The workflow demands of care management programs are significant – and efficiency greatly affects efficacy.
To improve performance, SCIOinspire has developed PROGuide™, a cost-effective workflow system to manage the complex process of identifying and segmenting individuals to be targeted for care management programs.
PROGuide is designed to support suppliers of care management programs – including employers, health plan payers and care management companies.
PROGuide understands clients are challenged by:
- Lack of cost-effective workflow system
- Inadequate software to support efficient process management
- Lack of robust processes and outcomes tailored to each program sponsor’s unique needs
To streamline the workflow of care management initiatives, PROGuide delivers:
- Intervention programs that have been pre-configured for chronic conditions
- Electronic health record that consolidates all claims, interventions and self-reported data into a single patient record
- Workflows that tie all care management needs in one simple system
- Query functionality to find patients by condition or characteristic
- Interfaces with standard predictive modeling tools
- Patient deployment to work-teams for nurse case management
- Standard surveys, with user-friendly functionality to create new forms without programmer involvement
- Easy-to-use reports that allow nurses and management to track patient compliance and agent performance
- Financial modules to demonstrate Financial Savings Projections and Financial Savings Outcomes
Automating a wide array of internally provided or developed initiatives, PROGuide comes pre-configured with interventions for chronic conditions – and can be easily customized for client-specific initiatives. The software integrates seamlessly with SCIOinspire’s PROSpect and PROFormance modules for savings projections and outcomes reporting.
Tying all care management needs in one simple system, PROGuide assigns patients to work teams for case management, based on pre-established criteria. Easy-to-use reports enable nurses and case managers to track patient compliance, and allow management to assess performance. PROGuide creates comprehensive electronic health records for each patient, consolidating all claims, interventions and self-reported data into a single file – with search tools that allow users to query patient records based on characteristics or conditions.
- Driven by SCIOinspire’s proved identification and stratification algorithms
- Pre-configured with intervention programs for chronic conditions
- Highly customizable to clients' intervention programs
- Easily configured by end-users – does not require programmers
- Provides a consolidated electronic health record, including risk-scoring and continuous re-stratification
- Remote access and upload capability
- Robust reporting capability
- Integrated with PROSpect and PROFormance modules for savings projections and outcomes reporting
- PROGuide™ Health Management Outreach and Workflow Application
