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 patients 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 Care Plans, multi-source data and patented technology to efficiently navigate patients from hospitals to ambulatory and community care settings.
HealthCollaborate™ enables healthcare providers and payers to:
- Reduce Hospital Readmissions
- Proactively Manage Care for Large Patient Populations
- Improve Patient Satisfaction Scores
- Reduce Care Coordination Costs while Improving Outcomes
- Increase Payments for Transitional Care Management Services
Care Transition Workflow Engine
The HealthCollaborate™ Care Transition 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™ Care Transition 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…)
Secure Messaging Platform
HealthCollaborate™ multifaceted Secure Messaging technology connects with patients and providers based on users’ preferred method of communications.
This approach helps healthcare organizations to automate communication based on users’ preference and convenience.
HealthCollaborate™ Secure Messaging Module includes:
- Interactive Voice Recognition (IVR)
- Secure Mobile Messaging
- Secure Email
- Secure Provider/Patient Portals
- SMS (Text Messaging)
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.
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 timely and relevant notifications of patient care episodes
- Quickly deploy a transitional care team
- Timely execution of care plans
- Improve patient satisfaction scores
Enterprise Master Patient Index
Managing successful patient care transitions depends on the accuracy of patient identification and information. Sending health information for the wrong patient can result in inappropriate patient care, privacy gaps, data quality degradation, and failed episodes of care coordination and transitions.
HealthCollaborate™ Enterprise Master Patient Index is used across the healthcare organization to maintain consistent, accurate and current demographic and essential medical data on patients that are transitioned through acute, ambulatory and community care settings. HealthCollaborate™ EMPI ensures that each patient is represented only once across all the software systems used within the organization. HealthCollaborate™ EMPIs will solve the common problem where multiple systems across the care continuum gradually become inconsistent with respect to the patient’s most current data.
HealthCollaborate™ EMPI is not only used in association with the Care Transition Management System, but it can also be used throughout the organization to maintain accurate patient demographic and information.
HealthCollaborate™ EMPI includes:
- Integration with Care Transition Management System
- HL7 and IHE Standards
- Quick Deployment
- Powerful Engine
- Scalable and Flexible Infrastructure
- Local or 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 logs all care transitions & coordination interactions and encounters with patients, caregivers, providers, payers and facilities. HealthCollaborate™ empowers organizations to improve care coordination processes by reviewing goals, gaps and outcomes.
The Data Analytics Module includes:
- Patient Data Warehousing and Analytics
- Transitional Care Analytics & Reporting
- Care Coordination Performance
- EMPI Analytics & Reporting (and more…)