To optimize the distribution of health information to support patients, health plans must process thousands of data files on a regular basis, ranging from provider and pharmacy claims to lab tests and hospital bills. When properly managed, this data can help identify which health plan members are most at risk for complications from diabetes or pregnancy, or one of many other complex medical issues.
Now, Hudson Health Plan (Hudson), a Medicaid managed care organization based in New York, has found a solution to automatically mine the mountain of available data to make sure members who need extra attention are put into the capable hands of its nurse case managers, as well as better manage the care of all its members.
Hudson is implementing a comprehensive and integrated care management software system offered by TCS Healthcare Technologies (TCS) called Acuity Advanced Care™ (ACUITY). The ACUITY system is a best-in-class IT platform that will support Hudson’s Utilization Management (UM), Case Management (CM), Disease Management (DM), and Prevention/Wellness (PW) services.
Georganne Chapin, President & CEO of Hudson, notes, “TCS’ ACUITY will assume an integral role in empowering our team to serve the populations that we cover, who often are facing enormous social and economic challenges that complicate their health. ACUITY’s functionality will take Hudson’s care management programs to the next level by automating key workflows and making sure that the right information is getting to the right person.”
According to Janet Sullivan, MD, Hudson’s Chief Medical Officer, “ACUITY also will help Hudson and its providers deliver the quality, evidence-based care that Hudson champions. Hudson needs to make sure we are utilizing the most up-to-date evidence-based UM criteria and case management guidelines to best serve our plan members,” she notes. “ACUITY will support Hudson’s efforts to identify, implement, standardize and document health programs with the ultimate goal of improving patient health outcomes.”
Rob Pock, TCS Founder and CEO, adds that “TCS looks forward to supporting Hudson’s mission to promote and provide excellent health care services. TCS is an industry leader in the development of care management software applications and has been working closely with clients like Hudson for over 25 years.”
Margaret (Peggy) Leonard, MS, RN-BC, FNP, Senior Vice President for Clinical Services at Hudson, comments, “Using an integrated and dynamic system like ACUITY is critical as Hudson continues to serve our health plan members, many of whom have special needs. ACUITY’s flexibility will help us build and respond to a number of state-sponsored programs that require specific activities and reporting functions.”
As part of the ACUITY platform, Hudson also has purchased a number of additional IT tools to support its special needs populations, including: AcuStrat™, a population stratification and automation tool that turns patient healthcare information into automated actionable events; AcuPort Advanced™, a middleware software (Extraction, Transformation, & Loading) solution to link disparate information from multiple applications into one useful system; and AcuCare Programs for Asthma, Diabetes, Heart Failure, and High Risk Pregnancy. Hudson will go live with the ACUITY system later this year
For more information about TCS Healthcare Technologies, please contact John Sekerak at (530) 886-1700 ext. 211 or jsekerak@tcshealthcare.com. For more information about Hudson Health Plan, please contact Ted Herman at (914) 372-2204
