Chronic Care Management

One Healthcare Solution acts as an extension of your practice, available to your patients 24/7. We follow your protocols to mirror the personality of your practice, build relationships with your patients and their caregivers, and effectively deliver Chronic Care Management and other care coordination services on your behalf


What OHS Offers

One Healthcare Solution’s chronic care management program also provides the staffing and operations necessary to manage patient engagement. Our experienced team provides patient-centered coordination along with advanced software solutions that reduce the burden of managing in-practice CCM and give customers the assurance that patients are getting the care they need.

  • SMART-EHR integration

    Using the latest integration solutions, we help to maximize clinical data. We automate data collection from internal and external sources. We work with the latest versions of EHR, EMR, and Practice management solutions in the market and have extensive experience working with older legacy healthcare solutions.

  • Practice Analytics

    Practice Analytics identifies patients that need attention. We help identify the patients that need chronic disease management services along with preventative care. Our intelligent analytics allows for criteria to be customized based on the needs of our customers.

  • Enrollment Campaign

    Smart enrollment campaign recognizes who is eligible and uses personal communications and smart software tools to quickly on-board patients

  • Automated Collaborative CCM time tracking.

    Automatically track time spent managing patients. Time spent by office staff and the Chronic Care Team is tracked and accounted for.

  • Custom Care Plans & Interview Questions

    Care plans and patient questionnaires are developed for each chronic condition to account for patient-specific criteria. Using Medicare recognized disease categories, we identify through diagnoses, lab results, vital signs, and other criteria, the appropriate patient-friendly care plans, and interview questions.

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