ikaDM and ikaCM
Next-Generation Medical Management
ikaDM and ikaCM are interactive, Web-based healthcare intervention and
communication tools that emphasize member self-care while supporting
collaboration between members, providers and disease/case management
staff. ikaDM and ikaCM deliver:
- More targeted use of resources combined with more collaborative
medical management processes, which improve outcomes
- Dynamic care plan management, which gets members the right treatments
sooner
- Greater physician acceptance through the use of evidence-based
guidelines
- Automated workflows, allowing nurses to focus on member care, not
paperwork
- Greater control, flexibility and cost-effectiveness by allowing
health plans to bring a business-critical, highly differentiating
activity back in house
Combine Identification, Cost and Quality Analytics
ikaDM easily identifies members to target and supplies robust and
flexible management and reporting capabilities:
- Members with chronic conditions are identified and tagged with
clinical and financial markers.
- Thresholds for patient identification and patient management use
evidence-based guidelines.
- Medical directors can modify thresholds and disease protocols as
necessary to place members in the programs of their choice. There is no
limit to the granularity of the threshold levels.
- Analytic tools allow nurse reviewers to track the progress of
patients and programs, as well as evaluate physicians — both
economically and from a quality perspective — that are treating their
patients.
- Executive dashboards allow plans to monitor the clinical and
financial effectiveness of programs and disease management staff.
Get the Right Patient into the Right Program
ikaDM’s robust rules engine determines what action or medical
management program assignment is best for each member:
- Stable members are managed by ikaDM and given access to patient
education materials and other self-management tools through a member
portal.
- Members needing a more intense level of management are assigned to
nurse managers, who have access to ikaDM’s workflow tools including
treatment protocols (evidence-based guidelines) for over 30 chronic
conditions, tracking tools, communications tools, patient diaries and
educational materials.
- Real-time changes in members’ health status drive reassignment to a
different disease management program.
Enhance Collaboration
Web-based technology creates a common communication platform for
physicians, patients and disease and case managers, facilitating care
coordination:
- Notify physicians — via Web, fax and phone — when their patients
enroll in a program, when nurses recommend that patients see their
physicians or other changes in status.
- Create highly personalized care plans, establish goals and monitor
compliance and outcomes.
- Empower members with educational materials, health diaries, online
appointment scheduling and reminders for self-care.
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