Finally, Greater Automation and Collaboration Bring Disease Management to Fruition

ikaDM is the next-generation solution for data-driven disease management. ikaDM pulls information out of the medical record and places critical clinical metrics directly in your hands. Customer-centric collaboration and transparency come alive with Web-based workflows and current information delivery, enabling dynamic care plan management. Risk stratification and enhanced service delivery produce measureable outcomes.

Ultimately, health plans regain control and flexibility by bringing a business-critical, highly differentiating activity back in house:

• Using automation, chief medical officers can stratify members to better address high cost and poor health quality.
• A Web-based platform allows provider, disease manager and member to communicate and work together easily and efficiently.
• Clinical metrics are automatically monitored and providers notified of any variances.
• Care service delivery is comprehensive, integrated, evidenced-based, measured and compliant.
• Compliance with NCQA and CMS requirement is assured.

The Right Patient into the Right Program — Fast

ikaDM’s software engine and rules analyses quickly determine which medical management program is best for each member:

• Stable members receive access to educational materials and other self-management tools.
• Members needing additional focus can be assigned to nurse case managers, who have access to ikaDM’s clinical tools. The tools include treatment protocols, care plans, tracking tools, communications tools, patient diaries and educational materials.
• High-risk patients are assigned to a disease management program for more intense attention.

Stratification is user configurable, and health plans also have the flexibility to add diseases and identify criteria and parameters for tracking clinical progress. With ikaDM, highly skilled nurses are used only where they are most needed — the system is an effective, efficient substitute for those whose conditions are under control.

Collaboration, Communication and Transparency

Web-based technology creates a common communication platform for physicians, patients, disease and case managers, and allied professionals to communicate, facilitate complex care coordination and avoid duplication and paperwork.

• ikaDM notifies physicians — via Web, fax and phone — when their patient enrolls in a program, when nurses or pharmacists make recommendations or when other clinical changes occur. And evidence-based guidelines combine with current, relevant patient information to encourage physician acceptance.
• ikaDM also invites members into the care process and engages them in self-care with highly personalized care plans that support clinical and self-care goals, lifestyle change management, documentation and recognition of accomplishments.
• Care plans are incorporated into patients’ personal health records (PHRs), which also include personal information, provider information, cost of care and prescription information (e.g., missed refills, brand versus generic comparisons).
• Patients are also empowered with educational materials, health diaries, online appointment scheduling and personal reminders.

Everything about ikaDM is designed to minimize time while maximizing value — it even determines the most effective and least expensive way of communication with members and providers (e.g., email, fax, phone or letters).