Chronic Care Management program is indeed a good idea to track your patients regularly. But when done manually, it becomes another burden for the physician. This is when a Chronic Care Management software comes to play. It reduces the time and manual effort spent in giving the CCM services.

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How Can Physicians Benefit From HealthViewX Chronic
Care Management Solution
www.healthviewx.com

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More than half of the U.S population is suffering from various chronic conditions. Such patients
need continued care and support from their physicians. Considering the physicians’ busy schedule,
they cannot extend special support to every other patient with chronic conditions. This directly
affects chronic patients. Both physicians and patients face a lot of challenges in the process of
giving care to chronic patients.
Did you Know?

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Care Management Workflow for Chronic Patients
Let us consider a scenario to explain the care management workflow for chronic
patients.
● The chronic patient gets sick – Lily is a diabetic patient who also had blood
pressure. She fell down and hurt her head so severely that she started bleeding. As
she was diabetic, the wound did not heal. She wants to visit Dr. Matthews who is
her PCP.
● PCP examines the patient – Dr. Matthews is a busy physician who runs a clinic.
Lily waits for two hours to get his appointment. The doctor examines Lily along
long hours of her waiting. He advises her to stay in the hospital for two days. The
nurses there take good care of her by giving her medications on time, attending to
her whenever in need, etc.

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Care Management Workflow for Chronic Patients
● The patient gets discharged – After two days, Lily feels that she is all right. She is
discharged from the hospital. Dr.Matthews prescribes her medications to be
followed strictly to get completely well.
● Patient falls ill again – Though Lily takes care of herself, the wound starts bleeding
again. She tries reaching the doctor but to no avail. It was only after a day did she
get his appointment again.
● The patient is readmitted – Dr. Matthews examines her again. He finds that she
did not take the medications appropriately. He advises her to stay in the hospital
for another day.

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Though Dr.Matthews took good care of Lily, it could not avoid her get readmission. If only he had
been more available to Lily virtually, this would not have happened. So what factors stop Matthews
from being available to Lily?
Challenges Faced by Physicians

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1. Outdated technology – Dr.Matthews’ clinic has a manual appointment
scheduling method. Hundreds of patients call the clinic every day and the
possibility of one getting an appointment is only 10%. This prevents him from
catering to patients who need immediate diagnosis and attention.
2. Limited resources – The availability of staff is less in number. Even if
Dr.Matthews recruited new people, it would increase his operating costs
significantly. The use of a new technology to manage the patient traffic is also
not a great idea as it is costly.
3. No remote patient monitoring tool – Patient readmissions can be avoided only
when Dr.Matthews gives continuous care to his patients. He does not have a
remote patient monitoring tool or the staff availability to handle it. Because of
this, he is finding it difficult to be available to his patients.

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CMS was spending a lot of money on patient’s insurance who were suffering from chronic
conditions. In order to cut down the expenses on hospital admissions, the CMS introduced the
Chronic Care Management (CCM) program. Through Chronic Care Management program, the
physician can give more attention and care to the patient.
Chronic Care Management Program

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Medicare defines Chronic Care Management (CCM) as non-face-to-face services provided to its
beneficiaries with multiple (two or more) significant chronic conditions. In addition to office visits
and other face-to-face encounters (billed separately), these services include
● Communication with the patient
● Health professionals being available both electronically and by phone for care coordination,
medication management, and being accessible to patients.
What is Chronic Care Management

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HealthViewX Chronic Care Management solution to
simplify the process
www.healthviewx.com

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The simplified process..
Chronic Care Management program is indeed a good idea to track your
patients regularly. But when done manually, it becomes another burden for the
physician. This is when a Chronic Care Management software comes to play. It
reduces the time and manual effort spent in giving the CCM services. Let us
consider the same scenario to explain the Chronic Care Management
workflow,
1. The chronic patient gets sick – Lily is a diabetic patient who also had
blood pressure. She fell down and hurt her head so severely that she
started bleeding. As she was diabetic, the wound did not heal. She wants
to visit Dr. Matthews who is her PCP.

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The simplified process..
● PCP examines the patient – Dr. Matthews is a busy physician who runs a clinic. As
he is Lily’s PCP, she has HealthViewX application in which she can see the doctor’s
availability. She fixes an appointment with the doctor in no time. Dr.Matthews
examines her and advises her to stay in the hospital for two days. The nurses there
take good care of her by giving her medications on time, attending to her whenever in
need, etc.
● The patient gets discharged – After two days, Lily feels that she is all right. She is
discharged from the hospital. Dr.Matthews prescribes her a care plan with
medications and exercises to be followed strictly adhered to.
● The patient is continuously monitored – Lily takes care of herself by adhering to the
care plan prescribed. She gets monthly calls from the CCM team. If at all she falls
sick, the application will help her to reach out to the physician as soon as possible.

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Features of HealthViewX CCM Software

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1 Automated call log feature
After a call, care plan creation or any action related to CCM health services,
the system automatically adds call logs. It reduces the physician’s manual
effort is logging the call logs.

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Preventive Care Plans
2
HealthViewX solution supports care plans for the Chronic Care Management
service for a patient. The physician can create a care plan depending on the
patient’s health report. It helps in monitoring the patient’s vitals.

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Chronic Care Management
Analytics3
Dashboards with intuitive charts and tables give complete analytics of the
Chronic Care Management services. It provides a clear picture of the revenue
perspective

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4 Consolidated Reports
The physician can generate a consolidated report of the Chronic Care
Management services given for a particular period. This makes it easy for
the billing practitioner for getting the Medicare reimbursements.

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HIPAA Compliance
5
HealthViewX Chronic Care Management is HIPAA compliant. It facilitates
secure data exchange. The solution manages all patient-related documents
securely.

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HealthViewX Care Management and Chronic Care
Management solutions have features that suit
healthcare organizations best.
To know more about our solutions, schedule a
demo at www.healthviewx.com
Schedule a Demo with HealthViewX

19. Email: marketing@healthviewx.com
Phone: +1 (214)-461-0242Contact us anytime.
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