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Value-Based Care Management

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Allows entities to create assessments and patient-centric care plans focused on value-based program initiatives

During the care transition process, there are often lapses in communication between care providers. Critical information can take weeks to reach different physicians and even longer to reach other care team members.

The CivicHealth solution for Value-Based Care Management allows entities to create assessments and patient-centric care plans focused on value-based program initiatives ranging from episodic to chronic disease management. This results in the delivery of actionable information, improved care and the ability to track cost and outcomes.

CivicHealth helps organizations manage care pathways across multiple providers and care settings by creating an easily shared, HIPAA-compliant health record containing both clinical and non-clinical information. The platform also serves to connect community and human services partners with providers while also supporting population health initiatives across a range of care teams.

The Value-Based Care Management solution incorporates care plan assessment and collaboration for more effective execution throughout the entire care continuum, and includes:

Community Health Record

Capture episodic treatment, human services data, treatments (ICD, CPT, DRG) and care pathway history

Care Pathway Management

Tailor care pathways and assessments to meet the needs of your organization and partners with access and support for national standards

Patient Engagement, Connectivity and Communication

Increase compliance with the configurable patient intake, patient communication portal, data input with remote monitoring and IVR with two-way text capability

CivicHealth’s Value-Based Care Management incorporates the Patient Navigation and  Community Resource Network and also includes:

Community Collaboration Portal

Work seamlessly with clinical and non-clinical partners to improve patient health

Patient Data Repository

Share a secure, HIPAA-compliant database with clinical and community resources

Eligibility and Enrollment

Determine patient eligibility and facilitate enrollment for government and community programs

SaaS (Cloud-Based Hosting)

Easily access your files and data from anywhere

Consulting on Network Development

Let CivicHealth’s network development experts help build out your specialty network

Patient Registry for a Targeted Population

Support population health initiatives with a targeted registry

Closed Referral Management

Prevent patients from slipping through the cracks during the referral process by allowing partners to update their activities post-referral

Ready to easily manage your care pathways?

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