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Clinical Management

A goal among recently introduced healthcare technologies is improving the patient experience. For example, Let’s consider a patient who visits a nearby healthcare center. The on-duty doctor in the care center may not know the patient visited two weeks ago for the same cough. It would be helpful if these patients’ details were stored in a single database, leading to better diagnosis and treatment, collecting all patient’s pertinent information, regardless of where the patient visited.

Clinical management is a platform for managing doctor-patient interaction and recordkeeping. It brings together a wide range of data from several sources in one location, providing a complete picture of everything about each patient, both clinical and non-clinical.  This method allows for more personalized, quick, and intimate attention.

Patients can also utilize this platform at any time and from any device to contact and communicate with staff, discover answers to frequently asked questions, fill out paperwork before their appointment, and more.

This platform protects all the data it manages, making its use fully secure and reliable. Users and healthcare professionals may access all patient information in real-time, including medical history and planned health check-up visits. It combines data from multiple sources, medical devices, electronic devices, and wearables into one location.

Clinical Management Data Model

Health Cloud provides a rich set of standard and custom objects to store and access specialized health information.

  • Advanced Therapy Management

 Advanced Therapy Management helps streamline complex procedures that involve multiple appointments across different locations. Use Advanced Therapy Management’s Multi-step scheduling solution for easy scheduling of appointments for program participants.

  • Benefits Verification
    The benefits verification data model supports providers, payers, and life sciences organizations in determining benefits coverage for services and products provided.
  • Care Management

Clinical data from electronic health records (EHR) or other clinical systems is critical to planning, executing, and managing coordinated care plans for patients.

  • Claims

A claim is information submitted to an individual’s health insurance company by an entity providing a service, medication, or device.

  • Code Sets for Diagnosis and Procedure

The code sets data model represents industry-standard procedure and diagnosis codes available to use in prior authorization request and approval processes.

  • Crisis Support Center Management

The Crisis Support Center Management data model lets users provide a range of crisis services from a single app. Use a simplified intake flow, search for providers and beds across facilities, and more.

  • Electronic Health Records

Clinical Management Health Cloud provides custom objects to store the data contained in the standard electronic health record (EHR) fields.

  • Engagement Interaction

The engagement data model stores details, such as start date and end date, time, topic, and attendees, about an interaction between a customer or a customer-authorized representative and a customer service representative (CSR) or contact center agent (CCA). The engagement objects also support quick actions that help CCAs perform routine actions quickly without navigating to multiple pages. CCAs can also create personalized list views for engagement objects by using the My Engagement Attendees, My Engagement Interactions, and My Engagement Topics filters.

  • Health Assessments

Health Cloud Assessments use the power of Discovery Framework and OmniStudio to build more complex questionnaire paths.

  • Health Insurance

The health insurance data model provides objects for managing the ways care is paid for. It represents information about participants such as employment, insurance coverage, and dependents.

  • Home Health

The Home Health data model helps you store data for your organization’s home healthcare services. You can store the preferences patients have for their services, the skills your resources possess, the details of each home visit, and so on.

  • Integrated Care Management

Integrated Care Management provides an improved data model to store clinical data related to a patient or member’s care plans.

  • Intelligent Appointment Management

Health Cloud integrates with a customer’s appointment management system to provide a patient appointment booking experience for call center agents and care coordinators.

  • Intelligent Document Automation

Use the Intelligent Document Automation data objects to simplify the document management process, reduce manual data entry, and get patients the right care and services faster by managing patient and member forms all in one place, from intake through processing.

  • Intelligent Sales

Help your sales team plan and execute sales visits and manage field inventory with Intelligent Sales.

  • Medication Management

The data model provides objects for managing information on medication reconciliations, medication recommendations, and comprehensive and targeted medication reviews conducted for patients.

  • Provider Network Management

Provider Network Management allows health insurance companies to bring providers into their network and helps members or patients find care that fits their needs. It provides objects for managing provider networks and contract payment agreement terms.

  • Remote Monitoring and Device Registration

The remote monitoring and device registration data model provides objects for managing data collected from devices issued to patients or program members, such as smartwatches and heart monitors.

  • Social Determinants

The social determinants data model represents the barriers, health determinants, and interventions for a patient or member.  

  • Unified Health Scoring

The Unified Health Scoring data model provides three objects, three tooling APIs, and a metadata type with two subtypes. Use these objects to implement the feature in your Health Cloud org.

  • Utilization Management

Utilization Management (UM) is a health insurance plan’s process of interfacing with plan members and contracted medical providers to interpret, administer, and explain the medical policies of the health plan. Health Cloud provides objects you can use to review and evaluate medical care services, communicate about clinical policies, and help health plan members ensure they receive the right care in the right setting at the right time.

How does Clinical Management help hospitals?

We Provide a software program that is designed to help hospitals manage and improve the quality of care they provide. The cloud-based system allows hospitals to collaborate and share information. It also helps hospitals to decrease the time it takes for them to collect, store, and analyze data. The Health Cloud is designed to help with the following: -Patient referrals 

– Patient Registration

– Hospital billing

– Patient lab results

– Patient follow-up 

– Patient discharge 

– Patient Satisfaction

– Patient satisfaction and complaints 

– Patient care plans 

– Patient care plans and goals 

– Patient care plans and interventions 

– Patient care plans and outcomes 

– Patient care plans and outcomes for quality, safety, and experience 

– Patient care plans and outcomes for cost

What are the benefits of using Clinical Management?

There are many benefits of using a Clinical Management Program, including

  • Improved patient care: By providing a 360-degree view of each patient,  Health Cloud enables providers to deliver more personalized and coordinated care. In addition, the platform’s predictive analytics capabilities help providers identify at-risk patients and intervene before they experience a health event.
  • Increased patient engagement: Health Cloud’s intuitive interface makes it easy for patients to access their health information and connect with their care team. This can help improve patient compliance with treatment plans and increase overall engagement in their health.
  • Better care coordination: The platform’s care coordination features help providers manage complex patient cases by sharing information and tasks among the care team. This can lead to improved communication and collaboration, which can ultimately result in better patient outcomes.
  • Improved population health: Health Cloud’s population health management features help organizations track and manage the health of large groups of people. This information can be used to identify trends and develop interventions that can improve the overall health of the population.
  • Increased efficiency: By automating repetitive tasks, Health Cloud can help healthcare organizations improve their overall efficiency. This can free up time for caregivers to focus on more important tasks, such as patient care.


Today’s modern healthcare systems must rapidly evolve to meet the basic expectations of the connected patient. Clinical Management puts the patient center of the care by giving core advantages to caregivers also. It provides:

  • A complete view of the patient.
  • Engages with patients across their caregivers on any network