All Things Data


Care Management After a Storm

Sam Bar

Sam Bar

It’s well known that FQHC’s go the extra mile to ensure their patients can get the care they need. Connecting patients with counseling services. Providing patient navigators for those struggling to navigate the healthcare system. Facilitating transportation when transportation is the biggest barrier to care. These are all within the non-traditional healthcare services that many community health centers provide. But how a health center can demonstrate their commitment to their patients during a storm, and how Azara DRVS can be a part of that, is truly remarkable.

As one of the first movers in the Michigan Primary Care Association’s Health Center Control Network initiative, Upper Great Lakes Family Health Center (UGL) leveraged a strong quality team and engaged clinical staff to quickly roll out Azara DRVS through-out their health center. But beyond the core visit planning, UDS reporting, and provider performance tracking use cases, UGL extended its capabilities into truly reactive, event response, care management. 

Kelly Niileksela of UGL describes it best:

Last weekend, Houghton and surrounding towns got 4-7 inches of rain, causing devastating floods and extreme damage to many homes. Dozens of roads are completely washed out, leaving some folks stranded with no resources. Many people’s homes are too unsafe to enter or have washed out completely.

On Monday morning, I used DRVS in combination with our EBO reporting module to put together a list of all our current Care Management patients (using cohorts) and sorted by zip code to filter in our most highly affected areas. Our care team contacted all patients affected; folks were very appreciative someone from our health center reached out to them, and we helped dozens of patients navigate solutions to their different emergencies.

We ran a few reports and had it sorted and ready to disperse in a few minutes, something we wouldn’t have been able to do so quickly only a few months ago.

While we have designed DRVS to solve many specific challenges and easily answer many questions, we continue to be amazed at the variety of creative ways our clients are using their data to impact the care they deliver. Our hats are off to the team at UGL! We know your patients appreciate the extra efforts.

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