Are you a representative of a health insurance company?


Health insurers are always looking for quality that is efficient in clinical practice. They prefer to contract health care professionals who are willing to collaborate within the chain of care, invest in good communication infrastructures, and want to make improved health care outcomes more transparent.
Clinical Rules meets all these criteria perfectly. There are many examples of medication-related hospital admissions that could have been avoided. Unfortunately, this cannot be achieved without effort. In order to achieve this, it is essential to have a better handle on the complex and ever-increasing use of medication. It is necessary to improve the monitoring and handover of medication-related information and to include other relevant details, such as lab reports. The most important issues have already been reported in the HARM study: improved surveillance of stomach protection, kidney functioning, electrolytes, and coagulation time is relatively easy to achieve. However, increasing communication in the health care system requires a great deal from a health care professional's ever-expanding job description and knowledge. It demands an investment in electronic patient files (Landelijk Schakelpunt (LSP).
Clinical Rules is an essential instrument that supports health care professionals in improving medication safety. It analyses patient data from various sources within the chain of care and feeds back potential problems. Clinical Rules does not depend on any specific system and integrates decision rules from several sources in collaboration with health care professionals in clinical practice and in the Wetenschappelijk Instituut Apothekers (WINAp, the academic institute for pharmacists).
The investment in this tool will be more than recovered if every health care professional prevents one hospital admission per year by using Clinical Rules. This does not seem like a very ambitious task, but it does require a change in current operating procedures and IT support within the health care system.