Provider Care Management Solutions for Hospitals

We’re Putting the ‘Care’ Back Into Care Management

Patients and people are always our priority. When asked: what is the top of mind “must have items” for an effective care management system, and what would that system look like? Our answer is easy; it would be a comprehensive system that doesn’t compromise on quality. It provides the best-in-class performance for improving the quality of care and patient safety and satisfaction, as well as care coordination, communication and decision-making across the continuum of care. Simply put, our Provider Care Management solution does just that.

At MorCare, we recognize that high-performing Care Management programs drive efficiencies of care, improve the accuracy and safety of care transitions, and promote follow-up with high-risk patients in the outpatient setting. The best programs have care managers, who work closely with patients and their families, post-acute care providers, and payors to ensure smooth care transitions and adequate support services. We help you achieve better outcomes as we automate population health management workflows across the continuum of care.

Our healthcare management solutions aid pre-admission patient assessments, inpatient stay reviews, discharge planning and networking, care transitions, and community-based care management services. The Provider Care Management solution is easy to use and configure in order to track interactions with patients and their families, other providers, and payors.

The MorCare Care Management Advantage

THE OPTION IS YOURS

1) Utilize the power of configuration – tailor the solution to meet your unique workflow.

2) Start right away by taking an off-the-shelf solution that has minimal user configuration.

NETWORKING PORTAL

Easily support communication between hospital-based and post-acute care providers with our secure networking portal and national database.

POPULATION MANAGEMENT

Flag, track and manage high-risk or chronic disease patients.

DATA ANALYTICS DASHBOARDS

Receive actionable information at your fingertips. Use interactive dashboards with drill-downs to dive into the data. Plus, use additional standard and ad hoc reporting options available to you.

CONTINUUM OF CARE ▸

Identify high-risk of chronic disease patients
Perform assessments
Document problems, goals
Record actions, interventions
Coordinate care with providers

DENIALS, AUDITS & APPEALS ▸

Import audit requests
Document denial types and reasons
Track appeals
Record financial outcomes

PROVIDER RESOURCE NETWORKING ▸

Care coordination management
Improve transitions
Reduce length of stay and unnecessary readmissions
Utilize national post-acute care provider database
Complete required state and federal forms
Report referral volumes and reasons providers declined referrals
Identify and schedule post-acute care providers that meet specific patient needs
Send clinical packets
Schedule follow up survey

DATA ANALYTICS DASHBOARDS ▸

Data-driven decision support
Drilldown on specifics with interactive data
Identify high-cost variances
Review trends
Improve processes

UTILIZATION REVIEW & MANAGEMENT ▸

Complete medical necessity reviews
Improve clinical documentation
Refer to physician advisors
Communicate with payors
Track delays and other variances

DISCHARGE PLANNING ▸

Assess patient risk
Identify patient and family needs
Coordinate services, placements
Generate discharge plans, follow ups and schedule post-discharge reviews
Document patient choice to meet regulatory requirements

“We have 5 elements to our Readmission Reduction Program. The use of MorCare is integral to our program and its success. For example, in the first element of our program, Assessment and Discharge Planning; it is all built into MorCare. We use this for our high-risk screening. Every patient that scores over a 6 receives a comprehensive assessment. If you use MorCare to identify patients early in their stay, developing a comprehensive evaluation will help you with your discharge planning goals.”

DeVonne Grizzle, RN, MSN. CCM
Vice President of Case Management
Quorum Health

“With MorCare’s automated system, department managers receive incident notifications at the same time. With paper forms, we had notification delays. MorCare’s system records managers’ comments, and we can also forward the events to others who need to know. For example, we now can send events with resident involvement to the residency directors for teaching and education purposes.”

Karen Hoybrook
Clinical Risk/Patient Safety Manager
Hennepin County Medical Center

“We use MorCare Care Management to support our new case management model, including 24/7 coverage, from pre-admission through post-discharge reviews. One of the best features of the system is that we can use it to accurately track and manage our Medicare (Recovery Audit Contractor) and Medicaid audits and denials. We have better and improved audit reports now, so we’re billing appropriately based on the approved level of care.”

Greg Borden, RN, BS/EB
Senior Systems Analyst
Sarasota Memorial Hospital

“From a discharge planning perspective, honing in on discharge planning skills, high risk screening and having a comprehensive assessment is essential! If you don’t have a discharge planning model, you really need to work with MorCare on this in order to develop the high-risk screening tool that leads you into a comprehensive assessment tool.”