MEDICAL & PHARMACEUTICAL
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Making a Difference NavCare, a division of US CareNet, is a clinically-based, chronic care management (CCM) organization that partners with physicians and other healthcare providers to improve patient outcomes and quality of life. In addition to CCM, NavCare offers transitional care management to ensure coordination and continuity of care for patients with complex needs who are transitioning from an acute care setting to their home or other care setting.
Using proprietary software, the team of devoted healthcare professionals at NavCare provides patients with two or more chronic conditions with coordination of care among all providers of care, including other doctors, surgeons, specialists, labs, and pharmacies. NavCare’s Care Coordination team builds a bridge between patients and healthcare providers, so that patients are provided with 24/7 access to a Care Center that is managed by RNs and staffed by locally licensed nurses. Here, those in need of those services may receive medication management, as well as on-call and after-hours triage. NavCare also gains a significant voice in its industry through its population health management services (PHM), to help close the gaps in care while delivering reporting on quality measures and outcomes. NavCare’s PHM dashboards provide data analytics and visualization tools that aggregate data across multiple health information technology resources into a unified source of truth, identifying at-risk populations, engaging patients in their health goals, and allowing for the improvement of both clinical and financial outcomes. Jon Wilder has been instrumental in the enhancement of the company’s Care Center; since
the development of the NavCare company in November 2015, Jon has driven the expansion of the Care Center to further greatness with a honed focus on Chronic Care Management, Transitional Care Management, and Public Health Management. The Care Center has become the classic exemplar of clinically-managed care coordination under Jon’s direction. Jon comments upon NavCare’s place within its competitive market, in relation to the way in which the company stands out as the very best choice for patients and customers with a need for effective and well-meaning chronic care management. “Our competitors, for the most part, are software companies who use healthcare workers in a call center,” Jon comments. “NavCare, meanwhile, is a healthcare company with a really good software platform at its core. “Crucially, we have a Care Center, not a call center. With a history of more than 30 years spent providing healthcare to seniors, the main target audience of CCM, we understand the needs of this demographic, and we further know how best to provide for their continued care. We clearly understand the idiosyncrasies of the healthcare industry, not just from an IT standpoint, but from the standpoint of a provider of healthcare for senior adults.”
Jon and his staff are also very excited about the future of care management. To date, they have 60,000 lives under contract and in their care, and this further accentuates the need for the company to maintain their leading role in the development and application of technologies to improve their services, and the livelihoods of their patients. “As a healthcare company, it is unique to develop your own software,” Jon explains. “However, we have been instrumental in the enhancement of our software and in fact, purchased controlling interest in the platform. NavCare is engaged in healthcare and we are aware of what providers need to be successful. We enhanced the platform to make it work better within the parameters we know must be met. Therefore, we are better able to deliver information to help our physicians meet the quality measures required for MACRA, MIPS, ACU measurements, and other Medicare requirements.” Furthermore, as healthcare professionals, the NavCare staff make all the difference in the world, Jon says. “Our experience in healthcare is the driving force behind our service; it makes a difference when you can assure your clients that their patients will be communicating with people that are not just ‘call center’ workers, but who are licensed nurses, certified in either care management or geriatrics, or in
some cases both. “Our teams work closely with physicians and their patients and effectively become a part of the physician’s practice. Patients and care givers are talking to familiar voices as they deal with day-to-day issues with their chronic conditions.” One of these partner physicians with whom NavCare have established a working relationship is Dr. Paul Roller of Senior Care Geriatrics in Birmingham, Alabama, who lends testimony to this, explaining the reasons behind NavCare’s past successes as well as its future potential. “NavCare has been very successful already in helping us to keep these patients out of the hospital. I think that one way in which they are so adept in this regard is that at the point of contact, where the patient is able to talk to their nurse on the phone, is in some way different to what has come before, something that they may not have been able to do in the past. They may have ended up going to an urgent care center or even going to the emergency room. NavCare has been quite helpful in helping us with those patients who are on the program in terms of getting their chronic care management needs met.” Dr. Roller’s words underpin the innovative ways in which NavCare utilise technological and telecommunications solutions in order to improve welfare for its 60,000 patients.
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