Monica
Monica is the director of her state’s department of developmental disabilities, reporting directly to the state secretary for health and human services. Her department serves thousands of Medicaid participants – people of all ages with varying degrees of need.
Monica knows that most Medicaid participants will not speak up if they are not receiving the full extent of services granted via waiver programs. Often, they fear they will lose the benefits they so heavily rely on. She, therefore, has made it her personal mission to ensure department money and resources are distributed so all participants have what they need for care in their communities.
Executive Reporting Dashboard
As the agency director, Monica wants to know that services are provided in a timely manner and in compliance with federal regulations. She also wants to understand any inefficiencies and deficiencies in care, so adjustments can be made in short order.
With a few clicks of her mouse, Monica can customize her executive dashboard to view program data by region, member type, services provided, etc. These insights let her see if there are services lacking or resources allocated inappropriately in different areas of the state.
This dashboard – a part of the Blue Compass case management solution – also helps Monica generate custom reports for the secretary of health and human services and the Centers for Medicare and Medicaid Services (CMS). To ensure reporting compliance and timeliness, Monica can set workflows within the case management platform to generate alerts for case managers to complete required reporting tasks before her deadlines.
Blue Compass Case Management for LTSS
The Blue Compass case management platform for LTSS employed by the department of developmental disabilities is used by everyone working for, and impacted by, the department. As director, Monica uses the executive dashboard for reporting and oversight. Department case managers use their portal logins to manage their caseloads from personalized dashboards, complete with client information, tasks, alerts, and case notes. Finally, program participants are given a member login to communicate with case managers and search for local providers and services.
The Blue Compass case management platform is configurable to adopt the unique workflows and business rules Monica’s department needs to be successful in the quality delivery of care and services. Upon implementation, the system provides a historical view of all previous member data. Agency administrators, like Monica, can easily view data and reports from across the state and further sort by gender of participant, location, date of report, provider, etc. These reporting tools help agencies understand trends and understand success of programs.
