Operational Care Management

Supporting RPM, CCM, TCM, APCM, and connected patient oversight through one operational care management structure.

Patient needs change over time.

HCUnity helps organizations support RPM, CCM, TCM, APCM, and related patient oversight activities within one connected operational framework designed to improve continuity, coordination, and operational visibility across the patient journey.

REMOTE PATIENT MONITORING (RPM)

RPM supports physician-directed monitoring activities when ongoing monitoring is medically appropriate.

HCUnity helps organizations support:

• patient monitoring workflows
• vital sign collection and review
• patient engagement activities
• follow-up coordination
• visibility into monitoring activities

RPM becomes part of a broader patient oversight structure rather than a standalone workflow.

CHRONIC CARE MANAGEMENT (CCM)

CCM supports ongoing care coordination and patient engagement for patients with chronic conditions.

HCUnity helps organizations support:

• chronic care coordination
• patient outreach activities
• care plan support
• longitudinal documentation
• ongoing patient engagement

CCM activities remain connected to the patient's broader oversight journey.

TRANSITIONAL CARE MANAGEMENT (TCM)

Transitions of care are important moments in the patient journey.

HCUnity helps organizations support:

• post-discharge follow-up
• care transition coordination
• communication across care teams
• patient outreach activities
• continuity during transitions

TCM becomes part of a more connected operational care management approach.

ADVANCED PRIMARY CARE MANAGEMENT (APCM)

APCM supports ongoing longitudinal patient oversight and care coordination.

HCUnity helps organizations support:

• longitudinal patient oversight
• physician-aligned coordination
• continuity across care management activities
• patient engagement
• operational visibility over time

APCM provides a connected foundation that supports ongoing oversight as patient needs evolve.

BRINGING CARE MANAGEMENT TOGETHER

Patient needs rarely fit into a single program forever.

A patient may begin in TCM following a hospital discharge, participate in RPM for monitoring, receive CCM support for chronic conditions, and continue within APCM as part of ongoing patient oversight.

HCUnity helps organizations support these transitions while maintaining continuity, coordination, and visibility throughout the patient journey.

OPERATIONAL INTELLIGENCE

HCUnity helps organizations improve visibility into:

• patient oversight activities
• workflow coordination
• unresolved follow-up needs
• continuity opportunities
• engagement trends
• operational exceptions
• longitudinal patient oversight

This helps organizations identify attention needs earlier and maintain a more connected operational view across care management activities.

GOVERNANCE & OVERSIGHT

HCUnity supports governance-focused operational workflows designed to help organizations maintain visibility into:

• appropriateness of activities
• workflow completion
• operational exceptions
• continuity across transitions
• patient oversight coordination
• longitudinal documentation support

INTEGRATION & INTEROPERABILITY

HCUnity is designed to work alongside existing:

• EHRs
• vendors
• care teams
• operational workflows
• interoperability infrastructures

Organizations may leverage TEFCA/QHIN whole-patient data and EHR integration to help support more connected patient oversight and continuity across care management activities.

ONE CONNECTED OPERATIONAL CARE MANAGEMENT STRUCTURE

HCUnity helps organizations support RPM, CCM, TCM, APCM, and related patient oversight activities through one connected operational framework designed to improve continuity, coordination, and operational visibility over time.