Introducing the Care Management Suite: A Data-Driven, Transparent Solution

COVID-19疫情强调了有效护理管理在医疗卫生领域的重要性，特别是疫情要求卫生系统根据不断变化的环境迅速调整护理管理方法。传统的、不灵活的护理管理解决方案使护理提供者和护理团队忙于做出调整，并对来自不同2022卡塔尔世界杯赛程表时间来源的破碎的数据和工作流程感到沮丧。

由于缺乏定制选项，且无法看到驱动护理管理过程的算法，护理团队无法确定患者是如何被选择和识别的。临床医生只能寄希望于这些算法、技术和流程是正确的。依靠猜测来为正确的患者提供正确的护理，会导致护理管理计划受阻，无法展示ROI。

The Health Catalyst® Care Management Suite takes a different approach as a transparent, data-driven, comprehensive care management solution. The suite is the only care management solution built from the ground up, using a data and analytics strategy combined with expertise designed to deliver real ROI.

Fragmented Data and Black Box Solutions: Obstacles to Effective Care Management

Coordinating care across different healthcare environments and teams—inside and outside of the hospital—is critical for improving patient outcomes. Effective care coordination requires using data integrated from many sources (claims, EMR, clinical, and more). However, outdated care management solutions struggle to seamlessly aggregate disparate data and workflows, meaning providers and care teams make care management decisions, with limited resources, based on incompletedata.

The Care Management Suite takes a patient-centric approach that also supports healthcare billing best practices to avoid a common trap of prioritizing EHR and billing needs over patients. Despite advances in care management, health systems continue to feel overwhelmed by these common roadblocks and stymied by their inability to measure results and demonstrate ROI.

The Health Catalyst Care Management Suite: A Transparent, Data-Informed Approach

Health Catalyst built its Care Management Suite on the Data Operating System (DOS™), a sophisticated data platform that combines data from multiple sources. With DOS as one source of truth, care teams can rely on comprehensive financial, operational, and clinical analytics to measure, track, and drive outcomes improvement. The suite features an end-to-end solution for the entire clinical care pathway, from identifying the most impactable patients to implementing interventions and improving outcomes. Additionally, expert services ensure health systems using the Care Management Suite can profitably expand care management initiatives and optimize ROI.

With a transparent, flexible approach to care management, built on a strong analytics foundation, Health Catalyst eliminates the typical “black-box” solution and allows care teams to view and understand algorithms, identify gaps stemming from those algorithms, and efficiently implement changes according to patient needs. With increased visibility in every step of the care management process, care teams leverage a patient-centric view, prioritizing patients’ needs above anything else.

Three Core Pillars Lay the Foundation for Care Management Success

The Care Management Suite consists of three modules that health systems can use together as an integrated solution or independently:

1. Pop Analyzer™: Stratify Expert Data Collection™: With pre-defined registries—built on integrated claims and clinical data—care teams can rapidly identify patients who will benefit most from care interventions. Evidence-based risk stratification models that leverage industry and machine learning risk models also allow care teams to easily customize algorithms to meet the needs of each unique patient population.
2. 护理流程™:一个完全集成的端到端的工作流程解决方案，允许护理团队在护理管理项目中进行资格认证、登记和积极管理患者，从患者识别到结果。通过方便地获得患者的纵向视图，护理团队的所有成员都可以看到过去遇到的信息、问题、目标、障碍、活动和干预措施，然后定制相应的护理。
3. Pop Insights™: Care Management Expert Data Collection: Care teams can rely on the analytics dashboard to analyze inefficiencies at each phase of the care management workflow, understanding how to measure and maximize care management ROI effectively. Dashboards also allow care teams to measure, track, and identify areas for financial and operational improvement. The operational and clinical information collected through daily care management activities provides ongoing analytic insights into provider workflows.

Technology and Services Tackle Care Management Challenges

The Health Catalyst Care Management Suite combines its data-driven technology with support from experts boasting years of experience optimizing care management programs and driving ROI. These experts ensure health systems maximize technology and that data and processes support the organization’s care management goals.

The Care Management Evaluation Service

The Care Management Evaluation Service brings deep expertise and proven methodologies to help determine where—and whether—an organization has succeeded in its goals for care management. Led by experts in healthcare finance, analysis, and accountable care strategy and design, this service delivers valuable insight into care management ROI and its drivers in the organization.

Care Management Program Design

The Care Management Program Design service delivers clinical, operational, and financial expertise to help organizations devise and implement programs that optimally meet patient needs, align with goals for population health, and maximize resources and workflow efficiency.

Care Management Population Design

护理管理人群设计服务结合分析和专业知识，提供专家指导，并帮助有效、透明和优化地分层患者名单。这种方法允许组织达到他们最具影响力的患者和目标的最关键的护理管理目标。

Care Management Assessment

护理管理评估服务利用Health Catalyst专家对组织当前的护理管理基础设施、功能和机会进行世界杯葡萄牙vs加纳即时走地全面评估。基于这一洞察，并与组织的优先级一致，团队交付了基于当前合同和文化现实的实施计划的有针对性的建议，通过对ROI的仔细核算，并与整体的组织战略相一致。

Transparent, Adaptable, and Flexible Care Management

Effective care management practices can improve patient outcomes, and in a COVID-19 world, part of the care management process means mitigating harm from deferred care and missed routine care appointments. With the Health Catalyst Care Management Suite, health systems can quickly and easily tailor and adapt interventions to more effectively manage patient populations at any point in the care journey. For example, care teams can swiftly change populations with Population Builder: Stratification Module, change and adapt care in Population Care Flow, and monitor results in Population Care Insights.

As health systems, providers, and clinicians alike face COVID-19-related healthcare challenges along with an uncertain future, they can depend on the transparent, data-driven approach—the foundation for the Care Management Suite as a guide to improving operational, financial, and clinical outcomes.

Additional Reading

Would you like to learn more about this topic? Here are some articles we suggest:

1. Activity-Based Costing in Healthcare During COVID-19: Meeting Four Critical Needs
2. Population Health Management: A Path to Value
3. Six Need-to-Know Guidelines for Successful Care Management
4. Achieving Stakeholder Engagement: A Population Health Management Imperative