Population Health Management

The Symphony Care Management System (S-CMS) is a platform of population health improvement decision support tools and information management services that incorporate elements of the “Chronic Illness Model” and “Patient Centered Medical Home” to transform beyond the traditional encounter based care to provide not only for the comprehensive care needs of a single patient but for a group or defined “population or cohort” of patients. Symphony provides comprehensive, accurate and relevant information at the point of care to answer key questions for the care providers: Who are my chronic patients? What care should I be providing? How do I prioritize the patients? How do I channel my resources to provide maximum care in the most cost effective manner? How do I maximize my performance based re-imbursement? Our solution provides users the ability to develop universal population level clinical guidelines that can be modified at a patient level by the authorized user. Symphony Care Management System enables care providers the following functionality:

Population (multi-disease & multi-variable) definition & identification; Population/cohort tracking, measures & information display; Daily input of data from all sources including daily interface/data exchange with EHRs; Predictive modeling (Johns Hopkins Adjusted Care Groups (ACGs)); Role-based task management; Drug titration to clinical goals; Case management support; Integration with electronic medical records (EMRs); Communication & coordination; Reporting, analytics and clinical outcomes; Health risk assessment and wellness management; Patient engagement tools (SMS, Smart Phone Access); Connectivity to personal health records; and Connectivity to self-care management education and information.

Click here for a detailed list of features and functions of Symphony Care Management System.