Care Coordination
While Care Coordination has been practiced in the industry for a long time, its unique ability to transform healthcare delivery systems to maximize healthcare outcomes has not been fully understood until now. New value-based care models are currently being implemented across all settings, with organizations now establishing programs that extend beyond traditional organizational silos requiring them to collaborate and coordinate with other providers, payers, laboratories, information organizations and more importantly the patients and their support systems. To succeed with these new models, it is imperative for organizations to invest in technology that support them in their goal to truly coordinate access to patient information from multiple information systems.
ICDP Coordination Manager has been purpose-built from the ground up as a care coordination platform to address the unique needs of value-based care delivery models such as Medical Homes, Health Homes, Accountable Care Organizations (ACO) and Delivery System Reform Incentive Payments (DSRIP). Building on the core capabilities, ICDP Coordination Manager enables the following key benefits for healthcare organizations:
- Manage virtual care teams that span across organizations
- Create and manage shared care plans that allow members of the care team to contribute to and manage patient care
- Generate, manage and track referrals
- Securely communicate with the patient and other members of the care team
- Implement targeted programs for patient populations based on specific needs and conditions
- Provide a consolidated view of patient profile that aggregates data from all available sources
- Create and manage personalized care plans that track all needs of patients including medical, behavioral, social, life planning, functional, care transition, care access and others
- Establish and implement industry best practices and evidence-based care processes across the organization
- Leverage actionable alerts that proactively monitor gaps in care and track compliance with established processes