GWI-DM is a system of coordinated, interactive healthcare interventions and communications that support collaboration between patients, providers and medical management staff, where patient self care efforts are significant. GWI-DM is proactive and target members from authorizations management, HRQ, lab/radiology (HL7) even before claims are submitted.

	Benefits:
	Early intervention improves quality and lowers health care costs to build the foundation for better payer and patient outcomes. Evidence-based best practice guidelines. Patient participation to prevent disease based exacerbations and complications. Intelligent, suggestive patient scheduler that synchronizes with disease/case manager’s and provider’s schedules.

Disease Management Components:

Automated population identification based on clinical, financial and predictive indicators. Descriptors, benchmarks, key tests, nutritional goals 24/7 access to most up to date patient education to understand, monitor and modify disease and co-morbid conditions. Clinical and financial outcome measurements. Executive reporting and feed back to include clinical and financial effectiveness of disease/case managers, medical directors, providers for program evaluation and management.

Robust, End-to-End Functionality in a Secure and Versatile Environment

Automatically identify members with chronic conditions based on clinical and financial markers. Highly individualized patient management with chronological record of every encounter/contact. Patient access to disease log for recording home monitored values. Manage diseases to include ICD9-D/ICD9-P codes, parameters and parameter values according to age and sex Configure and administer rules to identify status for current patient condition (acute / normal status). Define and monitor multiple-level alerts for patients, providers, disease/case managers, medical directors. Segregate system claims based on single or multiple filters Manage letter content and delivery mechanisms Define and administer appointment schedule intervals View configurable chart templates Manage educational material and links to relevant sites Supervise member's medical diary Track provider ratings by utilization dollars and quality performance Suggest providers based on disease Rate providers based on referrals and quality of care Rate members compared to plan averages on common conditions. Display performance index for all providers and networks. Deliver comprehensive utilization reports that track every dollar Provide metrics on program usage and rewards for providers and patients - pay for performance.