Population Health (CCMR)

Population Health (CCMR)

eClinicalWorks CCMR is the most used Population Health Solution across all functional ACO categories according to KLAS.


  • Cost utilization dashboards: gain insight into the total cost spent for inpatient/outpatient, pharmacy, and DME services. Identify high-cost/high-risk beneficiaries and help case managers and providers create better care plans using closed-loop analytics
  • Clinical Quality Measures: Provider outcomes vs. payer-defined quality measures. Dashboards provide insight into your performance on PCMH and ACO measures
  • Population Health: create clinical quality dashboards and population health data visualization by zip code and region, analyze local results vs. national health trends
  • Population Health Alerts: configurable by community or quality thresholds, with dashboards to manage them all

Patient Engagement

  • Targeted, anonymous feedback about a visit provides medical practices with valuable information for monitoring and improvement
  • As a NCQA CAHPS survey vendor, eClinicalWorks can send the easy-to-complete CAHPS patient satisfaction survey questionnaire to your adult and pediatric patients and submit to NCQA
  • Engage patients through patient apps on their smartphones
  • Communicate with patients through voice, text or app notifications and receive patient responses at the point of care

Care Planning

  • Member Management dashboards
  • Care Plan management and risk assessment
  • Patient-level dashboards to identify gaps in care
  • Patient Community Medical Record View
  • Schedule Management

Referral Network & Transitions in Care

  • Build a secure network of trusted providers for referrals and consultations
  • Address books for in-network and out-of-network providers
  • Connect and securely exchange data between providers that use any EMR or no EMR at all
  • Network leakage dashboards report on out-of-network referrals

Care Coordination Platform — (eEHX)

  • Community integration platform that manages the secure exchange of data between ancillary service providers (labs, radiology, hospital information systems), local, state and regional health information exchanges (HIEs), immunization registries, and ambulatory EMR systems
  • Integrated Enterprise Master Patient Index
  • Longitudinal view of each patient in the community (CCR/CCD/C32)
  • Receive payer feeds for cost and utilization

Why CCMR from eClinicalWorks?

  • Single-vendor solution – Integrated analytics and care coordination together on a single, unified platform
  • Comprehensive – Contains all the tools needed to support ACO, PCMH, Home Health, and Shared Savings initiatives
  • EMR Neutral – CCMR can manage the secure exchange of data between all systems used within the community
  • Flexible – CCMR components are seamlessly stackable and can be used individually or together to create the right solution at the right price for your organization
  • Affordable – CCMR brings the functionality of multiple systems together on the eClinicalWorks cloud with the ease of use of a single system
  • Value – CCMR delivers high value to every community and redefines healthcare ROI in terms of quality improvement, care management, and reduced costs across your care continuum

Coastal Medical ACO selects eClinicalWorks CCMR

The first Accountable Care Organization in the Texas Panhandle has selected eClinicalWorks CCMR for advancing its objectives, coordinating care across the continuum as well as evaluating population health and quality improvement activities.

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Hundreds of organizations and more than 50 ACOs use eClinicalWorks CCMR for managing the health of their communities.

Healthcare organizations have a significant opportunity to improve the outcomes with the advent of innovative delivery and payment models tapping into the advances in technology and its adoption. To capitalize on this opportunity, organizations need a solution to measure, benchmark, predict and manage risk, to close the gaps in coordinating care, to manage cost and utilitzation, to measure and improve clinical quality outcomes, to leverage evidence based care, and to collaborate with care teams and patients. CCMR from eClinicalWorks is the solution. New models require your organization to not only have a more comprehensive approach to patient care but also an intelligent way to understand your patient population and discover the opportunities and challenges that are actionable. Reducing cost while improving quality and experience requires not only continuous hard work but technology that is comprehensive, flexible, and interoperable – yet affordable.

Product Packages

eClinicalWorks has a variety of solutions to fit your specific needs.

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