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Population Health
Your Population Health Management Partner
Care Planning
Gain a holistic view of the overall health and wellness of each patient using a cross-functional care team to monitor daily activities.
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Chronic Care Management (CCM)
Manage care and promote better health outcomes for patients with multiple chronic conditions who are eligible for Medicare or managed-care programs.
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Transition Care Management (TCM)
Help ensure continuity of care for patients moving between acute and ambulatory settings, and better understand who is being hospitalized and why.
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Care Plan Oversight
The eClinicalWorks Care Plan Oversight module helps practices manage patients’ post-acute care and provide home health supervision (certifications/recertifications) and time-based services.
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Remote Patient Monitoring
The healow Remote Patient Monitoring (RPM) module gathers physiological data from patient wearables and trackers to monitor patient health, gain insights, interpret health trends, and capture time-based activities.
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Hierarchical Condition Category (HCC)
Identify coding gaps based on historical coding data, display secondary manifestation codes, and update RAF scores at the point of care.
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HEDIS® Measures
Choose from more than 100 clinical quality measures designed to improve healthcare delivery, measure compliance, and evaluate provider performance.
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Disease Explorer
Gain better visibility and sharper insight into your patient population to target high-risk patients and prioritize care for those who need immediate attention.
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Cost and Utilization Explorer
Gain access to Medicare claims data that can yield insights needed to meet the challenges of value-based healthcare models.
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Patient-Centered Medical Home
Use this self-guided operational improvement program to put your patients at the center of your practice.
Click to enlarge
Your Population Health Management Partner
Care Planning
Gain a holistic view of the overall health and wellness of each patient using a cross-functional care team to monitor daily activities.
Click to enlarge
Chronic Care Management (CCM)
Manage care and promote better health outcomes for patients with multiple chronic conditions who are eligible for Medicare or managed-care programs.
Click to enlarge
Transition Care Management (TCM)
Help ensure continuity of care for patients moving between acute and ambulatory settings, and better understand who is being hospitalized and why.
Click to enlarge
Care Plan Oversight
The eClinicalWorks Care Plan Oversight module helps practices manage patients’ post-acute care and provide home health supervision (certifications/recertifications) and time-based services.
Click to enlarge
Remote Patient Monitoring
The healow Remote Patient Monitoring (RPM) module gathers physiological data from patient wearables and trackers to monitor patient health, gain insights, interpret health trends, and capture time-based activities.
Click to enlarge
Hierarchical Condition Category (HCC)
Identify coding gaps based on historical coding data, display secondary manifestation codes, and update RAF scores at the point of care.
Click to enlarge
HEDIS® Measures
Choose from more than 100 clinical quality measures designed to improve healthcare delivery, measure compliance, and evaluate provider performance.
Click to enlarge
Disease Explorer
Gain better visibility and sharper insight into your patient population to target high-risk patients and prioritize care for those who need immediate attention.
Click to enlarge
Cost and Utilization Explorer
Gain access to Medicare claims data that can yield insights needed to meet the challenges of value-based healthcare models.
Click to enlarge
Patient-Centered Medical Home
Use this self-guided operational improvement program to put your patients at the center of your practice.
Click to enlarge
Customer Success With Our Population Health Solutions
Adult Medicine of Lake County
Find out how Adult Medicine of Lake County used eClinicalWorks Population Health management solutions to improve the visibility of each patient’s case, better coordinate programs, and meet the demands of value-based care.
Children First Pediatrics
Hear how the eClinicalWorks PCMH Analytics team helped Children First Pediatrics become PCMH Certified helping them prepare for value-based care and improving the healthcare of their patients.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).