Clinical Management Should Include EBP
Posted On: March 5th, 2013
Vice President, Product Marketing and Strategy, McKesson
I’ve been talking a lot recently about clinical management – and with good reason. A strong clinical management focus can help your clinicians deliver the right care at the right time and help your agency shorten the revenue cycle by improving the clinical documentation and review process through decision support and automation.
Delivering the right care at the right time in a consistent manner is critical to demonstrating your value to the health care delivery system. Making evidence-based practices (EBP) guidance and decision support tools available at the clinicians fingertips at the point of care is essential to achieving this consistency.
Simply put, EBP is a problem-solving approach to clinical care that incorporates the conscientious use of current best evidence from well-designed studies, a clinician’s expertise and patient values and preferences. To be effective, all three of these components should be present.
It is also important to know that all EBP claims are not equal. It’s important that you evaluate the claims being made and the technology being used to deliver this content. At a minimum, understand the sources for the evidence, how the evidence is being updated and maintained and the ease by which you can identify and access the sources of the evidence.
A significant amount of evidence does exist on homecare practices, however, from such respected organizations as:
- CMS and its Quality Improvement Organization (QIO) contractors
- Home Health Quality Improvement (HHQI) National Campaign
- Collaboration for Home Care Advances in Management and Practice (CHAMP), based at the Center for Home Care Policy & Research of the Visiting Nurse Service of New York
When vendors make claims that their products support evidence-based practices, you must determine the truth of such claims for yourself.
- Does the product follow advice from the organizations listed above?
- Does it include evidence-based protocols and guidelines from scientific literature, diagnosis-related organizations and other respected organizations with an interest or expertise in homecare?
- Do the guidelines cover the most common conditions seen in your home health agency?
- Who made the EBP decisions? What expertise exists within the vendor’s organization to make these determinations?
These are critical considerations that should not be undertaken lightly. I believe that the future of the home health industry is moving in the direction of evidence-based practices and structured clinical management, and agencies that do not adapt could find themselves left behind.
Click here to read “The Role of Evidence-Based Clinical Practice in Emerging Care Models of Homecare,” by Caroline J. Humphrey, RN, of CJ Humphrey Associates and myself. Stay up to date with the latest news and insight from the home health and hospice industry by subscribing to the McKesson Homecare Talk blog or liking us on Facebook.