Advertisement
Member-centric, rather than case-centric, solutions are becoming anincreasingly valuable tool used by care management organizations. Many caremanagement solutions on the market today do not offer their case and diseasemanagement tools in one integrated platform. Member-centric solutions enablemulti-disciplinary teams to simultaneously collaborate, coordinate and managepersonalized care for members.
Advertisement
"Most healthcare insurers face a host of challenges with their caremanagement system, including inflexible technology and fragmented,disconnected legacy systems that don't support the sharing of information,"said Joanne Galimi, research vice president, Gartner. "The need to share caremanagement information in real time among stakeholders and variousapplications in a health insurer organization is increasingly a keydifferentiator. Health insurers must adopt care management applications thatare able to interoperate within and outside of the payer organization to beable to meet both current and future IT requirements."
Casenet version 3.0 incorporates a number of innovative features to itsintegrated care management platform that will enhance care and streamlineworkflow, specifically:
-- Graphically-based Reporting -- The easy-to-use "point, click, done"report functionality provided in Casenet version 3.0 offers users a consistentview of information and report generation across multi-disciplinary teams.Staff can quickly identify key pieces of information on individuals or apopulation of members without searching in disparate information systems.User-friendly filtering tools allow users to efficiently sift through largedatasets pinpointing key data points/events. Graphical representation ofselected data is only one click away. For example, review of informationrelated to appeals and grievances, regardless of the program from which therequest was generated, can be reviewed for organizational compliance withstate and federal regulations. Report information produced is complete andactionable, facilitating not only organizational reporting but also relatedquality improvement initiatives.
-- Member-focused -- Casenet offers a fully integrated care management,disease management and utilization management platform enabling users to workon the same case at the same time. Because version 3.0 is focused on themember or patient, not the case itself, caregivers have the ability to accessand update information on multiple cases at the same time. This allows for aunique type of collaboration focused on the individual along the entire carecontinuum. For example, a disease manager can be in a member's recordupdating a care plan at the same time as the social worker is documentinginformation while in the member's home and a utilization review nurse isapproving outpatient use of durable medical equipment.
-- Always available -- Version 3.0 enhances Casenet's TruMobil(TM)solution that offers "always-on" availability providing users full applicationfunctionality anywhere, anytime even without an Internet connection. Entriesare auto-synchronized and updated when the user reconnects. This is especiallyuseful for staff working in locations where an Internet connection is notpossible, such as hospital intensive care units, employer worksite clinics ora member's home.
"Casenet is de
