Emerging healthcare delivery models involve an array of providers in the community who work together to treat all aspects of an individual’s health. Instead of operating under the traditional fee-for-service model, providers are held accountable for achieving the triple aim of healthcare: improved care, improved outcomes, and reduced costs. In order to achieve the triple aim, providers need a whole person view of individuals that includes primary care, behavioral health, and health-related social needs.
The ClientTrack Community Care Coordination platform is natively designed for today’s collaborative model of care. ClientTrack places critical information in the hands of all care providers through a shared platform that combines elements of case management and healthcare delivery. ClientTrack helps community and government organizations track, manage, and report on care for high-need individuals. Information across the full spectrum of the social determinants of health is collected and tracked, leading to better-informed care decisions. The ClientTrack patient and provider engagement portal enables clients to report progress updates through the portal with providers and care coordinators who are reviewing the updates and collaborating on next steps.
ClientTrack is ideal for cross-discipline programs, such as homeless services (HMIS), healthcare for the homeless, and Medicaid Waiver whole person care programs that combine aspects of housing, primary medical care, behavioral health, and case management. ClientTrack is highly flexible and enables providers to create their own unique forms, workflows, and data collection requirements based on the needs of their programs.
ClientTrack uses industry-standard interoperability protocols such as HL7 and FHIR to facilitate data sharing across providers. All information is encrypted and protected with multiple levels of data security to ensure compliance with the data protection and confidentiality standards of HIPAA and 42 CFR Part 2. Shared assessments, intake and enrollment, care plans, and progress notes are accessible at any point of care so providers are fully informed of all aspects of the patient condition.