Proactivity is the Key to Value-Based Care

Today, healthcare organizations are investing heavily in the delivery of preventive services to ensure proactive management of individuals across the care continuum. As a tech-enabled holistic approach to better care for the overall health of a population, population health management (PHM) is a must-have competency for healthcare providers of all types, sizes, and specialties. However, adopting a PHM program can be difficult for a healthcare organization to tackle alone. Envisioning to make this discipline accessible to one and all, GSI Health enables effective PHM to the healthcare organizations for optimizing how care is delivered and ensuring that every individual of the population receives the right care at the right time from the right provider. “We are trying to educate both healthcare providers and patients about the advantages of being proactive, instead of reactive,” says Sean Kelly, Senior Vice President of Growth at GSI Health.

Founded in 2003, GSI Health is one of today’s leading providers of care coordination tools supporting value-based programs. The company understands how PHM is no longer about just clinical work, but also the social determinants and behavioral health of a patient. GSI Health has been assisting several states in the development of architectures and operational models for healthcare information exchange by bringing various virtual care teams together.

The company empowers care teams to identify the services and care required for each patient, helping the healthcare organizations transform the way they deliver whole-person care. “Oftentimes, these organizations already have the idea of enhancing their care management and coordination, but there is a Gordian knot of how they go about it, which prevents them from moving forward,” says LeRoy E. Jones, Founder, President and CEO of GSI Health. The company’s cloud-based platform, GSI Health Coordinator, helps open this knot, by enabling the clients to better understand their populations and improve their healthcare provision. The GSI Health Coordinator platform incorporates diverse data sources and assists the clients in leveraging analytics to identify patients and insights.

GSI Health’s innovative approach consolidates diverse and fragmented data in a single comprehensive care plan, with meaningful insights that enable care teams to address gaps in patient care, allocate scarce resources proactively, and strategically identify at-risk patients in time for cost-effective interventions. “The result is improved clinical outcomes, more effective care teams, better financial results, and ultimately healthier populations,” says Jones.

With different markets having different levels of adoption when a group of healthcare organizations comes together to avail the GSI Health Coordinator platform, the company chooses an anchor client that would procure their technology to share with the others also allowing this inter-integrated network to become more high performing.

Having won numerous awards recognizing innovation and leadership in PHM, GSI Health has an abundance of success stories. Kelly highlights one of them where a hospital in Southwest Brooklyn that measured their success in terms of their savings was struggling with aiding a population suffering from severe mental illness. In order to get the patients to take their medications regularly, the hospital chose to invest in intensive care management for the emergency department (ED) dealing with the SMI population. This led them to a huge financial downgrade up till GSI Health came to the rescue. With their innovative PHM model, GSI Health helped the hospital decrease their costs for care management and ED utilization, and increased the patients’ PCP adherence. The hospital ended up saving about $100 a month for each patient.

With plans to potentially expand across California and Oregon, GSI Health is working toward a future where data-driven technology optimizes overall care delivery, improving the health of entire populations, and solving the problem of uncoordinated, under-informed healthcare being practiced in today’s system.