Patient Centric Care Management12wk implementation

It provides enhanced patient engagement capabilities and empowers Care Team collaboration, thereby streamlining care program enrolment, planning, and monitoring, interventions, care gap detection and other complex workflows.

It uses PowerApps and collab toolkit to provide an application to care managers and patients as they pass through different processes involved in care coordination. It encompasses a care management data model on dataverse and Power Automate flows that enable simplification of complex processes. It also leverages chatbots to support virtual interactions between patients/ families and care managers. Outreach and member segmentation is triggered by Azure Data Bricks jobs that detect high risk patients and initiate workflows automatically within PowerApps. Using Power BI dashboards, it shows adherence of patients to care programs and their effectiveness in delivering better clinical outcomes.

COLLABORATIVE CARE APPROACH: Orchestrates onboarding, care planning, assessment, and monitoring the healthcare journeys.

INSIGHTS DRIVEN APPROACH: Uses AI/ML to identify propensity of care gaps and high-risk patients

DIGITAL FIRST APPROACH: Considers omni channel engagement touchpoints to facilitate timely prescription and visit reminders.

Benefits:

1. Considers the relevance of multi-dimensional understanding of health journeys across clinical and non-clinical parameters such as social determinants of health

2. Supports connected digital health through medical device integration, interoperability hooks for native patient access support, automated care plan workflows and omni channel support for member services

3.Supports collaboration across care teams and provides Longitudinal View of member’s healthcare journeys and their interactions.

4.Focusses on preventable medical events

Pricing: 1.User base of care management processes 2. Number of clinical and non-clinical applications to integrate with the offer.