Persimmony Online Data Solutions
Electronic Case Management & TCM
Persimmony’s Electronic Case Management (ECM) and Targeted Case Management (TCM) Solution is an online health services information system that supports client care, client monitoring, time study reporting, and TCM billing including MAA and Medi-Cal interfaces and more. The online database captures extensive demographic information, automates statistical reporting and documentation, ensures centralized and consistent delivery of services and streamlines the use and reporting of information for public health nurses (home visits), physical and occupational therapists (clinical settings), County staff (referral organizations), and Family Health organizations.
Using Persimmony's ECM Solution organizations can focus on the health and well-being of infants, children, teens, young adults and parents to PREVENT health problems before they occur, PROMOTE HEALTHY behaviors and knowledge, SUPPORT FAMILIES in understanding their health, and REFER and COLLABORATE with County and community partners by:
- Tracking and monitoring comprehensive service plans;
- Providing linkages, referrals, consultations (including follow-ups) and perpetual time study;
- Setting up crisis assistance planning and assistance with accessing services (e.g., arranging for transportation or translation);
- Evaluating service effectiveness; and
- Documenting and charging Targeted Case Management (TCM) assessment of needs.
- Develop comprehensive service plans based upon the assessed needs; including the actions required to meet the identified service needs; the community programs, persons and/or agencies to which the individual will be referred; and a description of the nature, frequency and duration of the activities and strategies to achieve the service outcomes.
- Electronically complete and track assessments and assessment notes and develop, schedule and follow-up on services plans.
- Streamline the assessment of services identified in the service plan, including: arranging appointments for medical, social, educational and other services and arranging translation services to facilitate communication between the beneficiary and the case manager, or providers of service.
- Link consultation appointments and referrals and get reminders to follow-up with the client and with the providers of service to determine whether the services were received and met the needs of the client.
- Create a pathway of services that home health workers can use when face-to-face or on a significant telephone contact (in lieu of a face-to- face contact when environmental considerations preclude a face-to-face encounter) to render one or more targeted case management service components by a case manager.
- Data fields appear if data entry is required.
- Improved understanding by the PHN C/M’s of the Targeted Case Management program.
- Decreased clerical time because of electronic billing with less billing errors.
- Increased depth to client assessments and increased consistency of services because of the ability to set standards for nursing practice.
- Longer problem lists more for in-depth assessments, giving more potential TCM services = more billable encounters.
- Improved communications between supervisor, office staff, and case managers regarding clients.
- Greatly improved ability for supervisor to assess case manager caseloads, clients to be assigned, to utilize tools to know when a PHN might be falling behind giving the opportunity to assist with managing workload.
- Online “Shadow” ability to assist with training, problem solving regardless of PHN’s location.
- Fast and easy electronic billing directly to state TCM site.
- Tools for Case Managers to assist with managing caseload, maintaining compliance with TCM regulations (30 day follow-up of referrals/resources, Periodic Review reminder, form and chart completion)
- Schedule to calendar all encounters, reminders for follow-up required for clients, and the ability to document the TCM perpetual time survey.
- Tools for Supervisor to manage staff, chart reviews & signature, program oversight.
- Ability to develop custom reports.