Azara Care Connect is a comprehensive solution designed for care managers and coordinators to efficiently manage and coordinate patient care within healthcare organizations. It leverages existing data from Azara DRVS, including clinical, claims, HIE, and practice management information, presenting it through a simple and intuitive user interface. This empowers care coordinators to enhance productivity, close care gaps, and ensure adherence to health plan contract requirements for large patient populations.

The platform offers robust Care Management capabilities, allowing practices to organize patients by risk factors, cost, or chronic diseases. This facilitates effective oversight and monitoring of patient panels through tracking daily tasks and follow-up activities, supporting chronic care management and patient-centered medical home programs. Key challenges addressed include identifying and closing care gaps, creating and managing care plans, following up on transitions of care, managing chronic conditions, coordinating hospice or palliative care, tracking time and documenting interactions for billing, and managing prenatal/postpartum programs.

Care Coordination features simplify the process of documenting outreach activities, prioritizing patients, and closing care gaps. By organizing patient data from health plans and DRVS, staff can efficiently perform and document outreach and track outcomes. This leads to improved productivity, reduced ED and hospital utilization, and better performance on value-based care metrics, ultimately resulting in higher reimbursements. Specific benefits include tracking task completion, driving high-priority patient engagement, documenting outreach efforts, automated ingestion of plan gaps, and quick access to patient medical and demographic information.

Features & Benefits

• Longitudinal Patient Record: Synthesized view of data from multiple sources for comprehensive patient understanding.
• Patient Grouping and Monitoring: Organizes patients by risk, cost, or disease for effective oversight and task management.
• Care Gap Identification and Closure: Tools to identify, track, and close care gaps, improving patient outcomes and adherence.
• Outreach and Intervention Tracking: Documentation of outreach activities and interventions to support best practices and value-based agreements.
• Data Integration and UI Simplicity: Leverages Azara DRVS data within an intuitive interface for enhanced productivity.