The University of California, San Francisco (UCSF) and healthcare technology firm CipherHealth LLC have launched a customizable population health management platform called View that aims to improve the quality of care for patients with complex health conditions. The platform, which helps engage patients and facilitate more efficient team coordination among providers, was developed in collaboration between the two entities.
View integrates CipherHealth’s patient engagement software platforms with evidenced-based patient care plans and multidisciplinary care management workflows. These care plans and workflows were developed by UCSF faculty and care management staff to help care for patients with chronic or complex health conditions. The collaboration built upon a previous vendor arrangement, in which UCSF Medical Center used CipherHealth’s patient engagement product, Voice, to automatically call patients after they had been discharged from the hospital to monitor their conditions.
Accessible on any web-enabled device, View aggregates patient data from disparate sources to simplify coordination across multiple care teams throughout the care continuum. By providing a single platform for patient data aggregation, View streamlines the care management process and ensures that any provider can easily reference a patient’s longitudinal history and be notified of any upcoming procedures or appointments. The solution gives providers a simple and streamlined view of population-level trends, in addition to the individual journey of each patient.
In addition to aggregating patient data, View allows seamless, real-time communication between care providers to efficiently and accurately build a collaborative care plan, even when that care involves multiple types of healthcare providers or specialists, who have virtually no interaction with one another. With View, these clinicians can easily reference data entered by another provider, as well as communicate with one another on the patient’s progress. This correspondence bridges gaps between the various members of one patient’s care team, and leads to a smoother care experience for the patient.
“We needed a comprehensive tool that would be able to help us manage our most complex patients across the care continuum and across disciplines,” said Gina Intinarelli RN PhD, executive director of Population Health and Accountable Care at UCSF Medical Center. “This enables us not only to understand longitudinal data for one patient, but also to visualize the types of care delivered to larger patient populations. It helps us know how to deliver the right care, in the right place, by the right person.”