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Healthcare expenditures in the United States are about 18% of GDP, and almost half of current healthcare spending is covered by federal, state and local governments. It is expected that 32 million more Americans will soon be covered by health insurance through the Affordable Care Act (ACA), and as a result, there is growing pressure on health and human services (HHS) companies to:

  • Increase access to high quality programs
  • Reduce costs
  • Improve population outcomes

Core Solutions provides an integrated EHR software that will help administer and manage population health services in the HHS environment. The software supports the delivery of various HHS’ and integrates relevant health information to achieve population health management. Our electronic health record software enables the creation and execution of repeatable, systematic business processes across multiple agencies, enabling your organization to:

  • Enact more effective HHS policies for the facilitation of population health management
  • Control, monitor and audit cross-program administration processes to reduce costs
  • Facilitate consumer access to high quality, value-driven programs
  • Administer provider networks, automate payments, and report outcomes based on value

End-to-End Process Automation for Integrated HHS Services

Core Solutions offers a modular EHR software solution to help administer and manage HHS programs in a streamlined, personalized and integrated manner. Our electronic health record system, Cx360, provides real-time visibility into process workflows, eliminates redundancies across departments and agencies, and delivers actionable intelligence to lower costs and improve care delivery. The system also automates key administrative processes and provides an array of pre-built forms that facilitate reporting to agencies such as the CDC, SAMHSA and DelVAX.

With Cx360’s end-to-end process automation functionality, you can:

  • Determine an individual’s eligibility for programs and recommend service locations
  • Capture consumer information accurately, efficiently and electronically
  • Create and share relevant EHRs across agencies and care providers
  • Facilitate care coordination and the development of a holistic care plan
  • Pass care information directly to your provider payment systems to ensure value-based payments and monitor program performance

A Single Source of Truth for Care Coordination

Some of the best outcomes in HHS are arising from new service delivery models, such as Health Homes and Accountable Care Organizations (ACOs). To support these modalities effectively, state and local HHS agencies need a flexible care coordination solution that integrates all aspects of the individual’s behavioral and medical health.

At Core Solutions, we understand the complexities associated with the new care delivery models, and will help you meet the challenge — without increasing administrative workloads or integrating additional systems.

Cx360, our behavioral health EHR, makes it easy to coordinate care across multiple models, agencies and service providers. It’s a “single source of truth” that enables you to:

  • Create consumer-centric care and service teams
  • Streamline the secure exchange of information across multiple provider domains
  • Provide alerts across the delivery continuum to improve outcomes
  • Provide a centralized, holistic view of the consumer’s interactions with providers
  • Render payments based on value and the quality of services provided
  • Enforce cost sharing arrangements and diverse payment methodologies

Enabling Active, Informed Decision Makers

When consumers can easily engage with your agency and their care provider, it becomes easier for them to invest in their care and human services. Empower your consumers by providing them with the information needed to become an active decision-maker – their involvement in the care process can increase the likelihood of improved outcomes.
Our mobile and web-based EHR software solutions will not only help facilitate that engagement, but allow your case managers and care providers to respond rapidly, day or night, to meet the needs of the individuals with whom they are working.

Transitioning from Volume-based to Value-based Provider Payments

Increasingly, HHS agencies nationwide are striving to align provider payments with treatment outcomes. Achieving this alignment requires insight into provider performance and that is where our electronic health record system, Cx360, comes into play. Our EHR software seamlessly captures clinical and medical data from consumer interactions with care providers.

For example, our solutions validate and share outcome data with SAMHSA systems, such as NOMS, TEDS and SOMMS, and connects with other human service systems, such as the CDC for immunization and disease tracking. Conversely, it consumes outcome data from these sources and analyzes local provider performance against broader performance baselines, to help optimize your provider networks for value.

The payment management features within Cx360 enable local and state HHS agencies to:

  • Link provider payments with performance metrics and improved outcomes
  • Reduce administrative costs associated with over- and under-payments by automating processes
  • Meet reporting and audit requirements by accounting for all payments within one system

Core Cx360 Technology

Core Solutions’ electronic health record system, Cx360, maximizes flexibility, scalability and security, using the latest Microsoft .NET technology. The Cx360 framework and architecture provides organizations with significant flexibility to make changes to its out-of-the-box functionality.

At Core Solutions, we recognize that usability is a major factor in driving the adoption and meaningful use of EHR systems. That is why we developed Cx360 with a user-centered interface that incorporates unique information preferences of different employees and clinicians.

Key Features

  • ONC-ATCB certified as a Complete Electronic Health Record Software
  • Intuitive user interface design
  • Configurable and guided data entry workflows
  • Extensible business rules engine
  • Flexible integration engine
  • Built-in master data management
  • Cloud and self-hosting

Key Benefits:

  • Lowered total cost of ownership (TCO)
  • Increased data accuracy and reliability
  • Enhanced downstream system integration
  • Increased user adoption and satisfaction
  • End-to-end visibility to eliminate process bottlenecks
  • Improved regulatory compliance