A Case Study on Implementing a Boundary-less Flow of Information to Effectively Care for Under-served Communities in New York

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Nilesh Chandra, Managing Consultant, PA Consulting Group; and Michael Ahuja, Vice President of IT Enterprise Services, Visiting Nurse Service of New York

A Case Study on Implementing a Boundary-less Flow of Information to Effectively Care for Under-served Communities in New York

Nilesh Chandra, Managing Consultant, PA Consulting Group; and Michael Ahuja, Vice President of IT Enterprise Services, Visiting Nurse Service of New York

Healthcare is undergoing significant reform as the payment models shift away from fee-for-service to Accountable Care models. In these models, coordination of care across the various provider organizations becomes increasingly critical and it under-pinned by effective and timely sharing of information. In spite of the advent of Health Information Exchanges (HIEs) a major challenge continues to be the exchange of information outside of any provider organization's boundaries. In this presentation, we share our experience of the Visiting Nurse Service of New York’s (VNSNY) efforts in addressing this challenge in its served communities by improving the flow of information across the boundaries of payer and provider organizations and improve the health and quality of life for its served patient population. Given its position as the leading Home Health agency in the New York metro area, VNSNY finds itself in the unique position of being the common thread for care, irrespective of the hospital or payer serving the patient. In addition to supporting the development of multiple HIEs, VNSNY has complemented its integration efforts with payers and providers to share data extensively on patient care. We also discuss the lessons learnt from such initiatives and how they could be applied to other organizations.

As a result of these early initiatives at improving the flow of information across payer-provider organization boundaries, VNSNY has set itself up as a partner of choice for payers and providers and is now building on these successes by launching innovative new programs to improve Population Health Management and reduce the cost of Care Delivery.

Key takeaways:

1. Complementing public initiatives (HIEs) with individual programs improves overall effectiveness
2. Moving quickly on integration can yield strategic advantage in the long run


Nilesh Chandra is a leader in PA's healthcare business in the US and works with healthcare providers in the areas of Business and technology strategy, Operating Model design and Business process transformation. He is a thought leader and frequently contributes to conferences and journals on a variety of business topics – from developing an aligned business architecture to managing complex programs successfully. Nilesh holds a MBA from Cornell University, NY with a focus on strategy and operations. He also holds a Six Sigma Green belt certification, a certification in Business and Enterprise Architecture from Henley Business School and is accredited as a Lean expert by the Lean Enterprise Research Center at Cardiff Business School.

Michael Ahuja is Vice President of IT Enterprise Services, Visiting Nurse Service of New York.

 

 

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