Our Services
The following service offerings
will be supported by the care coordination teams
Care Management
Utilizing strong clinical expertise in a cost-effective staffing model, we provide care management services focusing on clinical guidelines adherence, care coordination, preventive care, and lifestyle influences with patients. Our care management services support greater patient compliance with the treatment plan, enhancement of patient enrollment rates, and improved billing efficiencies resulting in an extremely high-performing care management program for our provider clients.
Gap in Care Closure
When there are gaps in patient care, individuals are more likely to experience poor health outcomes, resulting in hospital readmissions, lower quality care poor patient satisfaction scores, and increased costs for healthcare providers. To address these challenges, we provide a focused approach that includes patient outreach, care coordination, pre-visit planning, and bridging the gap between clinical visits.
Chronic Disease
Management
The Care Intervention team is prepared to help patients with all types of chronic diseases. Many patients with chronic illnesses have multiple disease conditions or co-morbidities. Our approach to chronic disease management integrates physicians, clinical support teams, and patients within industry-recognized clinical guidelines to provide proven results. We strive to support our medical provider’s prescribed care plans by educating patients, taking into
consideration of many social determinant factors such as lifestyle, emotional health, sleep quality, and overall well-being.
Annual Wellness
& HCC Support
The Annual Wellness Visit (AWV) is a comprehensive wellness check that allows providers to provide a comprehensive examination of patients. Within the AWV, providers have an opportunity to collect hierarchical condition category (HCC) codes, close care gaps, and accurately capture the risk factors of their patients. Our Care Intervention teams scan the provider note to ensure HCCs are captured and become the foundation in supporting patient care plans and identifying patient risk factors.
Patient Navigation
Our Care Intervention patient navigators guide patients and their caregivers through their prescribed treatment plans, referrals, pharmaceutical questions, and beyond. We assist patients in “connecting the dots” of their care through direct support, answering questions, and ensuring care plan compliance to ensure the care provider’s prescribed is the care patients receive.
Post-surgical
Follow-up
Post-surgical follow-up services are carried out immediately after the patient has a surgical procedure and typically extend for a few days until the patient is determined to recover or has minimal risk of complications. Our Care Interventions team follows up with the patient through telehealth or virtual visits ensuring the patient follows the prescribed recovery plan and is absent of complications. Our team also follows up with the patient’s direct care team to advise of potential complications or risks to the patient as a result of the surgical procedure.
Transitional Care Management
To ensure a smooth transition from hospital to home, transitional care management (TCM) is important to coordinate all health-related needs and manage the necessary home-based care. Our CI team will provide TCM services for approximately 14 to 30 days after a patient has been discharged from an inpatient setting, such as a hospital. This ensures patients receive the appropriate level of support to minimize potential complications that could result in unnecessary readmissions within the first 30 days of hospital discharge.
Pharmaceutical
Care Services
Many patients either fail to properly fill or refill their pharmaceutical
prescriptions or have questions about the prescribed medications. Our CI clinical team acts as an extension to the patient’s clinical support team ensuring prescriptions are filled, facilitating patient questions with the patient’s clinical team, and escalating potential medication concerns to the patient’s physician.
Clinical Measurement Capture & Support
Many providers either capture the patient’s condition in their notes or in different areas of the electronic medical record. Inconsistency of recording patient visit indicators in the correct fields will compromise the provider’s performance outcome tracking often understating clinical performance. Our Care Interventions team will review the provider’s patient visit note and ensure the visit outcomes and clinical indicators are recorded in the appropriate fields of the EMR to ensure providers are receiving proper credit for their clinical evaluation of the patient.
FAQ's
Care Interventions overseas team members can provide multiple options for time zone. In instances where normal business hours are required, we will set those shifts for our team members to align with those hours. In instances where tasks, such as identification of gaps in care or quality gaps for contractual needs, do not require alignment with normal business hours we can assign our team members to different times that would align with the completion of tasks as your business hours begin.
Care Interventions only uses seasoned medical professionals from the Philippines. Those professionals are under our BAA and understand the requirements for policy, procedures, or clinical guidelines and will be trained to follow those requirements.
The Philippines prides itself on being an English-speaking country. Starting in primary school students are taught English as a second language. Care Interventions takes great pride in not only matching professionals with exceptional English skills but even matching specific locations in the US where English diversity requires a different enunciation of response.
Care Interventions will place medical professionals that will be a supplement to your own team. We encourage full communication with those professionals through a collaborative and cross-communicative manner. Care Interventions will also be providing reporting of contacts, patients spoken with, etc. so that we are providing a full array of communications back to your organization.
As we stated in the response to FAQ 4, we pride ourselves on placing medical professionals aligned with your own team. Your medical protocols and requirements will be followed, and Care Interventions will train our team members for your organization needs. It is our hope that you can treat our medical professionals as your own team members and work collaboratively
with them in all things.
Care interventions will staff medical professionals that meet your needs. If that is an RN that specializes in cardiovascular disease or a general RN, we can provide those skillsets. RNs in the Philippines all have their BS in Nursing and follow very strict educational requirements that are designed to replicate the US education system. Furthermore, many of our professionals
have a minimum of 2 years hands-on nursing experience in a hospital or clinic.
The care Interventions leadership team consists of medical professionals that have years of experience working within the US Healthcare System. That is why we have taken great care in creating a model where HIPAA compliance, when exposed to protected health information, is a top priority. Our offshore teams have signed the Care Interventions subcontractor BAA to ensure we have a full understanding of the protection necessary by our medical professionals when handling protected health information.
