Partnership with CBOs
Second in a 3-part series aimed to showcase CAP-lead population health efforts
in Tompkins County:
On May 17th, CAP hosted its second in a series of three community forums geared towards business
leaders, community-based organizations, and consumers of health care services in Tompkins County. The forum series has an overarching goal to provide information to community members about CAP, but more specifically what it means to be a part of a clinically integrated network.
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Data Capabilities
CAP’s IT & Data Warehousing team, in collaboration with Practice Support staff, has worked diligently
to create a central data warehouse capable of providing program-specific reports on a timely basis.
These reports assist the Care Management team in their efforts to close gaps in care for primary care
patients across the network; contribute to the evaluation of performance in the CI program; and assist
in the completion of quality program audits for our contracted payers. For example, the IT & Data
Warehousing team is able to use both claims and clinical EMR data to verify patient gap lists, ensuring
that outreach resources are appropriately allocated to engaging patients who are not up to date on
key health maintenance services, for both the CAP Care Management team and for practice personnel.
In addition, the CI program primarily utilizes claims-based quality coding to evaluate performance,
wherein providers drop CPT-II quality codes on encounter bills to attest to completing appropriate
activities related to their assigned measures.
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Equity in care, Care Coordination
CAP just completed the second of our community healthcare forums in mid-May.
The forum was centered on our robust Care Management program that is making
outstanding headway into helping some of our most disadvantaged patients. The
event was highlighted by a video featuring two of our nurse care coordinators,
Bernice Hayward and Danielle Jones, along with a patient whose involvement with
the nurse care coordinators has drastically reduced his need to visit the ER on a
regular basis. Please join me in congratulating our Director of Care Management,
Emily Mallar, and her entire team on a job very well done!
what our patients are saying
“I have had many occasions visiting CMC for myself and family. We have never had a bad experience there at all. Last October I had surgery and the nurses were amazing especially my night nurse. Thank you to all CMC staff for doing what you do every day with a smile.”
“The staff and accommodations at Cayuga Birthplace are amazing!!! This is what it I imagine it would feel like to be a celebrity getting VIP treatment. I wish I could stay longer – even the food options are 5 Star! The amenities are great. Everything is clean and designed beautifully. Not a single complaint, only praises!”
“I have to say the last couple visits that I’ve had here have been wonderful. About a month ago I had an EGD and the staff were amazing! Explained everything in detail and made me feel at ease. I was very nervous and the nurse I had was very comforting. Tonight we had to take my son to the emergency room and they were awesome with him! We got right in. “
“I have been a Hemo dialysis patient for almost Five years. Prior to dialysis and during dialysis I have had several trips to the ER, due to other health issues & was admitted to CMC more than a few times. Each and every time I’ve been there, whether in patient or out, I have been treated with respect, professionalism, and efficiency. I give this hospital 2 thumbs up!! Thank you CMC for taking care of me all these years!!”
