It takes a long time to build the infrastructure and the know-how needed to provide the best care possible. For example, New West Physicians has been developing its PHM capabilities for more than 20 years.
It had to trim its specialist panel, start a hospitalist program that provides 24/7 coverage for its hospitalized patients, and create a case management program for post-acute care and high-risk patients, among other changes. In the past few years, New West Physicians has also learned how to use its EHR to improve chronic disease care.
One of the keys to New West’s Physicians success is adapting to the 5 pillars.
Cultural challenge
Medical neighborhood
Financial barriers
Chronic care management
Setting priorities
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