Data Sheet IBM Care Management Solutions A better way to deliver comprehensive care
Highlights Better coordinate care by unlocking the potential of data Help care managers to work smarter with advanced workflow tools Optimize care management through personalized interventions Scale patient engagement to deliver better patient care IBM Watson Care Manager IBM Care Management solutions can help improve care coordination through personalized care plans, automated care management workflows, and integrated patient engagement capabilities to support the care management process and improve patient care across a population. Problem Your population health performance depends on your ability to guide patient care across the care continuum. Coordinating care among care teams and providers those that work together and those in different care settings is a key contributor to realizing your goals and managing the health of the population for which you are accountable. Solution IBM Care Management solutions help healthcare organizations unlock and integrate the breadth of information from multiple systems and care providers, automate care management workflows, and scale patient engagement efforts. Give your care teams the ability to individualize patient care needs and recommend action on the optimal combination of treatment, services, and benefits, all leading to the best possible patient care across your population. Unlock the potential of data With IBM Care Management solutions, you ll get a 360-degree view of your attributed population, defined sub-populations, and individual patients. An advanced data integration engine helps healthcare organizations determine insights from multiple systems and care providers. Using a robust platform and ecosystem, IBM Care Management solutions help you connect systems and capture data across your community, gain insight through near real-time analytics, accelerate caregiver access to data, and rapidly implement new applications to support population health. IBM Care Management solutions also encapsulate an integrated view of each patient s health status, including psychosocial risk factors used when calculating patient risk and prioritizing tasks. IBM Care Management solutions give care managers the information they need to develop individualized care plans for each patient. These plans are fully coordinated with resources across the continuum of care and the community health providers. Automate care management workflows Care managers will act efficiently with IBM Care Management solutions. The platform generates to-do tasks, alerts, and reminders and routes them to the responsible cross-continuum care team member. These activities are triggered automatically in response to near real-time patient data, and reflect the highest-priority clinical and psychosocial needs of your patients. Create care plans, goals, and interventions built on a flexible workflow, personalize the care plan, collaborate with other care team members, adjust the plan as needed, and monitor results and outcomes. Streamlined tools instantly show you which patients require immediate attention, delivering precise history and health data on those patients, and offer easier, more effective ways to record your activities and results. Page 2
Scale patient engagement An automated engagement platform helps you interact with more patients, more effectively, in much less time. By integrating evidence-based clinical guidelines into each patient-centric care plan, care managers can identify the best personalized intervention to deliver across their population. Built-in intelligence optimizes time for scheduling, developing care plans, managing work lists, and conducting assessments. IBM Care Management solutions make it easier to personalize and track individual patient interactions while interoperating with other Population Health solutions. Care Management Solutions: Features and potential benefits Establish a central, 360-degree patient record, using information that spans across systems and care providers to create a more complete picture of health status. Coordinate with provider workflows to allow for shared care plans and team-based care. Provide meaningful, personalized care pathways to individuals that help drive behavior change, leading to better health and lower costs. Identify care gaps and personalized care management opportunities using evidence-based guidelines. Increase the productivity of care managers with guided care planning, documentation, and follow-up using integrated tools that communicate with patients and helps enable care providers to spend more productive time with their patients. Utilize an automated patient engagement platform to allow for a broader and more persistent care management reach. Provide flexible care management workflow tools to support multiple initiatives at scale including ACOs, care transitions, palliative care, and complex disease management. Build flexibility into operations to support cost reduction and excellence in clinical and outcome performance and practices. A better way to deliver comprehensive care IBM Care Management solutions enable care management teams to create and administer optimal outcome plans for individuals and their families. By reducing the burden of administrative paperwork, care teams can focus on serving the patient and ascertaining the most appropriate care plan for their individual and specific needs. With IBM Care Management solutions, care providers design personalized care plans, coordinate care delivery that spans multidisciplinary teams, and engage individuals directly to help improve patient care. Page 3
About IBM In April 2015, IBM launched IBM and the Cloud platform. The new unit will work with doctors, researchers and insurers to help them innovate by surfacing insights from the massive amount of personal health data being created and shared daily. The Watson Health Cloud can mask patient identities and allow for information to be shared and combined with a dynamic and constantly growing aggregated view of clinical, research and social health data. For more information on IBM, visit: ibm.com/watsonhealth. Page 4
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