In the last post of the Connected Care Community Model series, I am offering a visual approach on how healthcare organizations can integrate health it services to achieve a viable patient centered medical home utilizing information and communication technologies.
This graphic illustrates critical elements of the Connected Care Community Model that health organizations should strive to include. It is multi-faceted with many players, and is not achieved overnight through a specific device or software program alone. It takes layers of systemic process backed by automated, proactive monitoring that tracks patient outcomes in real time to bring it together. The integration of health it services must be scalable to serve a community of 10 or 10,000 patients without losing the clinical rigor needed to continuously serve patients throughout their daily lives.
The strategies used to achieve this model and other variations of patient center medical homes will intuitively evolve as we understand the benefits related to driving efficiencies to the core functionality of disease management. Once these clinical practices begin to surface, we should then be able to develop more personalized approaches to healthcare that produce real time trackable and adjustable treatment plans for individuals more efficiently. This trajectory will lead us to the engagement of a proactive wellness model for care. By technically reverse engineering our current healthcare system from the disease orientation to a wellness orientation using an equation that supports clinical outcomes, financial incentives and technology advances the pace towards true Connected Community Care models will begin to form as the new clinical standard.
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