CCD Integration for chronic care management to improve patient care

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Case Study
HL7 Integration Case Study

One of the Healthcare technology company in USA is associated with KPi-Tech to ensure seamless care to chronic patients.

Business Vertical:

Healthcare Technology

Region:

USA

Main Challenge:

Integration

Overview

A healthcare company at Boston offers payers and providers scalable, technology-enabled services for patients living with chronic conditions. Their approach is focused on rising risk patients – a significant population that is often difficult to reach. This company has altered the trajectory of their health outcomes with a goal to improve overall quality of life and keep patients out of the high-risk population.

Business Need

To ensure seamless care to the chronic patients, CCM (Chronic Care Management) department in an hospital wanted CCD (Continuity Care Document) document with additional information (which is missing in Patient summary CCD) at some custom events. Usually the CCD is generated when the patient is discharged or an encounter is closed. Whereas, the hospital required CCD to be generated in batch for a given day when there are updates to:

Patient demographics
Problem List
Medications
Physicians and Insurance plan information
Visits/Encounter

CCM will develop Care Plans for the patients after getting the information and will transmit the Charges (DFT) back to the Cloud-based EMR (Electronic Medical Record) application.

Challenges

The Patient summary - CCD generated from the EHR system has few data elements missing in the CCD document example: Insurance Priority, Order, Encounter Date of Visit, Visitor Name, Reason for Visit, Physician Last Name and First Name, Patient Status, Date of Death etc.
The Cloud based EMR has standard triggers for CCD documents.
For CCM Application to recognize the Providers and Locations, we need a master library integration and then DFT inbound for Charges as well.

Solution

KPi-Tech created an Interface eco- system that could assist with accomplishing business objectives, scalability and uptime. We utilized tools like Talend, JavaScript readers to build custom CCD’s, Kafka for message queuing, AWS API Gateway for secure API’s.
A custom CCD document was created that included the missing data elements and sent to CCM Application.
Talend Job was used to send Master Library to CCM Application that consists providers information.

CCD Interface Workflow

Technology stack

Mirth Interface Engine, Javascript, Talend, Kafka

Result

The chronic care management application receive the customized CCD with all the critical information that they need to create care plans. This helped the care navigators positively, directly, and deeply impact the lives of patients and those who care for them. Our technology-driven workflows enabled their care navigators to drive greater clinical insights into interventions on behalf of their physician partners. These clinical insights are helping patients achieve life changing results every day.