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For practices in Aledade ACOs, the Aledade App delivers meaningful and timely patient data directly into the workflow, equipping physicians, nurses, care managers, billing staff, and executives with crucial data for informed decision-making.
The Aledade App combines data from EHRs, hospital event notifications, labs and pharmacies, and insights from practice-generated and payer claims into a single solution. Aledade works with more than 20 local health information exchange (HIE) partners across 27 states to ensure that ACO members can view up-to-date data about patients and their activities in the community.
The App’s integrated view of the patient’s medical record and recent clinical utilization can enable improvements in care coordination, transitional care management, and preventive care delivery, all of which combine to boost a practice’s ability to achieve their value-based care goals.
The Aledade App enables customized care not only for patients who walk through the practice’s doors, but importantly, for patients who are not coming in despite their needs. The Aledade App’s Daily Huddle brings actionable insights right to the point of care so that the care team can leverage timely information to impact the visit. The detailed, prioritized worklists highlight patients in need of intervention and display necessary information in a meaningful way so that the entire care team can collaborate around action items and care planning.
The Daily Huddle offers insights into recent specialist utilization, hospital and ED events, and gaps in preventive or routine care, and new COVID-19 functionalities also generate a vulnerability risk score to keep appropriate patients healthy at home.
Using proprietary technology, the App is able to generate lists of high-priority patients so that care managers and administrative staff can conduct outreach, schedule appointments, and connect patients with the right services. Providers can also view and modify diagnosis suggestions to appropriately capture patient acuity so that nothing falls through the cracks.
From the exam room to the billing office, the Aledade App makes it easier for entire care teams to collaborate without duplicating effort or letting important tasks slip by. With the App, they can see if high-priority patients are already scheduled for a visit and add the AWV to the existing appointment. This saves time for the patient and the practice.
Access to the right technology can make the difference between a successful ACO and a group that falls short of its targets. With the Aledade App, ACO participants get the tools they need to achieve their goals of keeping patients healthy and enhancing the value of primary care.