We’re constantly connected. We expect a text if our checking account gets low, an email if the book we ordered has shipped and a push notification through our mobile app if our flight is changed.
And just as we expect automated outreach from banks, airlines and other companies, we now expect reminders and guidance from healthcare organizations that have an interest in our well-being.
At the same time, the healthcare industry is undergoing a massive paradigm shift. In years past, healthcare organizations were focused on single episodes of care. A patient reported a pain or illness, and they would receive treatment.
Today, it is no longer enough to engage members only when they’re sick. Today healthcare organizations must focus on keeping members well through population health management and programs that enable prevention, deliver help for the chronically ill, and support outpatient care over the long term.
It’s at the nexus of these two trends that we can take a significant leap forward, and provide automated member outreach to scale critical population health programs beyond those that care managers and health coaches can reach. We can enable these skilled, valuable resources to focus on the highest-risk cases – presenting significant potential value to the industry.
In our work with three of the four largest population health companies, we’ve found that the most effective population health programs leverage automated outreach to proactively engage with members during the following stages of care:
- Reach and Enroll – Initial outreach to engage and recruit members into appropriate health management programs.
- Assess Risk and Parameters – Determination of a member’s health risk and treatment knowledge, as well as of monitoring clinical parameters.
- Engage and Address Gaps – Proactive efforts to help members reduce future complications by changing behavior or better managing chronic conditions.
- Drive Education and Adherence – Inform and help members adhere to programs and avoid developing more serious conditions.
Over the coming weeks, I’ll be providing a few best practices for each of these stages. Some are quite basic, such as tracking and connecting through your members’ preferred channels, while others are suggestions for how you can take your automated programs to the “next level,” like asymmetric calling cycles. In the meantime, Scaling Population Health Programs with Automation provides step-by-step guidance on this important topic.