Reduction of Readmissions of Patients with Chronic Conditions: A Clinical Decision Support System Design for Care Management Interventions
When the population is aging in a fast track, it is imperative to take care of or manage chronic conditions. We should employ multiple strategies to optimize the best practical solutions for achieving high quality and low cost of care. This chapter offers an exciting opportunity to demonstrate the usefulness of a collaborative project for chronic care management and health promotion research. Building an effective and efficient PHM program for specific chronic diseases with a decision support system, particularly related to poly chronic conditions, will require a concerted effort in synchronizing multi-prone solutions and strategies for risk reduction or avoidance of rehospitalization through (1) advocating the delivery of patient-centric care and education, (2) integrating health information technologies to generate meaningful use and integrated informatics for enhancing clinical and administrative decisions, and (3) containing costs for care via the use of value-based payment system.
KeywordsPopulation health management Comparative effectiveness Risk reduction Rehospitalization Decision support system Health information technologies Value-based approach Artificial intelligence approach
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