Care Plan Collaboration Hub

The Care Plan Collaboration Hub brings everyone to the same page, literally. It creates a single, digital care plan that follows the patient across settings and organizations, so each care team member can contribute updates, track tasks, and view shared progress toward goals.

Using FHIR CarePlan and Goal resources, the hub integrates directly with EMRs, payer systems, and patient portals. Each participant, clinician, care coordinator, payer nurse, or the patient themselves, works from the same version of truth, reducing duplicate outreach and ensuring interventions are aligned with clinical priorities and patient preferences.

Benefits

• Improved care alignment: Shared goals and tasks keep every team member on the same page.
• Patient-centered transparency: Patients and families can see and understand their care plan in plain language.
• Better outcomes and coordination: Reduces overlap and missed steps through unified tracking and communication.
• Regulatory readiness: Supports payer-provider collaboration models and CMS interoperability mandates.

Key Capabilities

• FHIR-based CarePlan and Goal resource synchronization across systems.
• Role-based visibility and task assignment for interdisciplinary teams.
• Automatic updates to patient portals for real-time transparency.
• Integration hooks for payers, case managers, and specialty providers.
• Audit-friendly timeline of changes and care team contributions.

Great for

• Care Coordinators and Multidisciplinary Teams: Collaborate across providers and payers with a shared, goal-oriented plan of care that updates in real time.
• Payer and Case Management Teams: Align outreach, reduce redundant interventions, and document collaborative care under unified CarePlan standards.
• Clinical Informatics and EMR Analysts: Govern data models, enforce FHIR-based structure, and maintain synchronization with patient-facing and payer-facing systems.
• Patients and Families: Stay informed and engaged with a transparent view of goals, progress, and next steps.