Creating a comprehensive view
Rather than having to work around siloed patient information, an integrated system means you can work off a single, comprehensive record. By taking available data from across the care continuum, a longitudinal record for each person is built up, providing all care givers a complete view of an individual’s health and wellbeing. This can save hours of time logging on to disparate information systems or reconciling different information available from different sources.
Introducing proactive health
Our community care management solution, HealtheCare® supports proactive coordination of all the relevant health services. From the longitudinal record, algorithms identify those within the population who meet specific criteria, set by the health system, qualifying them for community care management services using inclusion and exclusion criteria.
Build a personalised plan
By having access to a wide-ranging record, care providers can add context and insight to personalise an individual’s care plan. Armed with knowledge about family medical history, environmental risk factors and more, care providers can promote relevant education, undertake regular assessment, and schedule follow-up appointments with other members within the care system.
- Attributing the right citizens automatically to the right care managers to automate this process and ensure the best match of the service to make the most impact.
- Providing a single source of truth of normalised data across the whole health and care system to save logging on to multiple local EHR systems to piece together what they need to know about the citizen.
- Ability to establish a care plan that can be centrally tracked and managed with fit for purpose workflows to support the role of a care manager and the care management team in their roles.
- Using the intelligence in the big data to optimally identify those citizens that are most impactable with care management services allows focused interventions on individuals that need the most support. By doing this, citizens that need the most help for their disease and risk factors, or are hard to activate in self-management, can receive it, rather than spending time and precious resources on citizens that are managing well.
Offerings you may be interested in
Aggregate and normalise data across the health and care economy to improve performance and outcomes.
Find out more about how citizen engagement through our Patient Portal can make you an active member of your care team.
Witness the benefits of securely sharing patient data across organisational boundaries.
See how we are helping organisations and individuals move from reactive care to proactive health.
Take a high-level view of your populations to help you proactively focus on particular areas.