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    3 helpful solutions to value-based care obstacles

     

    Obstacle 1

    Physicians are missing relevant data

    Picture a primary care physician: he or she is well versed in the vaccination schedule established for children since landmarks, such as age, determine when vaccines are due. But what about adult patients? Vaccines do not have the steady rhythm in adults that they do in children, but when they are indicated, a physician may be unaware of the need.

    For example, an adult getting a cochlear implant often needs the pneumococcal vaccination before and after surgery. The doctor may not only be completely unaware of this requirement, but due to a communication gap with specialists, the primary care physician may not even know that a patient is getting surgery. Even if the physician mentions the vaccine as part of a routine check-up, he or she might allow the patient to opt out, not realizing that it was needed for a procedure with another clinician. 

    The solution:

    Clinicians need an integrated system where specialists and primary care physicians can easily communicate—and having a sharable EHR would help. In fact, 78% of patients think that all of their doctors should have access to their EHR. Decision support tools, such as a database that links to their electronic workflow, would allow physicians to connect to the U.S. Centers for Disease Control and Prevention (CDC), or a product like UpToDate, for example.

    An evidence-based synopsis of the recommendations for, say, vaccination criteria for different scenarios, along with caveats and contraindications, would then be quickly and easily accessible and available at the time the physician meets with a patient. Making data accessible across care teams and to a physician when he or she can use it most would ensure that timely, outcomes-based data and quality care are available.  

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