COMMONWEALTH CARE ALLIANCE
SYSTEM AND DATA STABILIZATION AND MODEL OF CARE OPTIMIZATION
OVERVIEW
Peak Agile managed a system and data stabilization effort at Commonwealth Care Alliance (CCA) delivering enhanced critical functionality and data quality in their enterprise EHR and improving data integration across multiple core business systems. Peak Agile provided project management and business system analysis resulting in requirement identification and priority setting. Peak Agile managed the development backlog and sprints and led implementation services for multiple project tracks supporting their information technology strategy.
Peak Agile also assisted CCA with their model of care transformation efforts, which involved supporting newly organized care teams focused on clinical triage, assessment and care planning, service authorizations and clinical decision support tools. Peak Agile helped redesign the technology, templates and processes to support them and provided IT project management, business system analysis and subject matter expertise and served as the liaison between the clinical, IT and vendor teams.
DETAIL
Peak Agile led remediation efforts which identified and resolved critical bugs, core functionality issues and deficiencies in data quality and integrity in their enterprise EHR system. The project also resolved data integration issues between other core CCA business systems, including their member database, provider database, care management platform and an adjunct clinical decision support system. This involved comprehensive assessments and mapping of key processes, data exchanges and supporting workflows. Capability gaps were identified and translated into business requirements. Peak Agile worked with CCA business owners to prioritize requirements and then led multi-disciplinary groups and DevOp teams through phased development, deployment and transition cycles. Peak Agile managed a critical path juncture which involved a logistically intensive EHR system upgrade with new custom functionality and critical security enhancements. This impacted multiple CCA core business lines and was deployed to over 800 co-located and remotely connected providers. Peak Agile led project retrospectives with stakeholders, clarified issues and inefficiencies and identified actionable remediation steps which led to improvements in CCA operations, communications and change control processes.
Peak Agile assisted CCA with their model of care optimization efforts, which involved standing up new clinical teams and redesigning the technology, templates and processes to support them. These included the formation of a Clinical Triage Unit which added new call center functionality and improved clinical templates and scheduling protocols to better manage inbound member engagement and escalation requirements. An Assessment and Care Planning group focused on redesigning the annual comprehensive assessment templates, care planning and care management workflows and care manager scheduling tools. And, a Service Authorization and Clinical Decision Support team which implemented enhanced service authorization protocols, requests, decisions, and appeal communications, workflows and system templates. Peak Agile provided business system analysis, IT project management, subject matter expertise and served as the liaison between the clinical, IT and vendor teams.
Peak Agile assisted CCA with their model of care optimization efforts, which involved standing up new clinical teams and redesigning the technology, templates and processes to support them. These included the formation of a Clinical Triage Unit which added new call center functionality and improved clinical templates and scheduling protocols to better manage inbound member engagement and escalation requirements. An Assessment and Care Planning group focused on redesigning the annual comprehensive assessment templates, care planning and care management workflows and care manager scheduling tools. And, a Service Authorization and Clinical Decision Support team which implemented enhanced service authorization protocols, requests, decisions, and appeal communications, workflows and system templates. Peak Agile provided business system analysis, IT project management, subject matter expertise and served as the liaison between the clinical, IT and vendor teams.