INTREPEDIA / PRODUCT

Smart Living Community Healthcare Platform

Connect case enrollment, health assessments, care follow-up, referrals and performance analysis for community health management.

Solution domain

Community health and home care

Functional module

  • Case management and follow-up
  • Risk assessment and stratification
  • Referral and care collaboration
  • Health passbooks and personal records
  • Health education
  • Tasks and workflows
  • Statistics and charts
  • Quality indicators and validation

Introduction

Community care connects different roles, services and long-term health records. This case-centered platform brings personal information, medical history, examinations, preventive care, vaccinations, health assessments and follow-up records into one workspace, helping care staff understand each case and plan further services.

The platform filters cases by status and risk, supports personal health records, older-adult functional assessments and lifestyle assessments for hypertension, high blood sugar and high cholesterol, and organizes preventive care, vaccination and assessment due dates. Teams can coordinate enrollment, assessment and follow-up according to each case’s needs.

Referral management records service types, receiving organizations, referral dates and notes, connecting community support, home care and long-term care resources. Group analysis and performance evaluation give managers an overview of enrollment, referrals, risk distribution and indicators for service planning and review.

For the public, the entry website offers partner clinic searches, chronic disease risk self-assessments, educational resources and news, making community health information easier to access.

Who it serves

Community medical groups, partner clinics, case management teams and organizations managing community care and referral services.

Features

  • Community health entry website

    Bring program information, clinic searches, health education and news together in a clear public service entry point.

  • Partner clinic search

    Filter by clinic name, city or county, district and medical group. Addresses, telephone numbers and map links help users find local healthcare resources.

  • Chronic disease risk self-assessment

    Provide health data entry and risk estimation tools to help users understand their health management needs. Estimates are for health information and are not a basis for clinical diagnosis.

  • Case management and health records

    Organize personal information, medical history, medication and examination results. Filter cases by status, assessment date and risk level to support daily enrollment management.

  • Health assessments and ongoing follow-up

    Integrate personal health data, ICOPE assessments for older adults and lifestyle assessments for hypertension, high blood sugar and high cholesterol. Dated records and conclusions help teams follow changes over time.

  • Care task management

    Organize preventive care, vaccinations and assessments by due date and status to help case managers arrange follow-up.

  • Referrals between organizations

    Manage service needs and referral records, including service organizations, dates, responsible case managers and care notes, to coordinate different care resources.

  • Group analysis and performance evaluation

    Summarize medical group enrollment, referrals, high-risk cases and preventive care, with annual evaluation scores, rankings and indicator details for management review.

System highlights

  • Case-centered information: bring scattered health data and service records together.
  • Continuity of care: connect enrollment, assessments, follow-up and referrals.
  • Local resource integration: make partner clinics, community services and care organizations easier to find.
  • Visual management information: present care and operational status through summary tables, scorecards and indicators.
  • Role-specific workspaces: provide entry points for platform administrators, clinic directors and case managers.

Product screenshots(Actual screens vary by version)

Community health service home page
Community health service home page

Platform information, clinic searches and program indicators provide a public entry point for community health services.

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