Care Coordination

Qualifacts' CareLogic Care Coordination Solution

Recent federal changes including the Affordable Care Act, have brought the concept of Coordinated Care to the forefront. Consumers with chronic conditions are usually treated by multiple providers, but the majority of the time these providers do not communicate with each other or coordinate care. Coordinated Care, also known as Integrated Care, is the concept of coordinating the care of the whole person, mind and body, across the continuum of health.

At Qualifacts, our strategy has been to always be in front of what’s happening at a federal level (We are Stage 2 Meaningful Use Certified) and going above and beyond that based on the best ideas coming from the innovators (state HIEs and health home models). It is our mission to provide the functionality and interoperability which will support the continuum of coordinated care service delivery models by seamlessly connecting behavioral and physical health settings.

Many of our customers across the country are using CareLogic to support varying models and various degrees of integration and we have:

  • Built new functionality natively into core workflow engine – not bolted on in a module that needs to be purchased separately – for a more elegant, more efficient system.
  • Created clinical quality measures (CQM) and clinical decision support beyond what is required to include additional metrics more relevant to behavioral health and preventative medicine.
  • Developed workflows relevant to value-based and risk-based reimbursement.
  • Trained both customers and prospects on healthcare and payment reform.
  • We teach workflows for capturing and measuring various business outcomes such as staff productivity, caseload capacity, do not show rates by service type, days in Accounts Receivable, service slots available verses service slots filled,  and other critical practice management KPIs.
  • We developed a clinical outcomes tool called IMPACT that currently has over 30 number of Assessments and Screening tools available.

Examples of Customers Using CareLogic to Support Varying Models of Integrated Care:

Missouri- Our customers in Missouri have been using CareLogic to support their participation in the state’s “Health Care Home” since 2012. They have built all of the required forms using the configurable form tool.

Pennsylvania- One of Our SAMHSA grant recipient customers in Pennsylvania has the ability incorporate the consumer information from the CareLogic Meaningful Use Continuity of Care Document (CCD) with their primary care hospital’s EHR.This allows the CMHA to share pertinent health information about their common consumers such as demographics, current medications, allergies, and lab results.

Colorado- CareLogic uses a SOAP (service-oriented architecture (SOA)) Web interface that allows the Community Mental Health Center to submit Demographics Information and Drug/Alcohol Surveys to an intermediary database used by the Community Mental Health Center to provide statistical data to state reporting agencies. This interface was built specifically for this purpose.