Enterprise-Wide Care Management Platform for Integrated Community Health Services

The healthcare organization requires a comprehensive care management solution that addresses fragmented data sources and inefficient care coordination across multiple clinics. Existing systems lack full feature sets, integration capabilities, and scalability to meet evolving community healthcare needs, resulting in suboptimal patient care and limited visibility into patient data.

A large nonprofit healthcare network consisting of multiple community health centers aiming to enhance care coordination and data integration.

• Implement a scalable, enterprise-class care management platform that facilitates timely and appropriate care by care managers.
• Create a unified data aggregation system to provide a single, comprehensive view of each community member, integrating multiple data sources including demographic and medical information.
• Develop a multitenant architecture that supports multiple care management entities with secure, role-based data access.
• Establish an open, extensible platform that enables future integration with web portals, mobile apps, and external data systems.

• Comprehensive care management toolkit with features for care planning, tracking, and coordination
• Single view dashboard aggregating patient demographic, clinical, and external data sources
• Multitenant support with role-based access control for different care teams and agencies
• Open platform architecture enabling seamless integration with external web portals, mobile applications, and health data systems
• Real-time data synchronization and bidirectional integration with existing data warehouses
• Data security and compliance features adhering to HIPAA and data privacy standards

• HL7 data aggregation systems for clinical and demographic data
• Data warehouse for patient medical records and demographic information
• External web portals for patient and community engagement
• Mobile applications for care management staff

• High system availability and scalability to support multiple clinics and users
• Secure data handling ensuring HIPAA compliance
• Fast response times and real-time data updates
• Easy extensibility for future feature additions and integrations

The implementation of a unified, extensible care management platform is expected to significantly enhance care coordination, improve patient outcomes, and streamline data management processes. Targeted enhancements aim to provide care teams with real-time, comprehensive data views, leading to more timely interventions and efficient resource utilization across multiple community clinics.