The Polyclinic: Improving Medicare Annual Wellness Visit Compliance with IBM Watson Health
Company Size
1,000+
Region
- America
Country
- United States
Product
- IBM Watson Health Population Health Management
- IBM Phytel Outreach
- IBM Phytel Remind
- IBM Phytel Insight
- IBM Phytel Coordinate
Tech Stack
- IBM Watson Health Cloud platform
Implementation Scale
- Enterprise-wide Deployment
Impact Metrics
- Customer Satisfaction
- Employee Satisfaction
- Productivity Improvements
- Revenue Growth
Technology Category
- Analytics & Modeling - Real Time Analytics
- Application Infrastructure & Middleware - Data Exchange & Integration
Applicable Industries
- Healthcare & Hospitals
Applicable Functions
- Business Operation
Use Cases
- Regulatory Compliance Monitoring
- Remote Patient Monitoring
Services
- System Integration
- Training
About The Customer
The Polyclinic is a physician-owned and operated multispecialty clinic that has fifteen locations throughout the greater Seattle area. It was the first Medicare Shared Savings Program (MSSP) participant in the state of Washington. The Polyclinic recognized that to optimize clinical and financial performance under Medicare programs, it needed a means of facilitating compliance with Medicare Annual Wellness Visit requirements. The Polyclinic turned to its existing partner IBM Watson Health to help improve compliance in this key area.
The Challenge
The Polyclinic, a multispecialty clinic with fifteen locations throughout the greater Seattle area, was facing challenges in facilitating compliance with Medicare Annual Wellness Visit requirements. Many of The Polyclinic’s providers were not well informed regarding Annual Wellness Visit eligibility, protocols, and benefits, and as a result were unable to communicate their value to patients. This led to a substantial number of eligible patients not coming in for an Annual Wellness Visit, and of those who did, the no-touch nature of the appointment caused confusion and dissatisfaction, as many were expecting more of an annual physical. Another challenge the organization faced was some patients contacted for Annual Wellness Visits were ill or physically fragile, and bringing them in for assessments was not appropriate.
The Solution
The Polyclinic needed intuitive tools that could help automate and enhance eligible patient selection, outreach, and data analysis to improve efficiency and participation, and close care gaps. As such, the organization sought out a solution capable of quickly and accurately identifying patients based on age and eligibility, effectively engaging patients to bring them in for Annual Wellness Visits, and efficiently leveraging Annual Wellness Visit data and clinical encounters to identify gaps in care and better coordinate service delivery. After a “Lean” analysis of its processes, The Polyclinic recognized that it could employ existing IBM Watson Health Population Health Management tools already in use, including IBM Phytel Outreach, IBM Phytel Remind, IBM Phytel Insight, and IBM Phytel Coordinate, to implement several critical improvements.
Operational Impact
Quantitative Benefit
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