1. Care Management Slides
November 2016

2. 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

3. Distribution of Health Care Spending, 2009
National Institute of Health Care Management Data Brief, 2012 ™

4. Care Management Core Competencies
Data Integration (EDW)
Patient Stratification & Intake
Care Coordination
Patient Engagement
Performance Measurement

5. Care Management Software
Data Integration (EDW)
Patient Stratification & Intake
Care Coordination
Patient Engagement
Performance Measurement

6. 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

7. 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