Skip to content
Etsi tietoja InterSystemsin tuotteista ja ratkaisuista, uramahdollisuuksista ja muusta.

Streamline Care Management Initiatives with InterSystems HealthShare Care Community

home nurse and women healthcare laptop

Improving outcomes with a team-based approach to patient care

Hospitals, healthcare systems, and health plans are implementing team-based, patient-centered, care management programs to improve care quality and boost clinical outcomes. With a care management approach, extended multidisciplinary care teams—physicians, home health workers, community caregivers, family members, and others—work closely together to help patients manage their health needs outside the hospital. Care management programs are often used to support patients recovering from complex or chronic conditions like cancer or a stroke after they are discharged from the hospital and transition to in-home care.

Care management initiatives can help healthcare delivery organizations reduce hospitalizations and emergency room visits, avoid duplicate tests and non-essential medical appointments, and decrease population health risks and care costs. But sharing information and coordinating tasks across an extended care team is no easy matter. Care-team members often work for different organizations with different EHR systems and workflows. Each organization may have a unique care management platform and distinct care plans. And some organizations may still rely on paper-based methods.

Disjointed systems and practices can impair collaboration and visibility, squander valuable time and resources, and compromise care quality and patient satisfaction. Even an individual enterprise (e.g., a large healthcare system with many different hospitals and EHR systems) can face these challenges.

Coordinating care across diverse organizations and settings

InterSystems HealthShare Care Community® makes it easy for extended teams to create, customize, update, and share comprehensive digital care plans. The HL7® FHIR®-enabled solution breaks down information silos and interoperability barriers, providing a common data model and consistent experience for all users. With HealthShare Care Community, cross-organizational care-team members and patients seamlessly exchange information and coordinate activities, in real time, from any location. The solution improves visibility for caregivers and allows patients to contribute directly to their care plans, increasing provider efficiency, patient satisfaction, and quality of care. HealthShare Care Community helps healthcare delivery organizations identify high-risk groups, evaluate the effectiveness of targeted programs, and focus resources on the patients most in need of care.

male doctor reviewing EHR at his computer

HealthShare Care Community
Benefits & Use Cases

Benefits
  • Improve care coordination and quality
  • Boost patient experiences, satisfaction, and outcomes
  • Reduce population health risks and care costs
  • Identify and manage at-risk patient groups
  • Prioritize staffing and optimize resources and provider productivity
Use Cases
  • Move care out of hospitals and into communities
  • Improve in-home care and remote patient monitoring programs
  • Reduce unnecessary GP and ER visits, and hospital admissions
  • Eliminate information silos and care gaps

UK National Health Service (NHS) Transforms Information Sharing with HealthShare Care Community

Lincolnshire NHS uses InterSystems HealthShare® to power an integrated care portal and, with HealthShare Care Community, to provide individualized care plans to local care teams and patients. The InterSystems solutions enable doctors, nurses, health practitioners, care providers, and care managers to efficiently share information and coordinate care from any setting. Care Community helps care providers save time and effort, and improve care quality and patient experience by providing full and instant access to accurate treatment plans and patient preferences. Clinicans use the care portal to review patient records and care plans in advance of visits, improving readiness and simplifying consultations and community-based visits. This approach helps the NHS improve population health and reduce care costs by moving care out of hospitals and closer to the citizens of Lincolnshire.

Anthony Gorman, Project Manager
Lincolnshire Integrated Care System

User Features and Capabilities

Quick and easy access to care plan
  • Secure, web-based access for caregivers and patients in any setting
  • Real-time notification of assigned tasks, changes to care plans, and patient events like admissions, discharges, and transfers
  • Access to care plans by external systems, such as non-network, electronic medical records
  • Print and PDF export capabilities for offline and external access
Full visibility into patient data
  • Real-time access to care plans, with complete, accurate, up-to-date patient information
Role-based access controls
  • Control access to care plans at plan level and question level
Flexible care plan builder tool
  • Create simple-to-complex custom care plans
  • Establish task workflows
  • Include required questions and conditional logic
  • Designate questions or care plan sections for patient contribution
  • Capture structured and unstructured data
  • Document patient preferences and social determinants of health
Granular task assignments
  • Assign tasks to a team, a specific care-team member, or a patient
  • Automatically assign a task to a care-team member upon patient contribution
Batch contribution requests
  • Send care plans to individuals or teams, in bulk
Central plan management and collaboration
  • Multiple team members, including patients, can share and contribute simultaneously
  • Built-in versioning and reconciliation to prevent data gaps and inconsistencies
  • Care-team members can view all tasks, across all patients, on one screen, from any location
Audit trails
  • Log user actions and version changes for accountability and compliance

Platform Features and Capabilities

FHIR-enabled solution
  • EHR-agnostic platform
Multiple deployment options
  • Deploy on-premises, in a public cloud, or as SaaS solution designed, hosted, and managed by InterSystems for ultimate operational simplicity

RELATED TOPICS

Muita Resursseja, Joista Saatat Pitää

Oct 10, 2024
Get Your Data AI-Ready and Simplify Development and Deployment
Unleash the power of AI in healthcare with InterSystems solutions for seamless FHIR integration and development.
Oct 04, 2024
Product Fact Sheet
InterSystems Data Fabric Studio is an essential element of a modern data strategy required to enable growth, optimize business reporting, reduce risk, and support compliance for any firm in the financial services industry.
Sep 26, 2024
Discover how vector databases power AI, enhance search, and scale data processing. Learn their benefits and applications for your business with InterSystems.
Sep 18, 2024
Discover how database sharding enhances performance and scalability. Learn its benefits, methods, and best practices for implementing this powerful data distribution technique in your business.
Sep 17, 2024
Explore vector search: the game-changing technology powering AI and machine learning. Learn how it works and transforms data retrieval with InterSystems IRIS.
Sep 16, 2024
Demystify vector embeddings: Learn what they are, how they work, and why they're crucial for AI.
Sep 16, 2024
Explore how generative AI in healthcare is revolutionizing patient care, diagnosis, and drug discovery. Learn about its applications, benefits, and ethical considerations.
Sep 16, 2024
Discover what a relational database is, its key features, and why it's crucial for your business. Learn about its advantages, popular systems, and how it compares to other database
Sep 09, 2024
Spotlight by Bloor
Data fabric is a more flexible data architecture that can work without building yet more data silos and instead synamically access data in situ in operational source systems.
Sep 09, 2024
Bloor Market Update
A look at the current state of the data fabric market by Bloor Research

Take The Next Step

We’d love to talk. Fill in some details and we’ll be in touch.
*Required Fields
Highlighted fields are required
*Required Fields
Highlighted fields are required

By submitting your business contact information to InterSystems through this form, you acknowledge and agree that InterSystems may process this information, for the purpose of fulfilling your submission, through a system hosted in the United States, but maintained consistent with any applicable data protection laws.



** By selecting yes, you give consent to be contacted for news, updates and other marketing purposes related to existing and future InterSystems products and events. In addition, you consent to your business contact information being entered into our CRM solution that is hosted in the United States, but maintained consistent with applicable data protection laws.