U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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iCare  
iCare Software Box

Care Management Event Tracking (CMET)

What is CMET?

Interest was initially expressed by the IHS Women's Health workgroup for a tool to provide a means of tracking and managing a patient's care to minimize the "fall through the cracks" syndrome whereby patients are passed over for routine and follow-up visits. Initially CMET will be deployed through the IHS population health iCare application and then later incorporated in the patient centric EHR solution.

What Does it Do?

CMET breaks down tracking and management of patients into four distinct steps:
  1. Events
  2. Findings
  3. Follow-up
  4. Patient Notification

Event iCare CMET Events Tab. Displays a listing of pre-defined events from your site. Users can decide whether to track, not track, or leave events in pending status Events are pre-defined by taxonomies and are categorized into: Breast, Cervical, Colon or Skeletal events. A site's database is routinely mined for the occurrence of these events and when found, they are displayed with a status of "Pending". Individual users at the site will then decide whether or not they would like to track the event.
Findings iCare CMET Tracked Events Tab. Displays a listing of tracked events. Users can view event related activity as well as enter Finding, Follow-up, and Patient Notification details via the CMET worksheet. Findings are abbreviated results and have been pre-defined for each Event. These are presented for review and consideration by the providers. The entering of Findings requires user intervention.
Followup iCare CMET Follow_up Events Tab. Displays a listing of events based on user recommendations for follow-up action. Follow-ups provide a means of continued observation of patients and are based on the Event and provider input. How and when to follow-up a "Tracked" event is entered into the CMET worksheet and this in turn triggers a CMET Reminder.
Notification iCare CMET Worksheet. Utilized by clinical staff to process Events that have been tracked. Enables data entry related to Findings Follow-up and Patient Notification Patient Notification enables the documentation of how the patient was notified of the results of the event and provider's recommendation for follow-up. CMET has integrated use of the existing TIU notes in EHR. This allows the utilization of existing RPMS templates to complete notifications.

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