Requirements / User Stories
PrintTitle | Code | Type | Description |
---|---|---|---|
Track Patient Care Plan Progress | code_1 | User Story |
As a care coordinator, I want to track the progress of patient care plans to ensure that all assigned tasks and goals are completed on time. |
Automate Medication Therapy Review | code_2 | User Story |
As a pharmacist, I want to automate medication therapy reviews to ensure timely intervention and reduce medication errors. |
Verify Insurance Coverage for Pharmacy Benefits | code_3 | User Story |
As a billing specialist, I want to verify a patient's insurance coverage for pharmacy benefits to reduce the risk of claim denials. |
Manage Enrollments in Care Programs | code_4 | User Story |
As a program manager, I want to manage patient enrollments in various care programs to ensure they receive the right services. |
Monitor Gaps in Patient Care | code_5 | User Story |
As a healthcare provider, I want to monitor and identify gaps in patient care to ensure all necessary treatments are provided. |
Schedule Home Health Visits | code_6 | User Story |
As a home health coordinator, I want to schedule visits for patients based on their preferences and care needs. |
Link Care Program Goals to Patient Health Outcomes | code_7 | User Story |
As a care program coordinator, I want to link care program goals to measurable patient health outcomes to track program effectiveness. |
Track Provider Credentials and Certifications | code_8 | User Story |
As an administrator, I want to track provider credentials and certifications to ensure compliance with regulatory standards. |
Manage High-Risk Patient Referrals | code_9 | User Story |
As a case manager, I want to manage high-risk patient referrals efficiently to ensure they receive specialized care promptly. |
Automate Prior Authorization for Services | code_10 | User Story |
As a care provider, I want to automate the prior authorization process for services to reduce administrative workload and expedite patient care. |
Implement Action Plan Template Assignment | code_11 | Requirement |
Create a system to assign action plan templates to specific care plans. |
Build Care Program Eligibility Rules | code_12 | Requirement |
Implement rules to define eligibility criteria for care program enrollment. |
Create Care Plan Templates | code_13 | Requirement |
Develop care plan templates to standardize medication therapy reviews. |
Integrate Pharmacy Benefit Verification System | code_14 | Requirement |
Establish a system to verify pharmacy benefits with insurance providers. |
Configure Clinical Measure Criteria | code_15 | Requirement |
Configure criteria to measure patient clinical outcomes and identify care gaps. |
Setup Provider Credentialing Data Model | code_16 | Requirement |
Implement a data model to manage provider credentials and certifications. |
Develop Medication Reconciliation System | code_17 | Requirement |
Create a system to conduct and record medication reconciliations. |
Build a Home Health Visit Scheduler | code_18 | Requirement |
Implement a scheduling system for home health visits, taking patient preferences into account. |
Configure Care Episode Tracking | code_19 | Requirement |
Set up tracking for patient care episodes to monitor interactions with healthcare providers. |
Automate Service Authorization Requests | code_20 | Requirement |
Develop an automated system for service authorization requests to streamline approvals. |