Software provides integrated medical management.
Press Release Summary:
CarePlanner Web 3.0 utilizes Analytics and Disease Management to identify patients to be managed within particular disease management plans. Documented information derived from claims data can be used to pre-populate questionnaires that case managers use to interview patients and providers. Questionnaires are assessed to generate list of potential nursing issues. Integrated letter engine facilitates automated correspondence.
Original Press Release:
MEDecision's Next Generation Web Platform Delivers Higher Degree of Usability
Seamless Integration of Data from Predictive Modeling Drives Patient Plans of Care
WAYNE, Penn. - February 24, 2004 - MEDecision Inc., a software and services leader in care management, today announced immediate availability of CarePlanner Web 3.0, MEDecision's next-generation Web platform that integrates case, disease, and utilization management to deliver a higher degree of usability.
CarePlanner Web responds to the demands of the healthcare industry to increase operational efficiencies while delivering higher quality patient outcomes. With CarePlanner Web 3.0, the company leverages its 15 years of expertise to extend the foundation for Web-enabled Integrated Medical Management (IMM), the platform for uniting disparate, best-of-breed care management systems into a single, holistic solution. By refining its automated workflow and detection tools and incorporating a Web interface, MEDecision delivers a care management system that helps managed care organizations (MCOs) achieve better ease of use and quicker adoption of IMM to slash administrative costs and cut medical loss ratios while enabling provision of the highest quality of care.
"Nobody benefits from today's healthcare crunch. High costs and threatened quality of care are detrimental to patients, providers, and payers alike," said John H. Capobianco, president and chief marketing officer at MEDecision. "CarePlanner Web reverses this lose-lose scenario by streamlining administrative functions and laying a foundation for consistent, end-to-end care management integration. As a result, quality of care enjoys a two-fold improvement. CarePlanner Web enables better patient management while encouraging expanded patient-focused clinical efforts as MCOs reallocate surplus resources."
Weaving the CarePlanner Web
Proactively Managing the Population
At the core of MEDecision's Integrated Medical Management solution, CarePlanner Web 3.0 leverages integration of MEDecision's Analytics and Disease Management to identify patients needing to be managed within particular disease management plans, enabling MCOs to create the right programs and provide appropriate feedback to providers to maximize patient care.
Once the patients are identified for management, CarePlanner Web 3.0 can document and manage specific contacts for case management. The system can record and document the next-door neighbor for a frail, elderly patient, so the case manager can call the neighbor to check on the patient rather than contacting 911 emergency services.
Combining Predictive Capabilities with Clinical Management
With CarePlanner Web 3.0, documented patient information derived from claims data can be used to pre-populate questionnaires case managers use to interview patients and providers. In addition to increasing administrative efficiencies by eliminating manual data entry, pre-population drives higher levels of care to patients by generating integrated action plans tailored to each patient. Additionally, CarePlanner Web 3.0 enhances the analytics process within IMM by assessing questionnaire answers and then generating a list of nursing problems for which case managers should be managing, thereby improving the quality of care by ensuring a consistent process across all patients.
As an Integrated Medical Management component, CarePlanner Web 3.0 delivers an integrated letter engine for better facilitation of automated correspondence. This integrated solution enables organizations to: 1) utilize advanced formatting features as part of their letters - provides the benefit of having the letter tailored to the specific situation; 2) include secured electronic signatures - provides the benefit of having the personal touch with a signature, but without the risk of the signatures being utilized within the organization for other purposes; and 3) trigger other documents to be sent based on this document - provides the benefit of ensuring consistency by not requiring the users to remember to select multiple documents.
Marking the company's expansion into standardized software, CarePlanner Web 3.0 users now can manage their own system values through Web-enabled table maintenance.
About Integrated Medical Management
Integrated Medical Management (IMM) is both a vision and product solution born out of the healthcare industry's need to unite disparate, best-of-breed care management systems into a single, holistic solution. The goal: 1) handle information more efficiently, and apply rules more consistently throughout the medical management decision-making process, and 2) recognize and leverage the interdependencies of care management, analytics, and transaction/authorization systems. The result is higher quality healthcare at lower costs.
MEDecision's IMM software platform fuses best-of-breed applications in Analytics and Disease Management, Advanced Medical Management, and Transactioning and Automated Authorizations. MCOs use the resulting solution to identify high-risk, high-cost members, diseases and conditions, which then automatically feed the programs needed to improve patient care and optimize costs. Further, MEDecision's IMM automates healthcare transactions between MCOs and providers, thereby allowing the automated systems to focus on costs and allowing the professionals to focus on outcomes, while driving a consistent clinical philosophy throughout the care management process.
About MEDecision
MEDecision is a leading software and services provider of integrated care management solutions. Founded in 1988, the company specializes in linking patients, providers and payers in an information network that relies upon electronic health records to improve overall health outcomes and reduce costs. MEDecision's software products are being used by more than 50 managed care organizations to improve the quality of healthcare and reduce both administrative and unnecessary clinical costs for approximately one in every seven Americans with health insurance. For more information about MEDecision and Integrated Medical Management, please call 610-254-0202, email Marketing@MEDecision.com
