Meet Integrated Care Management
Learning Objectives
After completing this unit, you’ll be able to:
- Explain how Integrated Care Management streamlines patient care.
- Describe the main stages of the Integrated Care Management lifecycle.
Bridge Gaps in Care Delivery
Care management involves the strategies and processes healthcare organizations use to help their members manage various health conditions more effectively. When done right, care management enhances care coordination, reduces duplicate medical services, increases engagement, and ultimately, improves health outcomes.
Health organizations are increasingly drawn to the promise of care management, particularly as the challenges in healthcare grow starker. The rising prevalence of chronic diseases represents a significant administrative burden for health organizations.
Unfortunately, in practice, care management is often hampered by outdated and disconnected systems, creating gaps in effective provider-payer coordination and patient care. Keeping track of everything is often a manual, error-prone process that involves numerous care professionals in different silos.
This burden often falls overwhelmingly on patients and their caregivers. All this friction leads to further inefficiencies, confusion, and a lack of trust in the care management process.
The Salesforce Integrated Care Management (ICM) feature bridges these gaps. It delivers an end-to-end care management solution with intelligent automation, personalized care plans, and scalable collaboration.
ICM offers powerful capabilities for streamlining your care processes.
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Intelligent care gap identification: Evaluate measures to pinpoint gaps in care for high-risk individuals, enabling the development of effective interventions.
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Personalized care planning: Author and administer assessments to create tailored care plans, ensuring a patient-centered approach.
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Data-driven care coordination: Facilitate greater interoperability with external electronic health record systems through a data model fully aligned with the industry standards defined by Fast Healthcare Interoperability Resources Release #4 (FHIR R4).
Streamline the Care Journey
ICM is built into the Salesforce core platform and integrates seamlessly with other solutions such as Utilization Management, Unified Health Scoring, and Home Health.
Leveraging Omnistudio and other core platform capabilities, ICM provides prebuilt applications, templates, and workflows that healthcare organizations can use to deliver personalized care quickly and effectively. Of course, they can always fully customize these prebuilt tools to fit their specific needs.
ICM involves multiple stages with different challenges and goals. Review this table to learn how Health Cloud offers capabilities across the entire care journey.
Stage |
Key Capabilities |
|---|---|
Risk Identification and Stratification |
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Member Outreach and Enrollment |
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Care Assessment and Planning |
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Care Management and Coordination |
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Care Engagement and Evaluation |
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Regulation and Compliance |
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Additional tools and features support users across the entire care management lifecycle.
Care plan analytics tools enhance the operational efficiency of care teams by embedding analytic dashboards directly into the Care Plan workflow. Here’s an example of a dashboard displaying all active members enrolled in a care plan. The dashboard also provides a concise summary of member’s progress and all upcoming and overdue tasks.
Care managers and other key stakeholders can use the dashboard to prioritize their daily tasks effectively, monitor patient progress, and identify which patients require the most attention.
And the integration of Care Coordination with Slack transforms healthcare from episodic to complete. This integration streamlines workflows by providing timely patient health updates to care coordinators through Slack notifications, empowering them to engage patients at the correct time.
The integration also facilitates better task management and care coordination across various settings—whether in the hospital, at home, or elsewhere.
You now have a basic handle on the basic capabilities of Integrated Care Management and its potential to enhance healthcare efficiency and outcomes. In the next unit, see these tools in action!