Care Plan Feature – Open City Labs

Care Plan Templates: Operationalize Best Practices

Our Care Plans are essential for person-centered care and serve as a shared blueprint for all care team members. Our products were built to reduce documentation burdens by generating a Care Plan from existing patient data and enable Healthcare and Social Care to meet requirements for getting paid by Medicare for assessing and addressing the Social Determinants of Health/Health Related Social Needs. By unifying data across healthcare and social care providers, Open City Labs (OCL) enables your organization to align actions with desired outcomes. With templates adaptable to the operational workflows and data needs of over 22 social care domains, OCL Care Plans serve as standardized, actionable blueprints. They foster collaboration, streamline workflows, and improve outcomes. Accessible via Navigator360°, Care360°, and SHIE360°, our platform bridges gaps in care coordination and delivers measurable results.

Key Features of Our Care Plan Technology

Unifying data into a single care plan

Our Care Plan technology empowers multidisciplinary care teams to deliver exceptional care that addresses a wide range of clinical and social needs, from placing a person experiencing homelessness in housing to accelerating preventive care delivery in clinics. The unified care plan can:

Generate

Generate Care Plans from existing clinical & SDOH data repositories, including Homeless Management Information Systems and Health Information Exchanges.

Organize

Automatically organizes data across disparate Assessments/source into semantic categories and sections to be easily viewed.

360 View

Offers a 360 degree view of an individual, fostering alignment among care team members and the individual to enhance care coordination.

Care Plan Templates - the difference

Care Plan Templates are built around a cohort or target population that include best practices and align with the goals expressed in their Unified care plan. OCL offers templates that are targeted interventions based on pre-defined patient cohorts. Examples include:

Use Existing Best Practices

Better Manage patient health with a Multiple Chronic Condition (MCC) eCare Plan - 25% patients that have multiple chronic conditions account for 65% of healthcare costs.

Customize

OCL is willing to work with clients to build additional mutually agreed upon templates.

Integrated Care

Supports sector specific interventions that address the clinical, behavioral and social determinants of health (SDOH).

Secure & Organized Information Exchange

Data security and privacy are of the highest concern. OCL ensures data is protected and user-relevant by:

Secure

Secure exchange of data with robust consent enforcement.

HIPAA Compliant

Enforcement of HIPAA’s “minimum necessary” provision for care coordination across clinical and social care.

Role Based

Role based access for data control.

A Data-Driven Approach

Open City Labs works with its clients to align best practices interventions across healthcare and social service delivery systems. Each Care Plan template defines the unique information Care Team members need to drive decision making and reorganizes the patient’s record to serve up most relevant information, while providing checklists:

Alignment

Align best-practice proposed interventions with patient problems, goals healthcare and service plans, meeting quality measures.

Outcomes

Easy tracking of outcomes of referrals and interventions.

Improvement

Updates to the generated checklist for continuous iteration that drives better results.

Benefits of Open City Labs Care Plans - The OCL Difference

Increase Efficiency:

Time - Save time by auto-generating plans from existing patient data.
Costs - 25% patients that have multiple chronic conditions account for 65% of healthcare costs.

Expanding Revenue Opportunities:

For Healthcare organizations care plan templates can enhance revenue through alignment with quality measures and payer requirements.
For social care organizations care plans can expand opportunities to bill for health related data in their communities.

Improved Patient Outcomes:

Facilitate care team collaboration for holistic, patient-centered care.
Close gaps in care by aligning SDOH, clinical interventions, and patient goals.
Care Plan Templates incorporate research backed best practices into the care plan.

Saves the Care Team Time:

Provide care teams with actionable insights and recommendations.
Automate workflows for seamless operations.