Care Management Slides November 2016
Care Management Integrated Analytics & Point of Care Solution Closed loop workflow and performance management Go Beyond Risk using Patient Impact Predictor™ Maximize Return on Engagement Mobile Native Apps for Care Teams & Patients Go where the patients are to improve outcomes Communicate Across the Entire Continuum Multiple EMRs, Post Acute, Community & Behavioral Health
Distribution of Health Care Spending, 2009 National Institute of Health Care Management Data Brief, 2012 ™
Care Management Core Competencies Data Integration (EDW) Patient Stratification & Intake Care Coordination Patient Engagement Performance Measurement
Care Management Software Data Integration (EDW) Patient Stratification & Intake Care Coordination Patient Engagement Performance Measurement
Care Management Content Examples: Clinical, claims, socioeconomic, data feeds Data Integration (EDW) Patient Stratification & Intake Care Coordination Patient Engagement Performance Measurement Examples: Stratification, risk, and patient load balancing algorithms Examples: Meaningful Outcome, Balance, and Process Measures Examples: Medical and fitness device data, matching patients algorithms Examples: Care Plans, Assessments, PROMs, community resources
Care Coordination Starter Content Preventive Health and Wellness Diabetes Cardiovascular disease Heart failure Hypertension Depression Pain Management Risk for readmission Substance abuse Mental health Deficits post-stroke Cancer