Integrated Platform for Remote Care Management (RCM)
The Care Innovations™ Guide platform is a comprehensive solution that helps enable Medicare Advantage (MA) plans to improve operating margin and deliver a competitive advantage by deploying a proven, fully integrated remote care management solution for its members with chronic conditions.
A remote care management program can help MA plans to control the costs of managing the member population that consumes the largest proportion of healthcare services by helping them manage their disease, thereby possibly reducing emergency room visits and hospital admissions.
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The Guide remote care management platform can give MA plans the foundation to provide unique, differentiated, and branded solutions in a member’s home that deliver more frequent touchpoints and engage members in self-directed, active management of their chronic conditions.
Enterprise-Class Clinical Care Management Application
Prioritizing clinical needs and making the best use of each clinician’s time is a substantial challenge in many healthcare settings.
As part of the Care Innovations Guide platform, the Care Innovations™ Guide–Virtual Care Suite lets clinicians connect with members in their homes, bring attention to potential health issues before they grow more serious, and prioritize care protocols based on each member’s individual needs. The use of the Care Innovations Guide–Virtual Care Suite improves clinician efficiency, and a model of care delivered by a clinician and facilitated by the Care Innovations Guide platform may lead to more effective clinical practices.
The Virtual Care Suite uses a “management by exception” model so that healthcare professionals can more accurately prioritize clinical needs and provide quality healthcare remotely. This design allows clinicians to set parameters to automatically identify outliers and flag members that should receive proactive intervention by a healthcare professional. From the Virtual Care Suite dashboard, clinicians can quickly view reports on member progress, examine a full history of biometric data measurements, set reminders to guide member activities, and schedule assessments.
The Virtual Care Suite is a secure, cloud-based, hosted application that can be easily scaled from initial deployment through enterprise-wide deployment to meet the needs of your growing membership base.
| |
Feature |
Benefit |
Result |
Clinician’s
View |
Two-way videoconferencing |
Enhances communication between members and clinicians at a distance |
Opens an effective channel for guidance and education about treatments |
| Triage screen |
Lets clinicians devote more time to members who need the most help |
Helps identify at a glance members who need attention (orange) or rapid intervention (red) |
| Customizable protocols |
Tailors standardized treatment methods to individuals for higher quality care |
Helps deliver personalized care to meet unique member requirements |
| Biometric data support |
Provides timely measurements of vital signs for evaluating member health |
Gives clinicians a remote means of assessing changes in a member’s conditions |
Admin’s
View |
Connects data center, physician, member, and healthcare professionals using advanced technology |
Provides a model for ready exchange of biometric data and improved communication between a member and caregivers |
Coordinates essential activities among healthcare professionals for delivering quality care efficiently |
| Triage screen |
Identifies areas where direct care is required, helping allocate resources |
Improves efficiency in healthcare settings by focusing clinicians on members with immediate needs |
| Scalable, extensible framework |
Simplifies deployment with a secure, Web-based framework that can be scaled as needed |
Scales easily from initial deployment through enterprise-wide adoption |
| Easy-to-use design |
Minimizes training time for staff members and members |
Adapts easily to established work processes without causing disruption |
| Next-generation technology |
Uses proven technologies designed by Intel-GE Care Innovations™ to make personalized healthcare at a distance practical and cost-effective |
Extends first-generation telehealth technology to provide quality healthcare remotely |
Comprehensive In-Home Care Management Application
As part of the Care Innovations Guide platform, the Care Innovations™ Guide in-home care management client application facilitates daily biometric data collection and transmission, interactive education delivery, and regular contact with healthcare professionals from a member’s home.
The in-home solution features videoconferencing, an intuitive touchscreen interface, and support for capturing biometric data through peak flow meters, weight scales, pulse oximeters, glucose meters, blood pressure monitors, and other input devices. By capturing biometric data on a daily basis, members can provide the necessary information to help their MA plans and healthcare professionals understand daily health status and behavior in order to identify and overcome individual challenges--and provide solutions for care.
| Feature |
Characteristic |
Benefit |
| Two-way videoconferencing |
Uses a device’s built-in camera and mic or an add-on webcam to establish a videoconferencing link between a member and clinician. |
Provides another level of information about the member’s condition and lets the clinician communicate directly with the member to explain procedures or offer support and guidance. |
| Customizable educational content |
Provides a simple mechanism for presenting educational content, either in response to member activities or on-demand. |
Strengthens the course of treatment, giving members actionable information about their conditions and treatment methods. |
| Device independence |
The FDA-cleared product can be installed on a wide range of devices running Microsoft Windows* 7, including notebooks, tablets, netbooks, desktop computers, and all-in-one devices. |
Healthcare providers are not locked into a single, proprietary device. The solution can incorporate those off-the-shelf personal computing devices that best suit their needs. |
| Biometric data support |
Supports a variety of monitoring devices to gather biometric data, including heart rate, blood pressure, blood sugar, body weight, and other indicators. |
Gives physicians and clinicians a practical way to gauge and assess changes in a member’s conditions remotely, by noting patterns in the recorded biometric data. |
| Compatibility with standard electronic medical record (EMR) systems |
Integrates with industry-standard EMR applications in hospitals and clinics so that member data can be securely accessed and exchanged among clinicians and caregivers. |
Offers an extension to the most common electronic record-keeping systems so that accurate, timely information is always available to inform patient treatment and care. |
| Extensibility |
Includes an extensible framework that can easily incorporate new monitoring devices and different protocols. |
Adapts easily to the varying requirements of hospitals and clinics, giving healthcare providers numerous customization options to support specific workflows and protocols. |
| Proactive notifications |
Clinicians are notified if the member’s answers to daily questions or biometric data indicate a serious change in condition. |
Supports rapid intervention to correct problems when a member is shown to exhibit a potentially serious condition, potentially avoiding unnecessary hospital visits and adverse downturns in health. |
Remote Care Management Program Design Services
The correct planning and implementation of a remote care management (RCM) program is key to maximizing capabilities and seeing meaningful results. Using a four phase approach to program design (see Get Started), Care Innovations is able to assist MA plans of different sizes and needs with as much or as little program development and implementation support as they may need. In order to effectively build an RCM solution for your plan, Care Innovations will work closely with your team across several key planning elements.
Population Assessment
By identifying the right segment of your population that can benefit the most from remote care management, you can build a program that has the highest impact for the investment and maximize ROI. The Care Innovations professional services team will walk you through population assessment and stratification processes to best identify the members that will have the highest benefit from the program—and help yield better returns on your investment.
Member Engagement/Enrollment Services
Once you know the target population, the next step is to understand how to get members enrolled and engaged in the program. Factors such as demographics, access to data points, most effective communication vehicles, and health and technology literacy are important to an effective engagement strategy. Care Innovations has the experience to help build successful member engagement strategies based on best practices for your target population.
Clinical Program Design Services
Understanding the clinical integration requirements for delivering high quality of care in a way that drives behavior change and self-management is important for the ROI of your program. The right program design will help produce economies of scale around clinical interaction and the right level of workforce expertise for your specific population. Building an education and training program ensures program leaders are well-informed and proficient in how to most effectively utilize the Guide platform to ensure the success of the program for the long term. As the program grows, building out a power user base will help drive efficiencies and scale.
Operational Design and Development
While the Guide is a platform-as-a-service, partnering with the IT professionals in an organization can help ensure the most positive user experience for both the member and the clinical care teams. Partnership with the IT team helps identify infrastructure support requirements, security, and compliance to enable the effective access and flow of information between your enterprise and the Guide platform.
Program Execution Plan
Program execution services enable your organization to understand the complexity of deploying a larger number of instances of the Guide client application, driving the clinical team engagement, and supporting the logistics of execution. Carefully coordinating multiple resources and program elements helps to ensure the program is implemented on time. System readiness, training, and recruitment are aligned to bring the program to success.
Creating an Effective Remote Care Management Program
The correct planning and implementation of a remote care management (RCM) program is key to maximizing capabilities and seeing meaningful results. Following these four phases can help lead to a successful RCM program:
Get Started Now
Care Innovations has industry professionals who are well versed in change management, workflow transformation, and remote care program readiness. These experts provide professional services in a consultative fashion with payer organizations in order to guide them through a phased approach to a successful implementation. The first step to build a successful RCM program is to understand what it takes to build out the program plan—your blueprint for success. Care Innovations will provide an on-site, four-hour development session with your team to help define the requirements you need to succeed.
For more information and to request pricing for a workshop for your company, please click here to provide your contact information and a Care Innovations representative will be in touch with you.