Baptist Health care coordination aims to identify ‘superutilizers’

Sponsored by

Baptist Health is implementing new technology to enable doctors in Kentucky and elsewhere to receive real-time alerts on “superutilizers.”

These patients, who visit emergency departments five to 10 times each year, come to the hospital for relatively minor maladies such as headaches, back pain and urinary tract infections, and run up bills that won’t be paid. If physicians get real-time notifications that these patients have presented for care, they can re-route them to a more appropriate care setting or to social services.

Baptist Health is working with software vendor PatientPing, which operates a care coordination platform and will work with Baptist’s accountable care organization. This will enable physicians across the Baptist network to monitor care events in real-time to improve outcomes.

Also See: Medicare ACO care coordination toolkit highlights value of health IT

The Baptist delivery system includes nine hospitals and more than 300 sites of care in 75 Kentucky counties, as well as several counties in Illinois, Southern Indiana and Tennessee. More than 600 employed physicians and 2,000 independent physicians work with Baptist.

“Our partnership will bring Baptist Health and our ACO to the next level of statewide care coordination,” says Gerard Colman, CEO at Baptist. “As an ACO participating in risk-based arrangements, it is imperative that our providers are equipped with the resources they need to quickly and effectively collaborate with one another. We’re excited to take the next step toward true interoperability and improve outcomes.”

Baptist Health Louisville-CROP.jpg

PatientPing will notify Baptist facilities whenever superutilizers come in, along with information about the patients to help inform care decisions. In March, Baptist began rolling out the PatientPing software in the Louisville market with the first phase, enabling nurse care advisors in the ACO to receive information on patients getting ER care.

The software over time also will be added in seven other Baptist markets in Kentucky and Southern Indiana.

“This real-time notification provides the opportunity for timely intervention and collaboration with emergency department staff,” adds Isaac Myers, MD, chief health integration officer and president of the Baptist Health Medical Group.

For reprint and licensing requests for this article, click here.