A majority of respondents—83 percent—incorporate care plans into value-based healthcare delivery systems, according to HIN's December 2015 survey, with more than half of remaining organizations planning to do so in the coming year.
High-risk health indicators derived from health risk assessments or the imminent transition of a patient from one care site to another are the chief triggers of the care planning process, said survey respondents.
Other findings from HIN's Care Plans survey include the following:
- First and foremost in a care plan strategy is an assessment of needs, say 87 percent of respondents.
- The electronic health record is the care plan maintenance and distribution tool of choice for almost two-thirds of respondents, although the retention of paper records is reported by nearly half of responding companies.
- The principal criterion for classifying patients in need of care plans is the data derived from health risk assessments (HRAs), say nearly two-thirds of respondents, but patients transitioning between care sites also are prioritized for care planning, note 61 percent.
- The presence of a behavioral health condition poses the greatest challenge to care planning by a large margin, said 39 percent of respondents, as compared to diagnosis of physical health problems.
- The typical tracking time for care plans ranged from one to two months, said 24 percent, while adherence to care plans is checked monthly by 37 percent of respondents.
- Patient engagement is the most significant barrier to care plan success, say 44 percent of respondents.
- Patients’ healthcare utilization patterns are the most reliable indicators of care plan adherence, say 29 percent.
- About 13 percent report ROI from care planning efforts as between 2:1 and 3:1.
Download a complimentary executive summary of 2016 Care Plan metrics to learn the value of evidence-based care plans in following high-risk patients through health episodes and transitions of care.