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Care Management Tracking Software
Through their research and collaboration with Care
Managers across the country, the CM+ Team has developed two distinct
tracking systems to help Care Managers monitor their patients.
The Care Manager Tracking Database (CMT) is implemented
in a standalone Access database. It is not necessary to use the CMT to
implement Care Management Plus; however, most electronic medical records
do not include all the key functions that are available in the CMT. The
Care Manager Tracking Database enables the Care Manager to:
- Flexibly plan chronic care tasks such as
- classes
- lab work
- referrals
- Schedule visits and phone calls
- Create reminder lists based on patient criteria
(tickler lists) which facilitates patient contact and documentation
of adherence to care plan
- Manage workflow and evaluate efficiency of
resource use
The The CMT Access database is not only a valuable
clinical tool for the Care Managers, but is also helpful for Clinic
Managers to evaluate the success of Care Management Plus. Administrative
Reports generated from CMT demonstrate the level of adoption, list
providers and their use of Care Managers and for what purposes, and the
effectiveness and productivity of the Care Managers. The reports can be
generated for any time period. Some of the more useful reports include:
- Number of patients referred by physician
- Diagnoses and Payers
- Trends in outcomes for depression (PHQ-9) and
diabetes (Hemoglobin A1C, patient goals)
- Work breakdown by Encounter Type such as phone
calls, face-to-face visits, administrative, clinic visits and the
time for each.
To download the database and user guides, please
see
the Download page.
The Integrated Care Coordination Information System (ICCIS) is the
second-generation web-based version of the CMT. This application offers
all of the functionalities of the CMT as well as additional reporting
capabilities and the ability to interface directly with a clinic’s EHR.
To learn more about the ICCIS, please
click here.
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