Care managers who support patient populations and other providers are critical for successful value-based models. Typically care managers are either a part of a diverse care team within an individual practice or they function as a centralized unit providing wrap-around support for patient populations spanning multiple practices. Unlike the workflow of the physicians within a practice that tend to focus on the patient in front of them or the schedule for the day, care managers can take a more proactive view looking ahead at patients that require more active attention and dynamic engagement.
These clinicians need tools that let them quickly identify rising risk patients and a way to effectively prioritize outreach or intervention on patients that aren’t achieving their care goals. Often, the only data available to care managers are lagging claims data or meaningless data dumps from EMRs or remote monitoring devices and thus, the care manager is relegated to contacting every patient in their list. We call this working the spreadsheet. It is neither efficient nor effective for population health management, not to mention frustrating for care teams. We provide smart dashboards that allow clinicians to see their patient’s progress on comprehensive care plans and act to provide support/engage patients in real-time, which is vital for improving health outcomes in larger patient populations. Don’t work the sheet! To learn more about how C3LX is enabling healthcare transformation through our platform, contact us here!