Importance of Clinical Quality Measures to Drive Patient Engagement

Summary

Healthcare Organisations can also trawl through patient data using data analytics models to identify care gaps and use patient outreach campaigns to compel engagement.

Fremont, CA: Improving patient engagement is becoming a more common focus for health organisations as the market shifts toward value-based and patient-centred care models. It is critical for healthcare leaders to understand the role of patient engagement in clinical quality measures. Clinical quality measures are tools for evaluating the efficacy and satisfaction of patient care. They are frequently used in value-based care models to quantify the level of care a patient received. Meeting clinical quality measures in a value-based care contract usually results in shared savings for both the patient and healthcare providers.

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Strong patient engagement will go a long way toward meeting some of the most common clinical quality measures. Understanding these measures, as well as how patient activation can influence them, will aid healthcare organisations in meeting their value-based care objectives.

1. Structural Measures

Structure measures are used to evaluate a healthcare organisation's ability to provide high-quality care. Although structural measures are frequently associated with staffing, health IT systems that enable patient activation in care are also important. On that note, one of the most prominent structural clinical quality indicators is the availability of Health IT such as electronic health records (EHR). Also, regarding patient involvement, this includes providing access to patient data and access to the patient portal. The logic is that patients who can see their medical records get more information and are more enthusiastic about their treatment. This idea spurred regulations to control patient data access when used wisely, eventually encouraging health IT to include patient access to clinical notes in the final information blocking rules.

2. Process Measures

Process measures look at how healthcare organisations deliver care, as well as how a provider can help patients improve or maintain their health. Patients are given clinical guidelines as part of these measures.

Preventive services can ensure early detection of an illness under value-based care contracts, allowing for more cost-effective care management. A value-based care contract may inquire about the percentage of covered individuals who receive a preventive service such as a mammogram. In the chronic care space, the contract might track the percentage of people who receive regular care management checks, such as a diabetic patient having their blood sugar checked. Because these clinical quality measures rely on patients being actively involved in their care, healthcare providers must practise strong patient engagement. Patients should be notified about preventive screenings by the primary care provider's staff. Healthcare organisations can also trawl through patient data using data analytics models to identify care gaps and use patient outreach campaigns to compel engagement.


 

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