CCMR for ACO
Our Customers

Care Coordination
Medical Record

Everything needed to support ACO,
PCMH, Home Health,
and Shared Savings initiatives 

 

CCMR for ACO

CCMR for ACO/Risk-Based Contracts

As the country considers various options for far-reaching healthcare reform, the patient-centered care model and shared savings programs provide alternative approaches to care delivery, performance measurement, and value-based payment reform that consider the continuum of patient care. In response to the need for a technology solution that provides payers, providers, and patients with the functionality required to deliver on the ACO/PCMH model, eClinicalWorks® has developed the Care Coordination Medical Record (CCMR) - an interoperability platform that supports the component parts of accountable care.

CCMR is a sophisticated web-based solution that leverages automation to help clients build high performance care teams, drive patient engagement, and integrate actionable reporting into population health management and quality improvement workflows. CCMR facilitates tight communication between all stakeholders, integrates into a community record as well as individual EMRs, and provides visibility that helps manage the most complex patients with the highest costs, while ensuring that all practices in the enterprise are achieving their clinical and financial goals.


The CCMR from eClinicalWorks includes: 

Analytics 

  • Cost utilization dashboards: gain insight into the total cost spent for your beneficiarie’s inpatient/outpatient, pharmacy, and DME services.  Identify high-cost/high-risk beneficiaries and help case managers and providers create better care plans using closed-loop analytics
  • Clinical Quality Measures: Provider outcomes vs. payer-defined quality measures.  Dashboards provide insight into your performance on PCMH and ACO measures
  • Population Health: create clinical quality dashboards and population health data visualization by zip code and region, analyze local results vs. national health trends 
  • Population Health Alerts: configurable by the community, quality threshold alerts, and dashboards to manage them all 

Patient Engagement 

  • Push a Visit Survey to your patients after their office visit that focuses on the patient experience during a single visit rather than over a period of time (Learn more about eClinicalWorks Patient Surveys)
  • Targeted, anonymous feedback about a visit provides medical practices with valuable information for monitoring and improvement
  • As a NCQA CAHPS survey vendor, eClinicalWorks can send the easy-to-complete CAHPS patient satisfaction survey questionnaire to your adult and pediatric patients and submit to NCQA
  • Engage patients through patient apps on their smartphones
  • Communicate with patients through voice, text or app notifications and receive patient responses at the point of care 

Care Planning

  • Member Management dashboards
  • Care Plan management and risk assessment
  • Patient-level dashboards to identify gaps in care
  • Patient Community Medical Record View
  • Schedule Management


Referral Network & Transitions in Care

  • Build a secure network of trusted providers for referrals and consultations
  • Address books for in-network and out-of-network providers
  • Connect and securely exchange data between providers that use any EMR or no EMR at all
  • Network leakage dashboards report on out-of-network referrals


Care Coordination Platform — (Interoperability)
 
  • Community integration platform that manages the secure exchange of data between ancillary service providers (labs, radiology, hospital information systems), local, state, and regional health information exchanges (HIEs), immunization registries, and ambulatory EMR systems
  • Integrated Enterprise Master Patient Index
  • Longitudinal view of each patient in the community (CCR/CCD/C32)
  • Receive payer feeds for cost and utilization

 

Hear what our customers have to say about eClinicalWorks CCMR



Meryl Moss, MPA - COO, Coastal Medical in Rhode Island


Brent Stackhouse, Executive Director, Primary Care Information Project, NYC

Why CCMR from eClinicalWorks? 

  • Single-vendor solution – integrated analytics and care coordination together on a single, unified platform
  • Comprehensive – contains all the tools needed to support ACO, PCMH, Home Health, and Shared Savings initiatives
  • EMR Neutral – The eClinicalWorks Care Coordination Medical Record (CCMR) can manage the secure exchange of data between all systems used within the community
  • Flexible – CCMR components are seamlessly stackable and can be used individually or together to create the right solution at the right price for your organization 
  • Affordable – CCMR brings the functionality of multiple systems together on the eClinicalWorks cloud with the ease of use of a single system
  • Value – CCMR delivers high value to every community and redefines healthcare ROI in terms of quality improvement, care management, and reduced costs across your care continuum