Health Homes have been designed to coordinate care for chronically ill, high-risk clients (particularly those with a serious mental illness, or a mental illness and another chronic condition).

The goal behind Health Homes is to reduce hospitalizations and ER visits for those clients who most frequently use these services, and thereby reduce costs to the system by improving the care coordination of these high-needs individuals. Health Homes are established as multi-organizational entities. Clients are assigned by the State and the services are paid for by Medicaid. With the TREAT EHR, all those who participate in the care of a client, from their case manager, to their psychiatrist, social worker, parole officer, housing support worker, primary care physician, etc., are kept up to date on the care the client is receiving from various care providers.

Types of providers in this group includes a whole variety of providers. The standard Case Managers and Care Coordinators/Navigators are not usually licensed providers.

Within the network there are:

  • Primary Care MDs
  • Specialist MDs
  • Psychiatrists
  • Occupational Therapists
  • Social Workers
  • Housing Support Workers
  • Employment Support Workers
  • Peer Support Workers
  • Nurses, Counsellors
  • Parole officers and a variety of others.

TREAT EHR customers in the US that provide community mental health and case management services have implemented TREAT in a way very similar to that of our Canadian community mental health customers.

They have implemented all the modules of the TREAT EHR, but their implementation also includes TREAT’s billing module (for billing of Medicaid, Medicare and third-party insurance) and our grant/funders module for tracking of services paid for under specific funding programs.

US reporting requirements differ from those of our Canadian customers, as they are not required to submit service activity data in the same way. However, they do integrate with Regional Health Information Organizations, Health Home programs, and Criminal Justice/Jails systems, and TREAT supports this integration.

Care coordination is supported across the programs offered by these customers which include:

  • Case Management
  • Outreach
  • Mental Health and Substance Abuse Counselling
  • Adult Day Health Care
  • Peer Support
  • Education
  • Employment Support Services
  • Criminal Justice Case Management

Many of these customers work with an inner-city population, and have a particular focus on clients living with HIV/AIDS.