Team-based care in an evolving industry
To best serve patients with complex conditions, Advocate Aurora Health operates interdisciplinary teams (IDTs) that include inpatient care managers and social workers, medical directors, physicians, ambulatory care managers, post-acute partners, and back-office staff. The IDTs handle all care details on individual patients, such as their medical condition, discharge planning, support network, follow-up plans, and how to optimize transitions from inpatient to outpatient care.
This interdisciplinary care benefits patients by improving care coordination, offering a seamless patient experience and ensuring patients receive the right care, in the right place, at the right time.
“Interdisciplinary teams are the future of healthcare,” says Sherri Aufderheide, System Administrator for Care Management, Operations, and Utilization Management at Advocate Aurora Health. “Advocate Aurora Health is already investing in this modern team structure to ensure that we proactively address all factors that impact patient outcomes, instead of just reacting as issues arise.”
IDTs rely on current, accurate information to ensure the best patient experience and provide the best care possible. A unified platform empowers staff with full visibility into patient status, helping them coordinate care and decide on next steps together. IDTs meet weekly—so, if a patient is readmitted the day after the meeting, team members have all the patient information they need to coordinate the next step in care.
“We have team members located across the network, so we need centralized communication to see what’s happening at different points in the care continuum,” says Divyang Joshi, Medical Director and Medical Doctor in Internal Medicine at Advocate Aurora Health.