Care management service provider organizations may differ in their focus, patient population, or approach to supporting clinicians. Still, they share one common goal: to deliver value to both providers and patients while maximizing the number of patients they can support with an efficient care management team.
Some care management service providers focus on a specific patient population—by age or disease—or they specialize in working with primary or specialty care practices or Accountable Care Organizations (ACOs). Others combine services, such as home health, hospice, or palliative care, with care management services.
Despite these differences and the distinct way that each company approaches delivery, they share five directives to successfully grow their businesses and provide high value to customers, including:
Artificial intelligence (AI) utilizes technologies, such as:
It leverages these technologies to streamline care management functions, automate numerous tasks, and alleviate cognitive and administrative burdens.
Within care management, AI is transformational, enabling care management service providers to deliver more value to clients and their patients through proactive, personalized, and efficient services.
ThoroughCare helps providers succeed with care management through a software platform and insights from our Clinical Advisory Team, offering a range of AI and automation capabilities. These co-pilot, AI-assistant tools give service providers a leg up by facilitating their ability to:
In simple terms, these advanced technologies give care management service providers the capacity to attract more clients, demonstrate definitive value, and secure more deals, which are essential for sustainable growth.
Clinicians outsource care management to increase their capacity to deliver high-quality care. Those same companies use ThoroughCare to maximize their team’s ability to create positive change efficiently, serving more patients on their behalf.
We’ve built the ThoroughCare platform, along with Advisory Services, to capitalize on the following AI and automation features that optimize efficiency, maintain accuracy and compliance, and scale reach.
Our AI features maximize staff time and deliver enhanced efficiency through:
AI generates and formats post-call notes automatically, reducing the time care managers spend on documentation while minimizing errors.
AI analyzes call conversations to automatically create tasks, ensuring timely follow-ups and improved task accuracy.
AI analyzes patient data to suggest personalized care plans, including SMART goals and interventions. These tailored recommendations enhance the relevance and effectiveness of patient interactions, promoting active participation in their own care.
AI provides pre-call summaries by extracting relevant information from patient profiles and previous contacts, enabling more focused and effective patient conversations.
With built-in VOIP capabilities, care coordinators can initiate, receive, and manage calls directly within the platform, eliminating the need to switch between multiple systems. This streamlines communication, making it easier to maintain consistent and meaningful contact with patients.
In our analysis, ThoroughCare clients using AI features have experienced a 50%+ increase in care manager productivity and a 70%+ increase in task accuracy.
Our automation features streamline the day-to-day volume of care management tasks and duties, including:
Evidence-based, guided assessments are easily accessible within the care management platform. This makes it easy for care managers to collect timely information while focusing on the patient, rather than the task of completing surveys.
Other assessments, like those in the Advance Care Planning module, guide the care team through conversations related to end-of-life planning.
Additionally, custom assessments geared to a particular client can be added through collaboration with our advisory services team.
Each care management program offered through ThoroughCare is available with just a few clicks. Simply add or upload patient information and start coordinating.
Our built-in workflows are designed to meet CMS requirements for enrollment, time tracking, and documentation of care management programs. This ensures that all necessary elements for delivering compliant services are accounted for and addressed.
For example, the Chronic Care Management (CCM) module presents an initial and ongoing monthly workflow. It visually guides the care manager through each aspect of required tasks, such as:
Automated worklists show care managers which patients to engage, when, and why.
This helps them prioritize their work and manage their daily outreach and tasks easily. Sort and filter population data or focus on a specific patient’s profile right from the worklist.
Utilize various analytics dashboards to pinpoint a specific risk level, care gap, or performance metric that requires immediate attention. Manage high-risk patients and intervene more quickly when deadlines, workflows, or remote patient data are not met.
KPI dashboards and reports provide critical insights across five performance areas, including:
For example, the Chronic Care Management dashboard highlights patient health outcomes, care team efficiency, and overall program effectiveness. It also shows rates of patient engagement, participation, and inactivity over time.
The Remote Patient Monitoring (RPM) dashboard focuses on performance, effectiveness, and outcomes. It includes alert notifications, abnormal health metrics, patient engagement and interactions, calls, time, and claims generated.
Access to key patient information and documentation is essential for managing a large number of patients effectively and efficiently.
ThoroughCare integrates directly with many electronic health records, enabling the automated import and sharing of data. This includes individual patient records, ICD-10 codes, SNOMED codes, as well as basic and advanced clinical and financial information.
Robust interoperability ensures the care management team has seamless access to the necessary patient information. They can utilize that information to engage patients efficiently, deliver targeted interventions, and support timely education, goal-setting, and care coordination activities.
ThoroughCare partners with care management companies to help them deliver greater value to more clients and patients through efficient and effective care management. Our AI and automation capabilities accelerate care and maximize every interaction and touchpoint.
By partnering with us, vendors can deliver 10-15x ROI and enable their clinical clients to experience the benefits of outsourcing faster, including: