Care Management Implementation Update February 6, 2018
Why the Change to VirtualHealth? More intuitive screens and workflows; improved user experience Built-in Care Team support and messaging more aligned to all of our Care Management programs Single price… …for all modules, including not just Care Management, but Utilization Management, Disease Management, and Health & Wellness for future business opportunities …including any agreed-to CCNC-specific workflow or functionality items …including support work and continued improvements in the future Better out-of-the-box reporting capabilities Enhanced clinical content compared to only a year ago when we first evaluated them Strong motivation to truly partner with us and support or programs and partners
VirtualHealth Care Manager Home Page
Project By the Numbers 13 60 3 42 Work Streams Work Packages Instances Weeks Until Go-Live Resource capacity that supports a single work package, defect/bug fix, or similar deliverable at one time Custom source code deliverable that is based on a single scope-limited requirement document Separate instances of VH to support system exploration, testing, training, and production activities Total time available to develop and deploy minimum viable product functionality 5
Project Milestones 3/5/18 8/27/18 1/2/18 8/20/18 10/29/18 WP Completion First 5 work packages completed 3/5/18 Day 2 Kick-Off Day 2 work packages begin 8/27/18 Project Kick-Off First 12 work packages begin 1/2/18 Training Train the Trainer begins 8/20/18 Go-Live CCNC go-live 10/29/18 6
Project Plan 11
CCNC Work Packages 10 101 Member Profile - Standard 102 Temporary Members 103 Member Plan Disenrollment - Standard 104 Member Plan Re-enrollment - Standard 105 Provider Profile - Standard 106 Temporary Providers 107 Provider Appointment - Tasks 108 Referrals - View and Management 109 Referrals - Provider View and Management 110 Referrals - Member View and Management 112 Automated Referrals - ADT/ Impactability 113 Caseload Assignment - Manual 114 Caseload Assignment - Automated 115 Caseload Scoring and Balancing 116 Member Participation - Tasks 117 Initial Needs Assessment 118 Health Risk Screening 119 Interaction Tracker 120 Assessment Templates 160 Navigation 121 Care Plan - Problems - Management 122 Care Plan - Problems - Auto-Population 123 Care Plan - Problem History 124 Care Plan - Tasks 125 Care Plan - Patient Centered 126 Care Plan - Offline 127 Medications - Manual Reconciliation 128 Medication - Automated Reconciliation 129 Business Delegated Rules 130 User Profiles and Departments 131 Portal Permissions 132 Protected Document View (42CFR) 133 Correspondence Templates 134 Report - Health Educator/Coach Outreach 135 Dashboards - CM Processes 136 SSO - Integration - MicroFocus 137 Membership - Integration - Enrollment File 138 Providers - Integration 139 Risk - Integration - Impactability 140 Operations - Integration - Medical Claims 141 Operations - Integration - Pharmacy Claims 142 Operations - Integration - Pharmacy Fill History 143 Clinical Data - Integration - ADT 144 Clinical Data - Integration - Lab Results 145 Clinical Data - Integration - Immunizations 146 Clinical Data - Integration - Medi-Span 147 Correspondence - Integration - Fax 148 Education - Integration - Healthwise 149 Replicated Database 150 SSO - Integration - Care Impact 157 Community Resources - Directory 151 Medication List 152 Medication Issues Migration 153 Allergies Migration 154 Episodes Migration 155 Notes Migration 156 Offline iOS app 158 Provider Portal - Practice Roll-Up 159 Provider Portal - Member Eligibility Check 10