acg system public documentation

Improve Patient Coordination Through Care Management

Coordinating care and sharing clinical information across the continuum of care has been shown to improve health care outcomes and health care delivery efficiencies. The need for coordinated care increases as patient multi-morbidity increases. Identifying individuals that will benefit most from greater care coordination is key to driving down health care costs and improving outcomes. Traditional methods use hospital concurrent review and emergency department utilization reports to identify these individuals – after the fact. By examining developing patterns of morbidity and applying sophisticated predictive analytics health plans and health care systems can target individuals with a high disease burden and pro-actively engage them in care coordination programs when it will benefit them the most.

Learn more about the ACG System predictive models for care coordination and how Discovery Limited applied them to improve coordination and achieve fewer specialist visits and reduce hospital admissions.