Best Population Health Management (PHM) Software in the USA

Over 25 years ago, one of our founders was working as the IT Director of a large behavioural health and residential services agency in New York. Sensing a need for a better way to track and report on their services, he developed a case management system for his agency. Over time, two other agencies joined in and helped expand the software so that it could serve the needs of virtually any human services agency in the country. Today, Foothold’s team and our software support hundreds of agencies across the nation, in Guam, and in Puerto Rico. With our technology expertise and roots in human services, we continue to empower agencies to focus on their missions.

Finally, an Electronic Health Record system that can be used in hospitals, clinics, and other healthcare facilities. It is easy to set up and maintain, but it doesn't cost much. The iCare Enterprise cloud EHR is a fully integrated system that includes a range of administrative, clinical, and revenue cycle management capabilities. iCare offers a complete solution for billing, clinical, and administrative functionality at a fraction the cost of legacy software. The web-based user interface allows your users to access iCare from any device. It also allows workflows to be customized to fit the needs of clinicians. Legacy EHR systems were built on outdated client/server systems that are expensive, inflexible, slow to innovate, and closed. iCare was designed with the future in view. iCare is the industry's most advanced architecture, intuitive user interfaces and rock-solid performance - there is no other EHR that comes close to it.

Address the complexities of value-based care regardless of your existing EHR system. Gain a comprehensive understanding of your patient demographics through consolidated data from various sources, presented in an intuitive visual format. Leverage data-driven insights to enhance the management of chronic diseases and facilitate smoother transitions in care, while also working to prevent illnesses, reduce costs, and enhance care management initiatives. Promote effective care coordination through tools designed for a proactive mindset, including a pre-visit dashboard, risk assessment capabilities, and automated monitoring of admission, discharge, and transfer activities. Activate care management strategies to broaden the reach of healthcare providers. Encourage essential patient interactions and ensure meaningful follow-up between visits. Utilize the Johns Hopkins ACG system for risk stratification to pinpoint patients most at risk for high-cost healthcare utilization. Efficiently allocate resources to areas where they are most urgently needed. Aim to elevate performance metrics related to quality care. Engage successfully in value-based payment initiatives and maximize reimbursement opportunities as you navigate this evolving landscape. By implementing these strategies, healthcare organizations can improve patient outcomes and foster a more sustainable care environment.

Our extensive and adaptable range of solutions and services is built upon a strategic framework aimed at empowering organizations to understand and forecast trends within populations, actively involve individuals, their families, and care teams in proactive measures, and effectively oversee health outcomes for improved well-being. Unlike traditional medicine, which typically concentrates on the individual and equates "health" with the absence of disease, population health management broadens the scope by enhancing initiatives across whole groups and prioritizing the management and prevention of chronic conditions. To successfully oversee the outcomes of population health, it is crucial to address the underlying causes of health issues, allowing for the anticipation, prevention, and management of such challenges before they arise. By integrating clinical data with social determinants of health (SDoH), healthcare providers can gain valuable insights that not only improve individual care but also foster collaborations with communities to promote overall health and wellness. Ultimately, this holistic approach aims to create healthier populations and more effective healthcare systems.

IBM Phytel offers automated solutions for patient engagement that enhance your resources and effectively boost patient outcomes. These tools help identify gaps in care, prioritize patient engagement, and track progress over time. By increasing the number of appointments made and attended, along with annual wellness checks and telehealth sessions, practices can see notable improvements. The system also aids in enhancing performance on essential quality metrics pertinent to MIPS, PCMH, MSSP, and others. In doing so, it allows staff to dedicate their efforts to other pressing care needs while ensuring patients receive timely and relevant information for optimal care. Compatible with any electronic health record (EHR), IBM Phytel’s solutions facilitate collaboration among patients, providers, and care teams to drive better health outcomes. Through evidence-based communication strategies, the platform aims to promote improved health for high-priority patients. Additionally, it enables the implementation of personalized management campaigns for chronic and preventive care, ensuring proactive patient engagement. By utilizing automated, multi-channel appointment reminders, practices can significantly lower the rate of no-shows, ultimately contributing to more efficient healthcare delivery.

The 3M™ Ambulatory Potentially Preventable Complications (AM-PPCs) Grouping Software is specifically crafted to detect complications that could be avoided following elective outpatient procedures. Utilizing advanced grouping algorithms, this software allows healthcare professionals to scrutinize procedure encounters along with their related complications through multiple lenses, such as particular procedures, medical conditions, service lines, healthcare providers, and facilities. This comprehensive examination provides valuable insights that can guide focused interventions aimed at improving patient safety and the quality of care delivered in outpatient environments. Ultimately, the implementation of this software could lead to significant enhancements in overall patient outcomes.

Inspire and enable people to take charge of their physical and mental wellness, overall well-being, and financial health by promoting initiatives that minimize health risks and decrease overall healthcare expenses. By fostering a sense of ownership, individuals can be better equipped to make informed choices that enhance their quality of life.