More than one-third of adults reported that COVID-19 interfered with their ability to receive medical care for chronic conditions and preventive screenings. Colonoscopies, in particular, dropped by 90% in the spring of 2020. As regional outbreaks extend the pandemic, people are likely to continue to skip and delay care, leading to poorer outcomes and higher healthcare costs for years to come.
Successful gap closure relies on targeting and engaging patients who need care. In August and September of 2020, SWHR aligned its existing infrastructure of data analytics, physician support and care management, to identify rising and identify patients in need of colorectal screenings, diabetes management and retinopathy screening beyond baseline quality metrics.
The process required SWHR to align community providers and partners on three-pronged, analytics-driven approach. First, advanced analytics identified at-risk patients through geographic, claims and utilization data, as well as co-morbidities. Along with an awareness campaign to the public, the initiative relied on 200,000 multi-channel direct communications from physicians to patients. Then, in-home test kits and services were provided to targeted patients.