Care Coordination

Center Care Coordination Around the Member

Proper care coordination is a pillar of successful value-based care. It aims to improve healthcare outcomes by breaking down silos in care between providers, reduce costs by removing redundant tests and procedures, and to make navigating the healthcare system easier for members, especially those with chronic conditions or comorbidities.

Effective communication across the care continuum drives value-based care initiatives. When a member’s needs are identified and communicated to the right parties at the right time, care coordination can improve health outcomes and lower post-acute care costs. A lack of information, inaccurate data transfer, and disjointed communication can lead to adverse events, such as hospital readmissions.

HELIOS^® care coordination creates a single centralized ecosystem to power care team collaboration as members transition between acute care settings, skilled nursing facilities, and the home. The HELIOS^® platform for care coordination outlines the right setting of care for a member and streamlines information exchange as members transition between care settings. Role-based access to member information allows real-time interaction via secure communication.

Easy, intuitive navigation ensures that important information is within two clicks. Seamless integration with IVR and third-party technologies, wearables, and connected devices means that care coordinators have the most up-to-date information at all times to increase productivity and efficiency.

Center Care Coordination Around the Member

Bi-directional data exchange and communication guarantees timely and comprehensive information is shared with the entire care team.
Caseload management algorithms properly utilize care coordination team resources.
Automated workflows and business rules leverage real-time risk stratification and direct care to the right members at the right time.
Customizable assessments and pre-populated care plans reduce administrative work and minimize human error.
Robust functionality enables care managers to monitor and manage timely, high-quality referrals and transitions.
Access to community resources ensures appropriate supports and increases member engagement.

Create Best Practices in Care Transitions

Intelligent workflows and configurable rules enable your care coordinators to provide high-quality, efficient transitions between care settings. Integrated care management provides a single point of access to care team members and service providers. A dedicated portal allows care managers to share important educational materials with the member in real-time. Intuitive reporting capabilities identify and manage care gaps.

Plan Comprehensive Discharge

Automated tasking helps organize comprehensive discharge planning and ensures all proper protocol is followed, including symptom assessment, medication review, community resource needs evaluation, and any additional outreach.

Easily Exchange All Vital Clinical Data

HELIOS^® delivers all information to the care team’s fingertips including: diagnoses, test and procedure results, medication lists, case notes, advance directives, caregiver status, physician information, and suggested follow-up care.

Share Educational Materials and Content

Care managers can quickly access a library of materials and instantly share items with the member, the caregiver, and the care team. Materials can include documents, videos, and other media files.

Perform Medication Reconciliation

The care team can perform medication reconciliation throughout each transition, check for medication accuracy, and receive alerts of discrepancies or adverse effects. Triggers prompt care coordinators to check for social or financial barriers to accessing medications and users can affect remediation from the platform.

Timely Follow-Up Post Discharge

Automatic workflows and triggers notify care coordinators to schedule discharge follow-up and home visits, perform medication management, and respond to members for any unforeseen needs.

Communicate and Collaborate

Care coordinators can easily communicate with multidisciplinary teams across care settings through secure messaging, case note functionality, tasking, and referrals. All related information is immediately accessible and workstreams follow defined responsibilities.