Care Programs Panel

You can filter patient records by the care program that patient is a part of.

1. Display the Care Program Configuration page: On the Main Menu, click Patients. Under Care Coordination, click Care Programs Panel.
2. Care Management Program — Select a global or local care program from the list. The results in the Patient List update automatically.
   
   Note: When you filter by the care management program, the Patient column displays the other care programs (abbreviations) that patient is a part of, for your own awareness. You can configure the abbreviations for local care programs on the Care Program Configuration page.

You can filter patient records by the patient's current enrollment statuses for a care program.

1. Display the Care Program Configuration page: On the Main Menu, click Patients. Under Care Coordination, click Care Programs Panel.
2. Patient Status — Under the status categories, select one or more statuses that are currently applied for that patient. The results in the Patient List update automatically.
   
   Note: You can apply statuses for care programs in the Care tab. In the Care Program section of the Care tab, click the view more icon to open the expanded view. Then, select a care program to expand the details and select statuses in the Enrollment Status field.

You can filter patient records by the amount of time your care team spent coordinating care with patients in a calendar month.

1. Display the Care Program Configuration page: On the Main Menu, click Patients. Under Care Coordination, click Care Programs Panel.
2. Accrued Time by Month — Select a service month. You can view the previous 12 months.
3. Total Accrued Time — Select the amount of time recorded in the Care tab:
   • No Time Accrued
   • Under 20 Minutes
   • 20+ Minutes

   The results in the Patient List update automatically.

You can filter patient records by the care manager and/or provider assigned to a patient.

1. Display the Care Program Configuration page: On the Main Menu, click Patients. Under Care Coordination, click Care Programs Panel.
2. Care Team — Under Care Managers and/or Providers, select one or more users. The results in the Patient List update automatically.

A patient appears in the Care Programs Panel under the following circumstances:

• The patient has any enrollment status in the Care Programs section of the Care tab.
• The patient's status within the practice is either Active, Inactive, or Prospective on the patient Quickview page.
• The patient's deceased date is NULL in the Patient Registration page.

Note: For organizations that restrict department access, the Care Programs Panel displays only patients that the user as access to.

The Care Programs Panel displays the following information:

Tip: Hover over the image to see an expanded view.

• Patient — Demographics and contact information. This column also displays all of the programs a patient is a part of.
• Health Concerns — Care management problems documented in the patient's care plan. To view any additional health concerns, hover over (+#).
• Status — Patient's current enrollment statuses for the selected care program. These statuses are visible across your care team workflows, such as the Care Programs section of the Care tab. To view any additional statuses, hover over +#.
• Last CM Event Date — Date of the most recent care management event and the user who documented the event.
• Total Time — Total accrued time that the care team spent coordinating care with or on a patient's behalf in a calendar month.
• Usual Care Team — Provider and care manager(s) assigned to the patient. To view any additional care managers, hover over (+#).
• Last Claim — For CCM, this column displays the service date of the most recent claim created for a patient (if applicable) with the following billing codes: 99490, 99439, 99491, 99437, 99487, 99489, and G0506.
  • For all other care programs, the panel is unable to surface data of the most recent claim; therefore, the column displays Not applicable. You can instead use this column to access the Charge Entry page via Create New Claim.

Note: You can expand a row in the patient list to view alternate patient records. Click the expand icon next to a patient's name to display the Alternate Patient Records section. For more details, see Alternate patient records.

From the panel, you can quickly navigate to the:

• Patient's chart — Click the patient's name.
• Patient's care plan — Click View Care Plan or Create Care Plan under Last CM Event Date.
• Charge Entry page — Click Create New Claim under Last Claim.

From the Care Management Program menu, select an option to view patients for that care program:

When you select a program, the columns in the panel update to reflect relevant information for that program. For example, for the CCM program, the panel displays a Last CCM Claim column.

In the Patient column, you can see all of the programs a patient is a part of. If you filter by a specific program to see a list of patients, the Patient column still displays the other care programs that patient is a part of, for your own awareness:

Note: Two pre-exisiting care programs are available: Care Management – Episodic (EPI) and Care Management – Longitudinal (LONG). You can use these programs to test your organization's needs for multi-program support in the Care Programs Panel.

After you select a care management program, the Status column displays all the patient's current enrollment statuses for that care program.

In the following example, a local program, BCBSDIA, is selected, and the panel updates to show the patient's statuses under the Status column:

You can use the Patient Status filter to view patients based on their current statuses for the care program you selected. You can select multiple statuses at once:

For each patient, the panel displays the assigned provider and care manager in the Usual Care Team column.

You can use the Care Team filter to retrieve a full list of patients assigned to a provider or care manager. You can select multiple care members at once.

Note: For details on adding a member to a patient's care team, see the following articles:

• Add members through the patient chart: Care Team Section

• Add members through Quickview: Quick Reference — To add care team members and notes from the Quickview

You can filter patient records by the amount of time your care team spent coordinating care with patients in a calendar month.

To view accrued time by a service month, select an option from the Accrued Time By Month menu. You can view the previous 12 months:

Then, from the Total Accrued Time menu, you can further filter patients by accrued time, based on the time recorded in the Care tab:

• No Time Accrued
• Under 20 Minutes
• 20+ Minutes

Note: The Care Programs Panel does not support "point in time" enrolled patients. As a result, if you unenroll a patient, that patient does not appear in the panel.

The Care Programs Panel displays one row per patient based on their enterprise ID for the practice.

If a patient is registered in multiple provider groups, and you have access to the additional provider groups, you can expand the row to view links to the patient's alternate records in each chart sharing group.

To expand a row in the patient list, click the expand icon next to a patient's name. The row then displays the Alternate Patient Records section with links to each alternate record:

Click the ChartID link to open the patient's chart. To set a patient record as the default record in the Care Programs Panel, click the Set as Panel Default link.

By default, the Care Programs Panel displays the data from the chart sharing group associated with the currently logged-in department.

If a patient belongs to four different provider groups, for example, and two of those provider groups share the same chart sharing group, the panel displays three records for the patient.

Your practice can use the Care Programs Panel to help determine which patients to reach out to when coordinating care management.

For example, you can:

• Sort the Last CM Event Date column to view patients by their latest care management event
• Filter by the Total Accrued Time to identify which patients your care team has spent little to no time with in the current month
• Search for a patient in the Search in Results field if you already know who you want to work with

For the CCM program, the Last CCM Claim column displays the service date of the most recent CCM claim created for a patient. If you have yet to create a claim, you can quickly navigate to the Charge Entry page from the Care Programs Panel.

These programs were implemented in the athenaOne patient chart care tab to support the Comprehensive Primary Care Plus (CPC+) program, which is no longer supported by CMS. The Care Management – Episodic and Care Management – Longitudinal programs are now outdated and not as useful for athenaOne users. For now, these programs are available in the Care Programs Panel so that you can test your organization’s needs for multi-program support.

Currently, the Last Claim column in the Care Programs Panel is most helpful for the global CCM program (as opposed to local programs or episodic or longitudinal programs). “Global” refers to a program that athenahealth has authored. For the global CCM program, the Last Claim column displays the service date of the most recent claim that has the following billing codes: 99490, 99439, 99491, 99437, 99487, 99489, and G0506 (from CMS documentation).