Outcomes Management

CIM Systems offers a variety of ChartEvolve modules to help your organization measure your organizational performance

Outcomes management may be thought of as a wide set of measures of the cost and quality of care. There are many levels for measuring outcomes.

The most basic level is aggregation within a defined data set. If all the processes in the patient care cycle are identified, and there is a clear understanding of how initial product feeds intermediate product, which then contributes to final product, then there is a clear path of what to measure within a data set.

General Ledger Module

Accounts Receivable

ChartEvolve is designed to feed a carefully constructed General Ledger in Quick Books. This is based on the Chart of Accounts provided or built for a client.

The basic Accounts Receivable module allows the clinician to manage front office and back office functions in the context of the clinical encounter.

The Advanced Accounts Receivable module allows an account manager to manage front and back office functions separate from the clinical encounter.

Accounts Payable

The scheduling system allow the organization to account for a clinician's daily book of work in 15 minute increments. This not only allows for productivity to be measured, it also allows for the measurement of profitability and distribution of acuity in a clinician's case mix.

The Human Resources System captures all scheduled encounters for each clinician. Salary, usual and customary rates, as well as negotiated rates allow for the measurement of profitability per clinician.

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Executive Information System Module

The Executive Information System is a dashboard of information collected in real time.

At the most basic level of aggregation, the data points are frequency counts of procedures in the processes of the patient care cycle. They are counts of things we have done and things we have not done in support of daily operations.

In other words, they are counts of the scheduled visit types, the CPT codes assigned to these visits, and the entire range of clinical values in the clinical encounter. This allows us to understand the distribution of acuity, severity, diagnoses, service demand by organization, location, or by clinician.

They are also counts of the missing information related to the expected procedures in the processes of the patient care cycle. This is the critical information needed by executive management on a daily basis to evaluate constraints, bottle necks, and threats to compliance.

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Clinical Process Control System Module

The Clinical Process Control System is designed to report the status of compliance with the rules and regulations that have been configured and mapped to the Executive Information System. Based on the process and the time reporting requirements of the regulation, a real time status can be reported for the Organization, for the Staff and its Patients.

The CPC System can report at a Standard level, an Element of Performance level, as well as a Principle of Good Process Design level. This allows for the coverage of the entire regulatory demand on the organization and its clinicians in support of continued compliance and accreditation.

Clinical Process Profiles

The CPC System can produce a variety of Clinical Process Profiles related to Regulatory Readiness, Operational Readiness, and Accreditation Readiness.

A good example of this is the Claims Readiness Profile. This is a real time measure of all the missing information from the Claim prior to its submission.

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