A “gap in care” is defined as the discrepancy between recommended best practices and the care that is actually provided. This can manifest itself in several different ways; the most common include:
- Individuals that are missing age-based or annual screenings or vaccines
- Individuals who do not consult with their doctors over a prescribed medication that might not be appropriate for a patient
- Individuals that are not adding a medication to meet evidence-based guidelines
So, given this definition, how do you identify gaps in care in your population and design benefits programs accordingly? Below are a few key areas to help you get started:
How do you identify gaps in care?
For most organizations, the most challenging part of closing care gaps is identifying care gaps. Instead of focusing on actionable data that could craft tomorrow’s wellness initiative, too many employers rely on carrier reports that only identify what’s already happened, not what they can do moving forward. This means that organizations are stuck looking in the rearview mirror while trying to drive their healthcare costs down with effective initiatives.