Next-Generation Medical Management

ikaDM and ikaCM are interactive, Web-based healthcare intervention and communication tools that emphasize member self-care while supporting collaboration between members, providers and disease/case management staff. ikaDM and ikaCM deliver:

• More targeted use of resources combined with more collaborative medical management processes, which improve outcomes
  
• Dynamic care plan management, which gets members the right treatments sooner
  
• Greater physician acceptance through the use of evidence-based guidelines
  
• Automated workflows, allowing nurses to focus on member care, not paperwork
  
• Greater control, flexibility and cost-effectiveness by allowing health plans to bring a business-critical, highly differentiating activity back in house
  
  

Combine Identification, Cost and Quality Analytics

ikaDM easily identifies members to target and supplies robust and flexible management and reporting capabilities:

• Members with chronic conditions are identified and tagged with clinical and financial markers.
  
• Thresholds for patient identification and patient management use evidence-based guidelines.
  
• Medical directors can modify thresholds and disease protocols as necessary to place members in the programs of their choice. There is no limit to the granularity of the threshold levels.
  
• Analytic tools allow nurse reviewers to track the progress of patients and programs, as well as evaluate physicians — both economically and from a quality perspective — that are treating their patients.
  
• Executive dashboards allow plans to monitor the clinical and financial effectiveness of programs and disease management staff.
  
  

Get the Right Patient into the Right Program

ikaDM’s robust rules engine determines what action or medical management program assignment is best for each member:

• Stable members are managed by ikaDM and given access to patient education materials and other self-management tools through a member portal.
  
• Members needing a more intense level of management are assigned to nurse managers, who have access to ikaDM’s workflow tools including treatment protocols (evidence-based guidelines) for over 30 chronic conditions, tracking tools, communications tools, patient diaries and educational materials.
  
• Real-time changes in members’ health status drive reassignment to a different disease management program.
  
  

Enhance Collaboration

Web-based technology creates a common communication platform for physicians, patients and disease and case managers, facilitating care coordination:

• Notify physicians — via Web, fax and phone — when their patients enroll in a program, when nurses recommend that patients see their physicians or other changes in status.
  
• Create highly personalized care plans, establish goals and monitor compliance and outcomes.
  
• Empower members with educational materials, health diaries, online appointment scheduling and reminders for self-care.