It is no secret that high-performing healthcare providers and payers must proactively engage, monitor and navigate population groups with complex medical, behavioral, and long-term care needs through multiple care settings.
“Single platform to coordinate, manage & monitor patient care transitions from hospitals to post-acute care settings.”
Care coordination is identified as one of the top priorities in the US National Strategy for Quality Improvement in Health Care. Effective transitional care management plays a major role in improving population health, maximizing reimbursements and reducing costs for Accountable Care Organizations, hospitals, physician networks, Transitional Care Service Providers and payers.
Health BI has developed an integrated suite of applications (HealthCollaborate™) that enables healthcare organizations and health plans to coordinated, manage and monitor patient care transitions anywhere/anytime. This EMR neutral solution, aligns patient-specific transitional care needs with customized workflows, multiple data sources and patented technology to efficiently navigate patients from hospitals to ambulatory and community care settings.
HealthCollaborate™ improves your clinical and financial outcomes with easy integration into your clinical workflow.
HealthCollaborate™ enables healthcare providers and payers to:
- Manage & Track Care for Large Patient Populations
- Create & Manage Workflows and Care Plans
- Proactively Engage Providers and Patients
- Achieve the Triple Aim
- Improve Patient Satisfaction Scores
- Report Care Coordination Quality Metrics
HealthCollaborate™ can have direct impact on financial incentives, including:
- Readmission Penalties
- Medicare Shared Savings Programs
- Bundled Payments (or Episode-Based Payments)
- Pay-for-Performance / Hospital Value-based Purchasing
Transitional Care Management
Care Transition Workflow Engine
The HealthCollaborate™ Transitional Care Management Application creates a collaborative network of providers-payers-patients and enables care coordinators to create various customized transitional care workflows based on patients’ care plans.
HealthCollaborate™ then automatically executes each workflow, enabling care coordinators to manage and monitor patients care transitions through the continuum of care on the navigation dashboard.
HealthCollaborate™ delivers your care coordination team a software application that includes:
- Customizable Care Transitions workflows
- Patient Navigation Dashboard
- Multiple Data Source Integration
- Standardized Care Coordination Models (and more…)
Care Transition Task Manager
The HealthCollaborate™ Transitional Care Management Application provides the care team with single platform to execute and manage care transition tasks and activities, eliminating manual and fragmented processes. The application is designed to bring together all necessary tools and processes for seamless interdisciplinary collaborative care delivery.
HealthCollaborate™ Care Transition Task Manager Module includes:
- Appointment Requests and Scheduling
- Appointment Notifications, Reminders and Follow-Ups
- Patient Monitoring
- Medication Notifications/Monitoring
- Automated Post Discharge Assessment Calls and Follow-Ups
- Patient Education
- Medication Information
- Assessments & Notes
- PHR (and more…)
Provider-Patient Engagement Platform
Your patient engagement strategy should rely on actively pushing and pulling information to and from patients through different means of communication. That can be achieved by deploying technology solutions that connect with providers and patients based on the best method of communication available to them. The idea of waiting for patients to access portals to be engaged is a failure.
HealthCollaborate™ multifaceted Secure Messaging technology connects with patients and providers based on users’ preferred method of communication.
This approach helps healthcare organizations to manage provider-patient engagements based on users’ preference and convenience.
HealthCollaborate™ Provider-Patient Engagement Platform includes:
- Interactive Voice Recognition (IVR)
- Secure Mobile Messaging
- Secure Email
- Secure Provider/Patient Portals
- SMS (Text Messaging)
Event Notification System
Event Notification System
Many healthcare providers and health plans are unaware of their patients’ ER visits or hospital admits and discharges. The ability to quickly notify and mobilize the care team can reduce hospital readmissions and avert millions of dollars of spending on preventable hospitalizations.
HealthCollaborate™ Event Notification System (ENS) connects, alerts and updates healthcare providers and payers of patients ADT events and outcomes. This approach insures quick deployment of the care team and proactive engagement, monitoring and navigation of patients through the continuum of care.
Through integration and processing of HL7 ADT messages, HealthCollaborate™ (ENS) provides real-time or daily batch notifications with critical information to payers, private physicians, care management teams, ACOs–alerting them of their members’ acute encounters with participating hospitals.
“Technology, tools and processes to help your organization turn data into action.”
The HealthCollaborate™ Event Notification System can be deployed as a standalone system or as part of the complete Care Transition Management System. All notifications are delivered via HealthCollaborate™ multi-channel secure messaging platform.
HealthCollaborate™ Event Notification System helps healthcare payers and providers to:
- Receive detailed notifications of acute care episodes
- Be notified of readmissions
- Quickly deploy a transitional care team
- Timely execution of care plans
- Improve patient satisfaction scores
Enterprise Master Patient-Provider Index
Managing successful patient care transitions depends on the accuracy of patient-provider identification and information. Sending health information for the wrong patient to the wrong provider can result in inappropriate patient care, privacy gaps, data quality degradation, and failed episodes of care coordination and transitions.
HealthCollaborate™ Enterprise Master Patient-Provider Index is used to maintain consistent, accurate and current demographic and essential medical data on patients that are transitioned through acute, ambulatory and community care settings. HealthCollaborate™ EMPPI ensures that each patient-Provider is represented only once across all the software systems used within the organization. HealthCollaborate™ EMPPI will solve the common problem where multiple systems across the care continuum gradually become inconsistent with respect to the patients and providers’ most current data.
HealthCollaborate™ EMPPI is not only used in association with the Transitional Care Management Application, but it can also be used throughout the organization to maintain accurate patient-provider demographic and information.
HealthCollaborate™ EMPPI includes:
- Integration with Transitional Care Management Application
- HL7 and IHE Standards
- Quick Deployment
- Powerful Engine
- Scalable and Flexible Infrastructure
- Hosted Solution
- Versatile interface engine
Analytics & Reporting
Analytics & Reporting
Care Coordination starts from the time patient enters the hospital and continues through
multiple layers of ambulatory care settings. Healthcare organizations and payers must keep track of all transitional care activities.
HealthCollaborate™ actively tracks all care transitions & coordination interactions and encounters with patients, caregivers, providers, payers and facilities. HealthCollaborate™ provides organizations complete visibility to post-acute patient care management data, goals, gaps and outcomes.
The Data Analytics Module includes:
- Data Warehousing and Analytics
- Transitional Care Coordination Analytics & Reporting
- Measure & Report Performance
- Measure & Report Quality Metrics (and more…)