Electronic Health Records For Dummies

Planning and offering services and interventions

After you identify patient groups, you can then use that population segmentation (a very official way to say “groups”) to set up various services and interventions to help your staff and members of that patient group manage their care.

This is really a “blue sky” moment for your practice because the possibilities for group care can be endless, especially when it’s facilitated by an EHR. Work with your transition team and your vendor rep to think of useful ways to step up the quality of the care you offer to these groups. Run reports and look at which patient statuses are populating your registry.

Many of your patients with chronic diseases may not come in as often as they should. Disease registries and associated decision support tools can help provide triggers and tools to identify patients who need to come in. Perhaps you want to make educational intervention a priority. Or maybe you want to make sure the basic needs and requirements of a group are covered, such as regular testing or biannual appointments to screen for new complications. Registries in combination with clinical decision support can be used to identify patients based on symptoms or other diagnoses and labs, which may diagnose a patient’s disease before you or someone in your practice.

It’s your show, really, so set up your care benchmarks in a prioritized matrix that allows you to put the care requirements you deem most important first. Here are some of the useful ...