About Behavioral Health Integration (BHI)

BHI is an effective strategy for improving outcomes for the millions of Americans with mental or behavioral health conditions. Practitioners work together with patients using a systematic, cost-effective approach to provide patient-centered care for a defined population.

Care Team Involved

  • Member of your staff (Primary care physician, NP, PA, or CNM )
  • Health coach providing ongoing coordinated care (Powered by Certintell)
  • Beneficiary (member of care team)
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About Chronic Care Management (CCM)

CCM focuses on behavior change coaching for Medicare patients with two or more chronic conditions. Offering CCM enables health care providers to sustain and grow their practice while improving patient satisfaction.

Care Team Involved

  • Member of your staff (Primary care physician, NP, PA, or CNM )
  • Health coach providing ongoing coordinated care with access to the care management platform (Powered by Certintell)
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About Psychiatric Collaborative Care Model (CoCM)

CoCM is a model of behavioral health integration that enhances normal primary care by adding care management support for patients receiving behavioral health treatment and regular psychiatric inter-specialty consultation to the primary care team, particularly patients whose conditions are not improving.

Care Team Involved

  • Primary care physician and a care manager who work in collaboration with a psychiatric consultant, such as a psychiatrist.
  • Psychiatric Consultant (Powered by Certintell)
  • Behavioral Health Peer Advocate
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About Remote Patient Monitoring (RPM)

RPM allows a patient to use a connected medical device to perform a routine test and send the data to a health care professional. RPM increases access to care and reduces health care delivery costs.

Care Team Involved

  • Physician, qualified health care professional, or clinical staff.
  • Health coach to support ongoing care coordination (Powered by Certintell)
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About Transitional Care Management (TCM)

TCM is designed for primary care doctors and specialists, as well as non-qualifying medical practitioners, for care they provide to patients who have been discharged from hospitals or other facilities or institutions as qualified by CMS.

Care Team Involved

  • Physicians (any specialty)
  • Non-physician practitioners (NPPs) who are legally authorized and qualified to provide the services in the State in which they are furnished: Nurse Practitioners, Physician assistants, Clinical nurse specialists, and Certified nurse-midwives
  • Have the option to embed a Certintell Health Coach to handle most of the patient-centered care through a shared care plan (Powered by Certintell)
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Our Solutions, Your Workflow

Get up and running in no time with our comprehensive suite of tools empowering community health centers across the United States.

Remote Patient Monitoring
Chronic Care Management
Behavioral Health Integration
Transitional Care Management
PSYCHIATRIC COLLABORATIVE CARE MODEL
Health Homes Program

What Others Are Saying

The California Primary Care Association has partnered with Certintell to provide Virtual Visits for our CP3 (alternative payment methodology) program. Virtual visits allow health centers in California to provide alternative touches which helps with coordination of care and improves access for patients to providers when they are not within the four walls of their respective community health center. With the move to value based care, virtual visits will be a key tool in helping to improve care for patients with chronic conditions and helping to keep patients out of the emergency department.

Robert Beaudry, COO California Primary Care Association

Virtual Visits has transformed the way we provide healthcare at Finger Lakes. Reduced travel time for patients and staff in outlying areas, “face-time” with specialists, dentists, and other off-site providers, access to specialty care from world-class hospitals and academic centers as well as the ability to see patients earlier and faster to improve outcomes.

Mary Zelazny, CEO Finger Lakes Community Health

By partnering with Certintell, OIC [Opportunities Industrialization Center, Inc.] is the first-ever FQHC to support Chronic Care Management with Remote Patient Monitoring and I can’t be more grateful to provide these services to our patients in need. Not only that but our Medicare dual eligibles also have the health care support they need at such a critical time in their lives through the combination of these services.

Maisha Pesante, MD at OIC One, North Carolina

The National Center for Farmworker Health is excited to partner with Certintell to be able to improve access to care for farmworkers across the country and help to meet the goals of the AG Worker Access 2020 campaign. Virtual visits will be an important piece of the puzzle as we work collectively to develop more effective strategies to increase access to care for migrant and seasonal agricultural workers and their families over the next five years. Ag Worker Access 2020 calls on every migrant health center grantee to increase by 15% each year over the next five years the number of agricultural workers served. I believe virtual visits will be vital in allowing the farmworker population additional touches with their primary care providers, health coaches and other care team members to enable health centers to meet the goal of Ag Worker Access 2020.

E. Roberta, President & Chief Executive Officer, National Center for Farmworker Health

Our Solutions, Your Workflow

Certintell optimizes care for community health centers by providing care coordination from a virtual Medical Team (Physicians, ARNPs and Certified Clinical Health Coaches). Care is delivered through the JoinCareTeam™ telehealth portal, streamlining the process of engaging and caring for patients. All Certintell Health Coaches receive their Certificate of Competency as a Clinical Health Coach®. Care coordination begins by scheduling and completing initial preventative care assessments, saving care teams time and ensuring quality care is delivered. Certified Clinical Health Coaches then review care management programs and remote services patients are eligible for, such as RPM, CCM, BHI and more. Once a qualifying patient has enrolled, Certified Clinical Health Coaches begin improving overall patient health by providing proactive engagement, access to care and on-going care coordination to ensure patient and clinic success.

INITIAL PATIENT ASSESSMENTS

Gain a global view of patient health.

Certintell Health Coaches schedule and complete patient assessments (eg. AWV) to gain a full understanding of a patient’s current health and risk factors with the help of Certintell Health Coaches.

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CARE MANAGEMENT ENROLLMENT

Identify patients for qualifying programs.

Improve health outcomes with value-based care by enrolling patients with one or more chronic conditions in qualifying care management programs (eg. CCM and BHI).

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ONGOING CARE COORDINATION

Track patient health with shared care plans.

Increase patient engagement and create seamless communication between patient, provider and health coach with shared care plans, time tracking and increased instant access to care.

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Mobile Telehealth Access — mHealth

Anywhere. Anytime. That’s how care teams and patients connect.
JoinCareTeam™ connects health providers to patients, allowing access to health care from any device, anywhere! Patients will be connected to their care team to create a plan focused on improving the health, happiness and livelihood of the patient. JoinCareTeam supports 4-way video calls so adding additional care team members to a visit is quick and easy.

Mobile Telehealth Access — mHealth

Anywhere. Anytime. That’s how care teams and patients connect.
JoinCareTeam™ connects health providers to patients, allowing access to health care from any device, anywhere! Patients will be connected to their care team to create a plan focused on improving the health, happiness and livelihood of the patient. JoinCareTeam supports 4-way video calls so adding additional care team members to a visit is quick and easy.

Process Overview

Once we understand your workflow, we guide your telehealth team and providers through each of the five phases of our implementation process. On average, health centers go live within four weeks. After it’s comfortably incorporated into your care approach, we invite you to reach out to us so we can show you how to quickly scale care management opportunities.

1

YOUR HEALTH CENTER, YOUR BRAND

Certintell’s platform is customizable to your brand. Your logo, colors, and more are incorporated to leverage your brand.
2

WORKFLOW OPTIMIZATION

Our adaptable platform aligns with any provider. Disruptions are minimized while outcomes and efficiency are maximized.
3

INTEGRATION BEYOND HL7

Certintell works with leading EHRs to build deep API integrations. Our focus on inter-operability provides API, SSO, EDI, CCD, HIE and other integrations, whereas a majority of other telehealth platforms offer strictly HL7.
4

SECURE PROVIDER COMMUNICATION

Simple, secure communication eliminates friction points in care delivery. Care teams use text, image, voice and video to improve patient diagnoses and treatments.
5

INCREASE PATIENT ACCESS

Convenient access to care is a priority. With Certintell, patients can receive care any place, any time.

Certintell is a HIPAA-compliant, cloud-based telehealth platform that allows safety-net providers to reach underserved populations. The technology seamlessly integrates with leading FQHC electronic medical records while making a spectrum of comprehensive services more accessible and affordable for those who need it most.

Schedule Demo

Process Overview

Once we understand your workflow, we guide your telehealth team and providers through each of the five phases of our implementation process. On average, health centers go live within four weeks. After it’s comfortably incorporated into your care approach, we invite you to reach out to us so we can show you how to quickly scale care management opportunities.

1

YOUR HEALTH CENTER, YOUR BRAND

Certintell’s platform is customizable to your brand. Your logo, colors, and more are incorporated to leverage your brand.
2

WORKFLOW OPTIMIZATION

Our adaptable platform aligns with any provider. Disruptions are minimized while outcomes and efficiency are maximized.
3

INTEGRATION BEYOND HL7

Certintell works with leading EHRs to build deep API integrations. Our focus on inter-operability provides API, SSO, EDI, CCD, HIE and other integrations, whereas a majority of other telehealth platforms offer strictly HL7.
4

SECURE PROVIDER COMMUNICATION

Simple, secure communication eliminates friction points in care delivery. Care teams use text, image, voice and video to improve patient diagnoses and treatments.
5

INCREASE PATIENT ACCESS

Convenient access to care is a priority. With Certintell, patients can receive care any place, any time.

Certintell is a HIPAA-compliant, cloud-based telehealth platform that allows safety-net providers to reach underserved populations. The technology seamlessly integrates with leading FQHC electronic medical records while making a spectrum of comprehensive services more accessible and affordable for those who need it most.

Schedule Demo

CONNECT WITH PATIENTS MORE EFFECTIVELY

1. Select the type of care needed

2. Describe why care is requested

3. Meet with a care provider

Schedule your demo today!

Schedule Demo