Care coordination for patients with multiple medical conditions has unique challenges. On average, patients with many chronic health issues see more than 10 providers, take multiple medications and often struggle to manage several co-morbidities. Limited health literacy, which is more common in older and poor patients as well as certain minorities, only compounds the issue. These high-needs patients account for a sizable portion of U.S. healthcare costs and require consistent monitoring. Yet most physicians only have between 15 and 30 minutes for follow-up visit, which is often insufficient time to address all comorbidities effectively.
Health systems are using digital technologies to reduce costs and improve outcomes for patients that require complex care coordination. These solutions focus on promoting patient education, improving communication between patients, and caregivers and tracking and monitoring patient progress. Home monitoring devices, for example, both engage patients in their care and provide valuable data to caregivers. In addition, technology that addresses social determinants of health, which are often present in patients with multiple chronic conditions, can provide services that help prevent gaps in care. Using these digital tools to engage patients at home gives providers cost-effective alternatives to improve treatment plan adherence and overall patient health.
