Technology-enabled Ambulatory Care

A top problem in the US healthcare system is a pervasive underemphasis on prevention and primary care, resulting in climbing rates of potentially avoidable chronic disease and their associated costs. A well-designedhigh-performing primary care service that is accessible,proactive, and coordinated has been shown to improve population health, reduce totalhealthcare costs, and enhance provider and patient experience.Yet despite its value, high-performing primary care has been slow to spread. A key obstacle to dissemination is the cost, interms of time and resources, required to expand primary care services.

Digital Health Technologies to Scale High-Performing Primary Care

CERC’s outpatient HIT team identified three practical digital health technologies that reduce theclinical and financial burden of delivering high-performing primary care. We define healthinformation technology (HIT) asdigital applications that capture, store and/or communicatephysical, social,economic, behavioral and environmental data for the purpose of treatingdisease, supporting well-being and advancing healthcare.

  1. Safe reduction in health care utilization is enabled through AI-assisted textencounters and 24/7 patient-to-clinician telehealth by phone or video.

  2. Digital population health management platforms are used to aggregate clinical andsocial determinants data and continuously alert clinicians to actionable unmet needsincluding referrals to address social determinants.

  3. PrimaryCare Providers (PCPs) are connected to specialists through asynchronouselectronic consults, allowing for expanded PCP management without specialty visits.

Projects and Outcomes

Net Percent reduction in total annual American health care spending: 0.97%

(Net annual savings $35 billion / Total annual American health care spending in 2018 $3.6 trillion)

Publications and News