Client Overview
The client is US-based in Florida with a medium-sized practice to manage patients with kidney-related diseases. They have a patient population with all age groups and all severities. The client specializes in consultation and providing home care services to patients over 60 who cannot obtain healthcare resources. The client has a limited staff to manage all patients coming to the office and at their homes. It is challenging to ensure proper collaboration and coordination with all providers to deliver quality care services. Hence, the client is looking for virtual telehealth consultation and care coordination services to help manage their patients who are at home and need continuous care while increasing the practice's revenue.
Objectives and Challenges
With fragmented care and frustrated staff issues, the client has struggled to maintain accountability in providing quality care. In addition, below are some significant challenges that clients face while delivering care to patients.
1. Fragmented patient medical records
Due to the routine patient monitoring schedules of the staff, the care providers change at each visit because of their busy schedules. Hence, delivering care to patients at their homes creates multiple records of providers who have given care to them. This inconsistency in patient medical records prevents centralized access for the staff members. It results in difficulties in decision-making for care providers and ultimately hampers the quality of care delivery and patient satisfaction.
2. Lack of collaboration between patients and caregivers
Coordination between various care team members and patients plays a crucial part in achieving patient’s expected health outcomes. As various providers have given clinical treatment to a patient, there has been increased confusion due to the lack of care coordination between them. It ultimately affected the quality of care delivery and patient satisfaction levels.
3. High Patient Monitoring demands
CKD patients require frequent monitoring of vital signs, lab results, and medication adherence. It puts strain on care providers as the client practices as limited resources.
4. Regulatory Compliance and Documentation
Chronic kidney disease requires various clinical activities and documentation of such things in compliance with CMS regulations. Documenting the patient’s care plan, medication, routine checkups, and findings was a significant challenge for the client, which affected their decision-making regarding patient health. It affected patient confidence and revenue as well.
Solution
The client has approached eCareMD care coordination software to manage their care coordination services. After an initial introduction, our team of subject matter experts took multiple calls with their team, understood their business processes, and developed a CMS chronic care management program. This program can resolve all their problems and demonstrate how the eCareMD software utilizes chronic care management services and how it will provide better opportunities for recurring revenue.
Solution Highlights
1. Comprehensive patient record management
The eCareMD software empowered care providers to make prompt decisions about patient health, monitor the patient's health progress, and provide suggestions to the patient. This comprehensive patient record management instilled a sense of confidence in care providers, ultimately improving patient satisfaction levels.
2. Flexibility in patient communication and collaboration
To increase the coordination between the care providers and patients, the eCareMD software enabled care providers to assign tasks such as daily/weekly chart review, prescription refills, care plan and assessment review, etc. Also, the care providers can schedule calls for patients and assign them to their care team members. It helped in the smoother completion of various tasks and increased patient-provider communication.
3. Streamlined telehealth consultation and access to multiple provider groups
To monitor the patient's health regularly, the eCareMD software enabled care providers to consult them over the telephone and give them medication plans and guidance. Also, to handle higher patient counts with limited resources, the software allows some care providers to access patients virtually from other provider groups, which increases the productivity of a provider and the practice.
4. Compliant and comprehensive reports
Recording every aspect of the patient's health and the care provider's activity helps to deliver more patient-centered care, informed decision-making, and audit purposes. The eCareMD software combines all these and creates a care plan report that includes clinical activities performed, time logged, calls made, etc. Also, the software generates billing reports for the patient in compliance with CMS (Centre for Medicare & Medicaid Services). These comprehensive reports build the authenticity of the treatment and enhance patient health outcomes and practice revenue.
Value Delivered
1. Improved Care Coordination and Decision-Making
Implementing eCareMD's comprehensive patient record management system resulted in a 35% increase in care providers' ability to make prompt and informed decisions, leading to a 20% improvement in patient health outcomes.
2. Enhanced Patient-Provider Communication
The flexibility in patient communication and collaboration features of eCareMD led to a 40% increase in task completion rates among care providers, reducing delays in patient care and boosting patient engagement by 30%.
3. Streamlined Telehealth Consultations
eCareMD's telehealth consultation capabilities, combined with access to multiple provider groups, enabled the practice to handle 50% more patients without increasing staff, resulting in a 25% increase in overall practice productivity.
4. CMS-Compliant Documentation and Reporting
The comprehensive reporting features of eCareMD, which ensured compliance with CMS regulations, resulted in a 30% reduction in documentation errors and a 15% increase in successful reimbursement claims.