Improve Outcomes. Shift the Cost Curve.
Samepage provides integrated team-based solutions to effectively treat individuals with multiple behavior health and chronic medical conditions.
Our proven solution helps to address the care of the costliest segment of the patient population.
Founder and CMO, Paul Ciechanowski, MD, led the development of Samepage based on his extensive scientific work in developing and disseminating case management and behavioral change interventions globally.
Samepage Collaborative Care
The Samepage Multi-Condition Collaborative Care Program was implemented in 11 clinics of a large Health Delivery Network. Patients had out-of-target diabetes and/or out-of-target hypertension and clinical depression. Mean age of enrollees was 60.8 years old; 57% were female; 46% were white. On average, patients had 9.6 chronic conditions and were enrolled in the program for a median duration of 17 weeks.
Patients received collaborative care from nurse case managers for addressing multiple out-of-target conditions, based on established methods, and consisted of: systematic case review (SCR), treat-to-target clinical methodology, integrated communication with primary care, and behavior change and behavioral health strategies.
Increase in A1c testing
Decrease in number of patients with depression
Increase in number of patients with A1c < 9% (HEDIS goal)
Increase in number of patients with BP < 140/90 (HEDIS goal)
Decrease in Emergency Department visits
Patient and Care Team Management Solution
Patient information is accessible in one consolidated record, including demographic information and contact notes. The Samepage solution charts and documents patient progress and visits with ease, and supports case review. Samepage technology provides a view of how patients are doing over time.
Track patient activities and pending action steps. Set personal notifications to be triggered if patient-reported data indicates high-risk factors. Document and review notes during patient visits to maximize patient engagement in the outcomes collection process.
Achieve better results with our proven, patented methods. Our Questionnaire Modules help to get better results during healthcare visits, and better results from your own efforts to make positive changes between visits. Patients can work through their goals and action steps on any digital screen with total ease of use. All forms, surveys and questionnaires can be exported to PDF and converted into a print-friendly format, and clinical notes are automatically generated.