How To Choose A Reliable Care Management Software

2. Care coordinators need software that reduces paperwork instead of creating more. Care Management Software puts patient records, care notes, and outcome data in one place. The software should link to your EHR, show current information, and handle more patients as your program grows. Organizations report 40% reduction in documentation time and improved staff retention after implementing comprehensive care management systems. Verify EHR Integration Support Care Management software must connect directly with electronic health records. Bidirectional integration allows care managers to view patient data without logging into multiple systems. Updates made in the care management platform flow back to the EHR automatically. Check which EHR systems the vendor supports. Most platforms connect with Epic, Cerner, and Athenahealth, but smaller medical groups may use different systems. Ask about HL7 and FHIR interface capabilities. • Integration Checklist • Real-time data synchronization • Support for your specific EHR vendor • Claims data connectivity • Lab result interfaces • Pharmacy data feeds

3. Look for Built-In Risk Stratification The platform should identify high-risk patients automatically. Risk algorithms analyze diagnoses, medications, hospital admissions, and emergency visits. Care teams need daily updated risk scores rather than monthly batch calculations. Look for customizable risk models. Different organizations prioritize different risk factors based on their patient populations and care programs. The software should allow adjustments to risk scoring logic. Confirm Care Plan Flexibility Care Management Software needs structured care plan templates for common chronic conditions. Staff document patient interactions, set follow-up tasks, and track goal progress within these templates. The system should support multiple care plan types, including chronic disease management, transitional care, and preventive services. Templates reduce documentation time while maintaining consistency across the care team.

4. Check Quality Reporting Options Quality reporting requirements vary by program. The software needs to produce HEDIS, ACO, MIPS, and STAR rating reports. These reports must export in the formats your insurers and regulators require. Analytics dashboards show program performance in real time. Care managers see their caseload statistics. Directors track team productivity and patient outcomes. Financial analysts measure cost savings and ROI. Required Reporting Features • Automated quality measure calculations • Custom report builder • Scheduled report distribution • Data export capabilities • Trend analysis over time

5. Ask About Implementation Time Software deployment timelines affect when your team can start using the system. Some vendors require 6-12 months for implementation. Others complete the setup in 8-10 weeks. Training determines adoption rates. Check what training the vendor includes. Find out their training timeline, what materials they give you, and how they help after go-live. Request Client References Research the vendor's client base and experience. A Care Management Platform from an established healthcare technology company carries less risk than a startup's first product. Get contact information for three clients similar to your organization. Call them about downtime issues, how fast support responds, and whether the vendor meets deadlines.

6. Calculate Full Software Costs Calculate the full cost, including licenses, setup, data connections, training, and support contracts. Some vendors charge per user while others bill based on patient population size. Hidden costs appear in data migration, custom reporting development, and additional interface fees. Get detailed pricing documentation before signing contracts. Final Call Persiviahas worked in healthcare technology for over 20 years, supporting health systems through their transition to value-based care. The company's platforms aggregate data from thousands of sources while maintaining connections to major EHR vendors. Organizations using Persivia’s digital health platforms manage millions of patient records and report measurable improvements in quality scores and cost management. Implementation teams complete deployments in weeks rather than months, with training programs designed for rapid staff adoption.