Optimizing Chronic Care Management
Improve quality of care, patient health, and achieve operating and performance goals.
Privis Health’s Care Management platform overcomes the barriers of current and future reimbursement models. By using interface standards like HL7, CCD, CCDA, FHIR, and flat files, Privis Health’s integrated workflow engine accepts and centralizes data from EHRs, remote patient monitoring devices, labs, claims, pharmacies, health information exchanges, admissions, discharges, and transfers. Automated, evidenced-based workflows are produced to address the medical, social, behavioral, and economic issues affecting patient health and enable care managers assign health goals and coordinate services seamlessly across a multi-disciplinary team.
Our Population Health tools include analytics to segment patient cohorts and apply responsive health management strategies. Privis Health solutions include flexible models for team-based services, the ability to identify gaps in care, manage risk, and care pathways that address core measures and reporting requirements.
Population Reporting and Analytics
Privis Health’s predictive analytics are combined with insights into costs, resource utilization, gaps in care, co-morbidities, and behavioral health assessments to prioritize populations to manage and coordinate care. Our reporting tools enable visualization of data to guide care transformation processes and to improve economics under Fee-For-Service, optimizing return on investment for Value-Based contracts. Providers are able to view reports on their population by cost/utilization, disease, care setting, and care quality metrics.
Care Management Platform
Privis Health’s proprietary language allows for rapid configuration based on organizations’ workflows, priorities, and staffing. Privis Health’s Care Management platform connects a multi-disciplinary care team to coordinate a patient-centric care plan. Our sophisticated rules engine combines with evidence-based care pathways to generate care management tasks. The configurable workflow engine assigns tasks to appropriate care team members at the appropriate time and incorporates advanced programing to ensure task assignment, execution, escalation, rerouting, and re-prioritization.
Privis Health partners with an experienced team of healthcare executives who have created successful Population Health and Provider-led Care Management programs. As value-based payment models take hold, providers are working together in new ways to achieve the goals of better quality, better health, and better control over healthcare costs. A strategic roadmap is an essential ingredient to achieve the promise of successful population health management and a continuously improving learning health system. Our approach is to become your partner and fully understand your patient population characteristics, provider networks, payer mix, current resources, and other key data before working with you to devise a roadmap to Population Health and Value-Based contracts.