(CAARA)Computer Assisted Assessment and Risk Analysis

CAARA is a unified care management platform that performs:

  • Population Health Management
  • Care Management
  • Care Coordination
  • Analytics

CAARA queries and synthesizes administrative health data from across the care continuum providing a unified longitudinal view of previous health care encounters and services. Linking longitudinal data to current EMR data gives care managers and care coordinators an expanded perspective for creating patient centered care management plans.


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Population Health Management

The goal of population health management programs is to achieve the triple aim; improving the quality of healthcare, improving the health of the population and reducing the per capita cost of health care. Care management is an essential component of strategies for achieving these goals.
There are different population health management payment models; however, to achieve the goals of the triple aim participants in all models need the ability to proactively identify and engage patients or health plan members that drive higher utilization and spending. Health care consumers receive treatment from different health care providers at different care settings using different systems.
Our unified platform synthesizes and organizes encounter and other administrative data to give care managers and care coordinators insight into gaps in care as well as information to coordinate care and improve quality.


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Care Management

The Center for Health Care Strategies defined care management as “a set of activities designed to assist patients and their support systems in managing medical conditions more effectively. The goals of care management are to improve patients’ functional health status, enhance coordination of care, eliminate duplication of services, reduce the need for expensive medical services, and increase patient engagement in self-care”. www.chcs.org/usf_doc/Care_Management_Framework
CAARA analyzes administrative data to identify, assess and stratify populations for engagement in care management programs. Applying insight from real life experience and research we apply rules and algorithms to assess and stratify populations to highlight clinical, readmission, medication and behavioral health risk. Results from assessments are presented in patient dashboard highlighting relevant risk.
Care manager patient panels are displayed on the Care Manager dashboard which highlights relevant risk with the ability to query additional detail. The decision support capability standardizes elements of the assessment process and enhances care managers ability to identify interventions and assist patients and health plan members manage and improve their health outcomes.

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Care Coordination

In the 2003 report “Priority Areas for National Action Transforming Health Care” the Institute of Medicine identified care coordination as one of 20 national priorities for action to improve quality. There is a growing recognition of the role that social determinants play in health care spending.
Research from the University of Wisconsin- Madison School of Medicine and Public Health that indicates social determinants may contribute to up 40% of health care spending. To address the health care disparities providers in underserved communities, require greater access to technology, our cloud-based platform requires minimal IT support thus addressing barriers to care coordination.
Using HL7 messaging standards and (Application Programming Interfaces) API’s CAARA imports ADT messages from hospital EMR systems. The messages trigger alerts to care managers when patients on their panel are admitted or discharged.

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Analytics

Data is a vastly underutilized asset in many health care organizations, payers, providers and employers are increasingly looking to data as a tool to manage the total cost of care. While data can offer a basic for making decision, transforming data into insight that can be easily consumed and provides guidance for decision making offers value. Our tools make it easier and cost effective for organizations of any size to create value from data.
With a proven track record for providing consulting services and delivering innovative solutions to Medicare and Medicaid Agencies, commercial payers, hospitals and physician groups our leadership team has partnered with and pioneered innovative solutions to reduce cost and improve health outcomes. With our strategic partners we are on the forefront of health care value-based purchasing and quality improvement.
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Care Management Education and Consulting

The transition to Alternative Payment Models (APM’s) MCO’s ACO’s, PCMH and episode payments present payer and provider organizations with challenges along multiple dimensions. From acquiring data to identify and manage risk to recruiting and retaining trained staff to administer care management programs.
Our care management leadership team has held senior level position in a broad spectrum of payer and provider organizations, from startups to fortune 50. We have developed and managed case management, utilization management, disease management, population health management and quality improvement programs in payer and provider organizations. We offer care management consulting and education from experienced clinical leaders.

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