proactive health management

Solutions to improve patient outcomes and clinical team effectiveness, assess patient risk, and direct proactive, patient-centered care within the electronic health record

population care optimization tools

Specialized electronic health record-based tools for care teams that simplify patient management and enable proactive care.

LEARN MORE

care team and workflow design

Solutions to organize effective integrated care teams and develop streamlined workflows to enhance patient care.

LEARN MORE

training and change management

Expert consultation to ensure successful adoption of population care management tools and approaches across teams.

LEARN MORE

metrics and team performance assessment

Real-time data on enterprise outcome metrics and care team performance.

LEARN MORE

For those organizations with urgent needs to improve patient engagement, patient access to services, and capacity management—but lacking in technical proficiency to move swiftly in response to their needs—our experts are here to assist your organization with instituting effective, proactive health management solutions. Wellconnex provides end-to-end solutions for 20+ chronic diseases to create proactive care programs – teams, processes and tools – including:

• Easily adoptable, evidence-based patient registries and population and disease management tools to guide care decisions and actions, built right into your electronic health record.

• Outcomes dashboards to carefully follow your care teams’ progress over time.

• Expert consultation to help your organization build and train high-functioning, collaborative teams and deploy our solutions to streamline workflows and support team productivity.

• Metric capabilities that allow for real-time adjustments to enhance care team performance and meet your desired outcomes.

Our project teams, which pair public health/clinical consultants with technology specialists, have supported primary care practices, disease management programs, subspecialty providers, social work teams, and more within inpatient and ambulatory settings. We have extensive experience working with clinical teams to successfully adopt these proactive care management solutions, which are proven to optimize health system resources, more efficiently prioritize patients for proactive telephonic or telemedicine outreach, impact outcomes for Medicaid-enrolled patients, and improve patient care.

population care optimization tools

Healthcare system executives have invested significant resources into their electronic health record and wish to optimize its use, more nimbly leveraging the vast amount of patient data now available to them. Wellconnex offers ready-to-use electronic health record-based tools for population care management built by clinicians, for clinicians, to help healthcare systems of all sizes more effectively and efficiently serve patient populations. Using these tools, care teams can quickly generate up-to-date information about high-risk patients, identify opportunities for interventions to help those in need, and ensure patients receive their planned care and services.

• Implement specialized registry and reporting tools built by leading experts for primary care and disease management

• Prioritize resources and distribute work to improve team effectiveness and efficiency

• Augment electronic health record capabilities and workflows for ease of use and adoption by care teams

• Access Epic-certified consultants to ensure efficient implementation

care team and workflow design

Integrated care teams that include physicians, nurses, schedulers, navigators, social workers, and community health workers can provide a holistic care experience for patients while reducing the burden on individual providers. Wellconnex has in-depth experience using quality improvement methods to guide the organization of integrated care teams and design workflows that will ensure teams are working together to provide the best patient care while minimizing the use of unnecessary services, emergency room visits, and hospital admissions.

• Organize highly coordinated, collaborative integrated care teams that manage patient care from the hospital to the home

• Align workflows to desired outcomes using quality improvement methods

• Clarify roles and workflows leveraging evidence-based protocols to optimize team effectiveness and decision-making

• Increase provider satisfaction by equipping them with more supportive teams and processes

training and change management

While Wellconnex prides itself on delivering easily adoptable solutions that fit within care teams’ existing workflows, we recognize how far an extra hand can go in supporting overburdened providers. From one-on-one support to team-based learning modules, our experts offer personalized coaching and training opportunities to ensure providers have the knowledge they need to successfully implement and utilize our solutions.

• Apply efficient, standardized approaches to expedite implementation of Wellconnex solutions

• Guide adoption and use of solutions through active coaching by experienced population health experts and chronic disease specialists

• Train teams when you need it – both live and on-demand – to ensure they have the knowledge needed to succeed

metrics and team performance assessment

Our full-service approach provides your healthcare system with real-time data on how our solutions are meeting the needs of your patient populations and contributing to your care teams’ effectiveness. Our outcomes dashboards deliver on-demand information about teams’ progress over time, allowing business and clinical leaders to make meaningful adjustments to workflows and resources that can improve care team effectiveness and patient outcomes.

• Institute metrics and tools that track results of proactive care management solutions and community service referrals

• Set up analytics dashboards for individual clinical programs

• Monitor progress with simple processes and make adjustments to team workflows or composition to increase impact

interested in exploring simple, effective solutions for your team?

Contact Us

Consulting support and analytical services for program optimization and results

Learn more

Population analytics tools to expedite decisions, optimize capacity, and strengthen financial performance.

Learn more