Connecting Dots Across the Healthcare Landscape
At Compass Health Advisors, we envision a world where healthcare is personalized and well-coordinated as patients move seamlessly across care settings.
To fix the fundamental issues within an ineffective provider environment, a strong understanding of the full care continuum is required across acute and ambulatory as well as post-acute/community settings. Skilled nursing, acute rehabilitation, home care, FQHCs, retail pharmacy and social service providers can all be optimized to improve patient outcomes.
At Compass Health Advisors, we help you develop strategic, operational, and digital solutions in order to unlock potential value.
Community Integrated Healthcare
Every patient brings with them their unique and often-complicated life story. One must dive into the entirety of a patient’s background to systematically address unmet non-medical and behavioral health needs that drive unstable chronic illness. Unfortunately, our healthcare system is one in which the medical, behavioral health and social services are siloed. An integrated community network of care is one that needs to be mobilized to support individuals who are struggling physically, psychologically and emotionally with basic life needs and who require a more proactive and comprehensive whole-person model of care.
Clinical Delivery Network
It is of critical importance to ensure an adequately robust, high-performing clinical provider network which shares a common vision for improved care at a lower cost since these providers will most directly impact utilization and health outcomes.
This clinical care network includes primary care, specialty care, behavioral health and post-acute care, including facilities-based skilled nursing, rehabilitation and home-based licensed care.
Community-Based Organizations
While physicians are critically important to a high-performing provider network, a broader continuum of community and social services providers to meet underlying life needs is required for effective whole-person care.
Engaging community-based governmental agencies and non-profit organizations to address social determinants of health such as housing, financial stress, nutrition, transportation, legal aid and non-medical in-home supportive services is critical.
Care Management Entities
The primary objective of care management should be to establish standardized programs geared toward comprehensively meeting medical, behavioral health, social determinant and basic life needs for those who need it most.
A robust care management infrastructure must be grounded in a comprehensive framework spanning population analysis, outreach, assessment and personalized care planning to remove as much guesswork as possible for populations with complex needs.
Payers
Many organizations require informed decision-making to move on from upside-only arrangements to shared savings / risk or global capitation.
Understanding national and local payer dynamics along with structural incentives of value-based contracts will help attract and retain physicians and other providers.
Information Technology
An integrated IT platform will connect clinical, community / social services and care management entities as part of a broader continuum enabling end-to-end care coordination.
Process and data integration across a digital health ecosystem involving innovative technology partners are of critical importance as no single EHR system is a magic bullet.