In October 2022, Innovation Care Partners (ICP), a physician-led clinical integration network and accountable care organization (ACO) serving more than 220,000 members in Phoenix, Arizona, launched a new program within their longitudinal care model to better support members with complex care needs.

Seeing a need to offer more comprehensive and frequent support for some members, ICP formed a new Complex Care Team with licensed registered nurse (RN) and licensed clinical social worker (LMSW) that could be tapped into by any part of the ICP team that needed follow-up or intervention on a patient. To empower other teams and contacts within ICP’s care ecosystem to leverage the Complex Care Team, ICP looked to HELIOS to provide a centralized resource and referral pathway.

ICP leveraged the configurability of HELIOS to develop a customized referral form that could be processed through workflows in HELIOS to generate a daily report of patients in need and enable other care coordination ICP teams to easily connect with the Complex Care Team for critical interventions or redirections. As a result, the Complex Care Team can jump in and provide additional support, resources, education, guidance, and interventions as needed to help get these patients back on track, healthier, stronger, and more self-sufficient.