OVERLAND PARK, Kan.--(BUSINESS WIRE)--Today, Netsmart announced it has been selected as the care coordination and population health management provider for the Massachusetts Care Coordination Network, led by the Seven Hills Foundation. The Community Partners program is part of MassHealth’s delivery reform initiatives to integrate and improve health outcomes for members with complex long-term medical or behavioral health needs.
“The goal of the Community Partners program is to develop coordinated care that meets the needs of individuals with complex needs while reducing the total cost of care,” Seven Hills Foundation CEO Dr. Kathee Jordan said. “We chose Netsmart because they have a proven record of providing solutions that improve collaboration, eliminate silos and enable integrated care. The populations we serve have complex needs and our goal is to assist them in navigating the complicated healthcare system so that they have access to services they need throughout the community.”
To create a network of providers, Seven Hills Foundation is partnering with Advocates, Boston Center for Independent Living, Horace Mann Educational Associates (HMEA), BayPath Elder Services and Brockton Area Multi-Services, Inc. (BAMSI). The collaborative will ultimately have access to integrated health data that will enable them to align their own care teams with the program quality measures. Team members will be informed by using rules-driven alerts and notifications proactively when critical events have occurred. The actions of the care team will be driven by best practices and the program quality measures, ensuring standardization across the provider network to provide individuals the right care at the right time in the most appropriate setting.
As a key component of the project, Netsmart will connect these provider organizations to existing primary care, acute care and behavioral health networks to enable integrated care. Regardless of what electronic health record (EHR) platform the organization operates, using interoperability standards, providers will be able to integrate care throughout the network. Taking advantage of a large provider network will enable care coordination to occur more efficiently. The alignment of workflows to program quality measures will ensure the ability to integrate care across provider teams.
MassHealth will require participating organizations to meet certain quality targets, for example follow-up visits after hospitalization for mental illness, preventable emergency department utilization and completion of social services screenings. This pay-for-quality approach will align providers with the state’s overall population health management goals for the program.
“Massachusetts is taking a significant step to move providers towards value-based care and proactively managing populations,” said Netsmart CEO Mike Valentine. “By integrating ACOs and the Community Partners, the State is demonstrating their commitment to transforming how care is delivered and measured in Massachusetts. Integrated care happens when we use open systems, collaboration and intentionality to transform care delivery. Seven Hills has a proven history of being a progressive provider and we look forward to continuing our work together to enable integrated care.”
About Seven Hills Foundation
The mission of Seven Hills Foundation is to promote and encourage the empowerment of people with significant challenges so that each may pursue their highest possible degree of personal well-being and independence. Seven Hills Foundation currently offers programming at 170 locations throughout Massachusetts and Rhode Island, and employs more than 3,700 professionals. The Foundation offers a continuum of support and services to over 28,000 children and adults with disabilities and life challenges, and another 17,200 women and children in developing countries through our 11 affiliate organizations.
Netsmart is an innovative healthcare technology provider that provides electronic health records (EHRs), health information exchange, data analytics, mobile clinical and consumer engagement solutions for behavioral health, social services and post-acute communities. Our common platform, the CareFabric®, integrates seamlessly with the industry’s first-of-its-kind population management platform that uniquely focuses on community-based providers and supports transitions of care, bundles and value-based payment models.
We are passionate about integrating care across all aspects of a community, which is why the Netsmart ecosystem provides more than an EHR by offering the largest national HIE in the post-acute community to connect post-acute, social services and behavioral health organizations with their health systems and community provider partners.
Our more than 560,000 users in more than 25,000 organizations across the U.S. work together with our more than 1,350 Netsmart associates to connect communities and information across the care spectrum. Our technology ensures comprehensive data flows between behavioral health; addiction treatment; intellectual and developmental disabilities; child and family services; public health; long-term/post-acute care; home health; hospice; palliative care; private duty and vital records, to ensure providers have consistent and reliable information at their fingertips when it is needed.
The only thing constant in healthcare is change. Netsmart brings significant expertise working with behavioral health, social services and post-acute care communities, as well as the complex state and federal billing requirements unique to these communities. More importantly, we understand the importance of clinical adoption; training and support; regulatory compliance; and the need to connect to the rest of healthcare.
Our solutions and services are built with these challenges in mind and are designed to solve them so our clients can focus on what they do best: provide quality care to their communities. Our clients are strong advocates for those who don’t always have a voice, which is why Netsmart is dedicated to leading change within the industry by breaking down barriers to provide a person-centric and holistic view of each individual.
Learn more about how Netsmart is changing the face of healthcare today. Visit www.ntst.com, call 1-800-472-5509, follow us on our CareThreads Blog, LinkedIn and Twitter, like us on Facebook or visit us on YouTube.
Netsmart is pleased to support the EveryDayMatters® Foundation, which was established for behavioral health, social services and post-acute organizations to learn from each other and share their causes and stories.