In December 2015, Bellin Health, a next generation accountable care organization (ACO), partnered with Nordic to lead the design and implementation of its chronic care management (CCM) program. Bellin used its existing centralized care coordinators as well as RNs embedded in primary care clinics to improve care coordination and patient outcomes.
Nordic worked with Bellin to design efficient and compliant workflows to:
- Identify eligible CCM patients
- Streamline patient enrollment with provider discussion, consent, and scanning
- Monitor enrolled patients and maintain a plan of care
- Automate charging for eligible patients
Nordic worked with Bellin to leverage Epic’s Healthy Planet Foundation System build to kick-start the project, then expanded on those workflows to meet Bellin’s operational structure and improve patient targeting and tracking.