Value-Based Performance Management

Orlando Health Network’s commitment to delivering high-quality care is evidenced by its most recent technological undertaking as the organization seeks to implement the newest population health module within Epic, the comprehensive health record, known as Value-Based Performance Management (VBPM). By implementing VBPM, Orlando Health will be among the very first cohort of health systems worldwide with this expanded reporting and patient management platform, marking a significant step forward as the system ventures to expand its value-based care efforts.

This initiative represents a marked investment in the comprehensive health record, enabling greater management tools to support value-based contract performance. The VBPM application itself brings with it a comprehensive suite of tools that will enable clinical and administrative users the ability to monitor, analyze and improve key performance metrics across various aspects of healthcare delivery. Some of the most notable capabilities stakeholders will benefit from include, but are not limited to, the following:

1. Quality Monitoring: Orlando Health’s VBPM rollout will include the ability to track, trend and improve nearly 60 certified Healthcare Effectiveness Data and Information Set (HEDIS) measures along with multiple customized payer-specific quality indicators. Users will have options to toggle unique health plan adjustments and apply best-practice benchmarks by line of business to understand performance opportunities and drive improvements.
2. Expenditure Analytics: The new application will provide expanded insights into per member per month (PMPM) and aggregate spending patterns, as well as identify areas of potential overutilization, alternative site of care cost optimization opportunities, and out-of-network analytics to specialty-specific and geography-specific leakage.
3. Utilization Management: Through this system enhancement, VBPM will better identify avoidable emergency department visits, preventable admissions and readmissions and proactively identify patients at-risk for unnecessary healthcare overutilization.
4. Medication Adherence: VBPM includes Pharmacy Quality Alliance medication adherence metrics which will aid in evaluating and improving medication adherence among patient populations, ensuring better health outcomes with more timely, complete and accurate reporting against industry-standard goals.

Orlando Health's VBPM implementation heralds a new era of value-based care management and reporting, characterized by enhanced performance monitoring, analytics and decision support. With a focus on improving value-based contract performance, VBPM equips healthcare stakeholders with the tools and insights needed to drive meaningful change and deliver high-quality, cost-effective care. As the healthcare landscape continues to evolve, Orlando Health Network remains steadfast in its commitment to innovation and excellence, positioning itself at the forefront of value-based care delivery.

Orlando Health Remote Patient Monitoring Services for Congestive Heart Failure

Orlando Health continuously invests in advancing telehealth technologies through innovative solutions designed to provide exceptional, convenient care for patients. Remote patient monitoring (RPM) services are offered to congestive heart failure (CHF) patients and continue to be a cornerstone of high-quality, patient-centered care. This service allows CHF patients to engage in health management directly from their home. Utilizing advanced technology, a centralized clinical team can monitor vital signs and health metrics in real-time, allowing for prompt interventions and personalized care plans tailored to each patient.

The health system has witnessed remarkable outcomes for patients enrolled in the CHF RPM program, with a readmission rate of just 3%. This achievement underscores Orlando Health’s commitment to improving patient outcomes, reducing hospital readmissions and enhancing overall patient satisfaction. RPM services enable continuous health oversight, the proactive management of care and more seamless communication between patients and their care teams, hence providing the comprehensive support needed to manage CHF effectively.

The remote patient monitoring program supports patients with daily monitoring of key health indicators such as weight, blood pressure, heart rate and oxygen levels. By detecting early signs of potential complications, Orlando Health providers can intervene promptly, adjusting treatments and providing necessary guidance to prevent exacerbations. This continuous loop of feedback and intervention helps maintain patients' health stability and prevents unnecessary hospital visits. Patients benefit from the convenience and comfort of managing their condition at home while knowing they have a direct line of contact to their care team. The dedicated team of nurses collaborates intimately with patients, providing education on how to manage health conditions effectively, ultimately ensuring patients understand their health and take necessary actions to stay healthy.

Orlando Health After-Hours Triage Services

Orlando Health’s after-hours triage services exemplify the health system’s commitment to providing comprehensive care by offering patients from outpatient and clinically integrated network practices access to professional medical advice and support when they need it most. Through an advanced telephonic triage system and evidence-based protocols, patients can connect with experienced nurses who provide timely guidance and care coordination during evenings, weekends and holidays.

After-hours triage services are designed to reduce unnecessary emergency room visits, ensure continuity of care, minimize direct calls to providers and offer patients reassurance regarding their health management. Orlando Health has demonstrated great success with this initiative, with the after-hours triage services team directly handling 90% of calls received from patients, only requiring escalation to an on-call provider the remaining 10% of the time. Through this program, patients are afforded expert counsel for symptom management, gain a deeper understanding of their therapeutic alternatives and are empowered to make well-informed healthcare decisions, all in the ease of their own home, at a time that is convenient for them.