Use of a Care Management Interactive Database System for Underserved Populations

This project utilizes a specially designed care management database software application that uses a cloud computing platform for deployment in the community. The interactive database provides the framework for connecting underserved populations with appropriate medical care and services. It utilizes a web-based, shared client record which increases cooperation and helps eliminate duplication of services. With its online Resource Directory, the system promotes access to services and the best use of community network resources. The eligibility tool automates the determination process for local, state, and federal programs. Additionally the database system supports the application of preventive practices including case and disease management in concert with care navigation.

The care management software builds on the benefits of other software systems already in place. It interfaces with multiple and disparate systems to create client records and capture other data including treatment history for aggregation and reporting while eliminating redundant data entry. Sharing real-time and relevant data across community networks breaks down communication and cooperation barriers and fosters a sense of collaboration.

The software aids data-driven decision making on the part of physicians. Outcome reports dictate where resources should be allocated. Data is reportable using integrated outcomes tools. Outcome reports clearly illustrate individual and community results and measure return on investment and this helps make the case for continued funding. Outcome reporting contributes to program sustainability by illustrating the successes of the program and making it more visible and marketable in the community.