Flow Health’s Operating System for Value-Based Care: Moving Healthcare from Siloed Systems to Networked Platforms

If the world of healthcare were to remain fee-for-service, current health IT and EHR technology might suffice. More or less. But as we change the payment paradigm from pay-for-volume to pay-for-value, and the organization of healthcare delivery becomes more systematized, it becomes critical that there be a technology layer which is built around collaboration, and creates longitudinal patient-centered records that are provider and payer agnostic.

This layer, or platform, is more than simply a new tool, or a new technology, an add-on to the current landscape. This paradigm shift requires a whole new operating system, and Flow Health has built it. The Flow Health Operating System for Value-Based Care is designed like a social network, where payers, providers and consumers are connected on a single platform, and where each person or organization has a single identity and each patient has a single health record. It serves the needs of patients, payers and providers in a variety of ways. With Flow Health, care can be coordinated through secure messaging and social media style posts and comments, patient matching is done on a global basis to eliminate billing and medical errors, the entire care team works from a single collaborative care plan, health plan priorities like risk adjustment and quality measurement are automatically addressed without extra steps, and all data and capabilities are seamlessly accessible through modern APIs.

The Flow Health platform absorbs clinical data from all different sources – EHRs, ADTs (admission/discharge/transfer messages), insurance claims data, pharmacy data, lab data, all sorts of providers — physicians, hospitals home health agencies, imaging centers, and of course from patients themselves (self-entered and device-created). Flow Health’s platform uniquely identifies each patient, each provider, using machine learning algorithms that tag all incoming data into the correct patient center. It is scalable and responsive.

The outputs from this platform are similarly robust and responsive, so actionable data can be extracted in real time and shared with clinicians, care managers, payers and researchers.

Such an operating system (OS) is more than just “interoperability” between disconnected systems. Data is ingested and integrated and normalized and the OS, the platform, shares it with relevant parties through applications that integrate with the data layer through APIs. The initial set of apps Flow Health has built demonstrate the power of universal patient-centered data, and also help build that data.

  • A provider-facing app shows clinicians the timelines of the patients which they have permission to see.
  • An office-based check-in app that replaces the paper clipboard, and gathers context-specific information from the patient, pre-populated by drawing from all combined sources and not just from the EHR of the clinician that the patient is seeing. With good EHR integration, patient-entered data can be inserted into today’s chart note in the clinician’s EHR, helping streamline the in-office workflow, and can help prompt the clinician to do things needed for disease management, preventive care, and health risk stratification and documentation (important in Medicare Advantage and other similar programs where risk assessment is the basis for payment levels).
  • A patient-facing app shows aggregated clinical data from all members of the care team in a consumer-friendly way, and provides secure messaging with care team members. It addresses the demand for “give me my data” voiced by many consumer advocates. Depending on how it is configured and supported, such a universal patient portal can even be used for remote visits in support of telemedicine efforts.

In order to support the sea change occurring in medicine – moving from fee-for-service to value-based care – the technology platform must also be re-invented.

This is a new paradigm. We have built an Operating System for Value-Based Care. It is a modern platform integrated with other health IT systems through its API inputs  and outputs, and draws from modern social technologies that have emerged in arenas outside of health care. It includes some apps as starting points, it encourages the health IT developer community to build on top of it, and it is open to providers, payers and patients, all of whom are invited to join the providers, payors and patients already using the platform.

Thank you for taking the time to learn about Flow Health. Flow Health is presenting at HIMSS 2016 Venture+ forum. We invite you to see all of our #HIMSS16 posts. If you would like to know more about Flow Health and how we can help your organization succeed, please contact us today at sales@flowhealth.com.

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