Improving Population Health

Population health initiatives combine primary care, behavioral health, and community-based providers to improve care coordination for the health of the patient population they serve. The landscape for providing social services has changed dramatically in recent years. The Affordable Care Act has reduced the number of uninsured, expanding access to medical care for populations who have historically been underserved. At the same time, the social determinants of health have become an increasingly important factor for medical providers to address as part of an overall patient wellness plan. This convergence of health and human services presents new opportunities and challenges for delivering public services.

Gone are the days when success could be measured by output alone — hours of time spent, number of beds provided or medical procedures performed. Now programs — and budgets — are evaluated based on outcomes over output, with a need to monitor whole person care that spans multiple care settings and service programs. Adding to the complexity is the challenge of communicating and coordinating care decisions with providers across behavioral health, medical health, and public and private providers of social services.

Fortunately, the ClientTrack case management system was designed for today’s challenging public services landscape. Our modular, flexible system can be configured to fit the exact needs of your program. Whether you are working within an individual department or coordinating whole person care across a broad group of public, private, and nonprofit service providers, ClientTrack helps keep your program on track delivering quantifiable results to targeted populations.

The IT landscape in public services is rapidly shifting from single-source systems toward a paradigm of multiple interconnected systems. With HL7 integration and an open API, ClientTrack interfaces with health systems, EHRs, HMIS and case management systems to accurately monitor client progress across the full spectrum of health and social service programs. All caregivers can stay fully informed on activities, actions, care plans, and progress on any aspect of the individual’s care plan.

While the complexity of challenges has increased, so has the ability to manage the challenges — with the right tools. We deliver a full-featured case management system serving clients in state, county, and municipal programs such as:

  • Medicaid Waiver Programs
  • Long Term Services and Supports (LTSS)
  • Intellectual and Developmental Disabilities
  • Youth and Family Services CCWIS systems
  • Housing for Health programs
  • Behavioral Health

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