Client Overview
The client is a US-based healthcare accountable care organization (ACO) that specializes in providing comprehensive healthcare consultation services. Their primary focus is on delivering high-quality care to various healthcare facilities, including skilled nursing homes. Additionally, they excel in facilitating the transition of patients from these facilities to home care services. They are also adept at managing patients with multiple chronic diseases, ensuring continuous and coordinated care to improve patient outcomes and overall health.
Business challenges
While delivering healthcare services across multiple areas of care coordination, the client is particularly interested in adopting a Chronic Care Management (CCM) program. This interest stems from the potential to establish an additional revenue stream. By implementing the CCM program, the client anticipates generating recurring revenue over an unlimited period, thereby enhancing the financial sustainability and growth of the organization.
Solution
To increase the practice's revenue, the client has contacted Medarch Inc. to implement the Chronic Care Management software. This software is expected to streamline processes and efficiently manage the high patient population enrolled in the CCM program. By leveraging eCareMD's technology, the client aims to ensure smoother operations, better patient outcomes, and more effective management of chronic conditions. This strategic partnership with eCareMD is seen as a crucial step in optimizing their care coordination efforts and realizing the financial benefits of the CCM program.
Solution Highlights
The eCareMD software comprises advanced cutting-edge technological features that embrace smoother practice workflow, automated operations, and optimum level of accuracy that results in increased practice efficiency and ultimately enhanced quality of care delivery.
Here are some of the specialized features of eCareMD that revolutionized the practice operations.
1. Bulk Patient Invite and Ease in Enrollment
Manual operations, such as inviting and enrolling each patient individually, present a significant challenge and consume considerable time for practice staff. This challenge is effectively addressed by eCareMD’s bulk patient invite functionality, which allows care providers to send invitations to hundreds of patients with a single click. Additionally, the software supports patient enrollment through both verbal and written consent. This streamlined patient outreach process has increased practice efficiency by 40%, resulting in higher revenue.
2. Care Plan Creation and Management
- Personalized Care Plans
Achieving optimal patient health outcomes requires a care plan that accurately addresses the patient's specific health needs and requirements. The eCareMD software recommends the most suitable care plans based on the patient's chronic conditions. These personalized care plans lead to better patient health outcomes and higher satisfaction levels. - Care Plan Updates
The eCareMD software allows care providers to continuously update patient care plans based on their health condition, whether complex or non-complex. Monthly goals, barriers, symptoms, interventions, medications, labs, and vitals can be quickly revised. This ensures that patients clearly understand the necessary actions for their care.
3. Care Coordination and Communication Tools
- Interdisciplinary Coordination
Enhanced patient health outcomes can only be achieved through coordinated care. Fragmented operations can negatively impact practice efficiency, patient satisfaction, and overall health outcomes. The eCareMD software addresses these challenges by offering efficient task management, call scheduling, and alert management functionalities. It allows care providers to assign tasks to other providers, schedule calls, and manage alerts seamlessly. These coordinated activities reduce confusion among providers and streamline patient care, ultimately leading to better health outcomes and higher satisfaction levels. - Patient Communication
Continuous communication with patients is essential for achieving improved health outcomes. The eCareMD software enables care providers to make instant calls, schedule recurring calls, engage in real-time chat, and send SMS messages. These communication tools help keep both care providers and patients connected for health updates and suggestions. This increased communication reduces confusion and fosters patient confidence and engagement with their treatment plans, leading to a 35% increase in patient satisfaction.
4. Billing and Documentation Compliance
- Automated Billing
Accurate and compliant billing reports are essential for maximizing reimbursement. The eCareMD software supports ICD-10 codes, ensuring that eligible CPT codes are automatically qualified based on the services provided and the time spent. As the required time is met, the corresponding CPT code is automatically applied, eliminating providers needing to manually track and log the code. This streamlines the billing process and reduces the risk of errors. - Comprehensive Documentation
The eCareMD software generates a care plan report of the clinical activities, such as care plan assignment information, monthly updates, time logs, calls, and all other clinical details. This comprehensive care plan report helps in giving complete treatment information for audit purposes.
Value Delivered
1. Increased Practice Efficiency by 40%
The bulk patient invite and streamlined enrollment features of eCareMD significantly reduced manual operations, allowing the practice to handle patient outreach more efficiently. This improvement in workflow increased overall practice efficiency by 40%.
2. Boosted Revenue by 25%
The automated billing and documentation compliance features ensured accurate and timely reimbursement for services provided. This led to a 25% increase in revenue for the client, making the CCM program a sustainable and profitable venture.
3. Improved Patient Satisfaction by 35%
Personalized care plans and continuous communication tools provided by eCareMD enhanced patient engagement and satisfaction. As a result, patient satisfaction levels saw a 35% increase, leading to better health outcomes and higher retention rates.
4. Enhanced Care Coordination Leading to 30% Better Health Outcomes
By enabling interdisciplinary coordination through efficient task management, call scheduling, and real-time communication, eCareMD improved the quality of care delivered. This coordinated approach led to a 30% improvement in patient health outcomes, especially for those with chronic conditions.
5. Reduction in Billing Errors by 20%
The automated billing features of eCareMD, which include ICD-10 and CPT code support, reduced billing errors by 20%. This minimized revenue loss and improved compliance with healthcare regulations, enhancing the practice's financial stability.