Happier healthier people in care and happier healthier workers of care
Demonstrate value and impact of care, share knowledge among care workers, and learn what works for whom.
Person Centered Care
Person centered care is care in which all disciplines of care providers work together around a person’s needs – they put the person at the center. This type of approach to care is especially effective for people with complex needs who require care from multiple types of traditionally siloed care providers. People who receive care for behavioral health, substance use, foster care, social care, home care, and home health achieve better outcomes through patient-centered care approaches. P-CIS connects systems to support person-centered care.
CMS defines person-centered care as:
- Care informed by patients’ preferences, cultural values, and goals
- Care that measures success through patient-reported outcomes
- Care that is integrated and coordinated across care systems and settings
- Care that manages complex and chronic conditions for the whole person
- Care that fosters trust with commitments to long-term well-being
P-CIS augments existing electronic records to enable patient-centered care with little disruption to current workflow or technology. To learn more about person-centered care, visit Center for Medicare and Medicaid Services (CMS).
Whole-person care takes into consideration all facets of a person’s life. A person with a physical ailment may also face challenges with daily activities, feelings of loneliness in their struggles, employment interference, financial concerns, use of substances to cope with physical or emotional pains, or strains in relationships, among a few. No one area of a person’s life exists alone without influence on all the other facets of life. When one part of life is out of balance, the equilibrium of well-being falters.
P-CIS enables care organizations to capture and/or visualize information about the whole person in 360 degree views, call personal “Story Maps”. Literally any type of information about a person can be tracked. P-CIS supports flexible monitoring of any kind of patient outcome in support of whole-person care models.
There are reasons that people seek care, and those reasons are defined as “needs”. A need can be an unwanted symptom (e.g., feelings of anxiousness), a functional impairment (e.g., an inability to get out of bed), or an underdeveloped skill (e.g., trouble taking medications on time). Patient needs are factors that drive people into care and keep people in ongoing care.
Success-Focused Care is the practice of incorporating patient needs into care. In Success-Focused Care, care plans incorporate patient needs and track progress toward shared goals of care.
P-CIS connects to existing electronic records and infuses tools for Success-Focused Care. P-CIS transforms existing data into family-friendly reports that promote collaboration toward shared goals in care. From historic data, it shows progress over time, promoting greater awareness, self-sufficiency, and reduced needs for those served. At the population level, P-CIS demonstrates the number, proportion, and types of patient needs that are resolved for service population segments. P-CIS has helped our customers demonstrate the resolution of millions of patient needs toward long-term population well-being.
Connected care is the ability to easily share information between providers of different disciplines about co-served individuals, when authorized. If a person is in care for one area of their life, it is likely that they also need help supporting other areas of life. Historically, it has been the responsibility of the person in care to coordinate between providers, and that has led to poor outcomes for people with complex care needs.
P-CIS connects to multiple electronic records and infuses consent management connected to data sharing protocols to allow siloed providers to judiciously share information about a person who is co-served. P-CIS “Care Circles” allows providers easily capture consent and share a whole record, a partial record, or other specified information (right down to a single data point) with other provides, in accordance with both individual consent and system-wide data sharing agreements.