-care coordination and experience
while helping to reduce the costs of healthcare delivery overall.
June 21, 2013
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