Care Management
Coordinate care across the healthcare continuum, ensuring that patients receive timely and appropriate interventions, follow-up care, and support services.
Close Care Gaps with Scalable Technology
Our Care Management module provides a scalable technology platform that unifies communication and care coordination. Revealing evidence-based care gaps, this module empowers you with patient/member care plans, case management notes, disease registries, and population risk scores.
Ensure Whole-person Care
- Automatically create individualized care plans based on clinical practice guidelines and evidence-based gaps in care
- Deliver coordinated, proactive, and patient-centered care that enhances the overall well-being of the population
- Engage in data-driven decision-making that enables you to prioritize interventions and prevent ED use, hospitalizations, and readmission
- Care plans respond dynamically as new data enter the platform
Promote Quality Improvement Initiatives
- Gain valuable insights into clinical performance, outcomes, and care delivery processes
- Enable care teams to manage, direct, and track patients from within a single, customizable care team dashboard
- Implement secure messaging between authorized stakeholders and patients
- Maintains relevant materials—clinical and continuity-of-care documentation, lab and radiology reports, and more—with document storage
Incorporate Behavioral Health and Social Determinants
Identify barriers to care, engage patients, and improve health equity by integrating local, regional, and statewide-based social service resources, such as Meals on Wheels, patient transportation, and/or behavioral health centers, for referrals, which are then tracked to completion.
