automated utilization control
SmartControl is a utilization control solution that curtails excessive emergency department (ED) use by means of automating case manager workflows and care team communication. SmartControl includes and builds upon the SmartContact™ system.
ED “Super Users" are those who visit an ED more than 10 times in a year. They are a mix of medically complex, psychologically fragile, and alcohol/narcotic dependent patients as well as those with non-urgent complaints that use the ED for convenience. Super Users comprise 1% of patients and 5% of annual visits in a typical ED.
SmartControl was successfully used for Super User control a high volume ED. REFERENCE
The methodology used by SmartControl saves $6,100 per Super User. REFERENCE
SmartControl integrates with any EMR, identifies care plan candidates and organizes the patient’s designated care network (i.e., PCP, specialist, psychologist, social worker and/or family caregiver). Care plan templates are available for the most common conditions.
With SmartControl in place, whenever an enrolled patient visits the ED automated notifications are sent to the patient’s care network so that each member is made aware and csn relay necessary care plan modifications to the case manager.
Enrolled patients may be contacted via VoIP, SMS and email gateways and directed to a survey portal in their native language. Using a computer, tablet or smart phone, each may complete a brief wellbeing check. Additionally, an embedded callback module is available for the case manager to reach patients by telephone.
Tracking analytics report acceleration and deceleration of visit frequency and identify care plan candidates and success stories. Savings related to decreasing unnecessary emergency department visits and hospital admissions is calculated.
Our cloud host has strict privacy controls, utilizes a vetted reporting mechanism, undergoes stringent audits, and is responsive to concerns. Client information is segregated on a single-tenant server and protected with multiple-layer passwords and strict authentication processes. Data integrity is assured by 256-bit SSL encryption and server authentication with extended validation certificates. The system is functional across multiple platforms including tablets and smart phones.
Clients have access to 24/7 technical support.