Workflow GuideTile Health vs ChronicCareIQ

APCM Care Plan Workflow: Tile Health vs ChronicCareIQ

Compare APCM care plan workflows between Tile Health and ChronicCareIQ. Learn how AI automation reduces staff burden and improves documentation.

Developing an Advanced Primary Care Management (APCM) care plan requires precision and efficiency. While ChronicCareIQ provides a structured manual environment for CCM, Tile Health introduces AI-driven automation to the APCM workflow. This guide compares how each platform handles care plan creation, focusing on staff time, data accuracy, and documentation compliance.

The Challenge

Practices using traditional platforms like ChronicCareIQ often face 'click fatigue' and high labor costs because staff must manually conduct patient assessments and transcribe data into the care plan, delaying APCM reimbursement cycles.

Step-by-Step Workflow

1

Automated Patient Data Extraction

Tile Health uses AI to scan the EHR for chronic conditions and recent labs to pre-populate care plan drafts. In ChronicCareIQ, staff typically must manually select or verify these data points from integrated EHR fields before starting the plan.

Best Practices
  • Ensure EHR discrete data fields are mapped correctly for AI scanning.
  • Use Tile's auto-tagging for high-risk APCM patients.
Common Pitfalls
  • Manually re-entering data that the AI can already pull.
  • Ignoring historical data gaps in the EHR.
2

Conducting the Initial Assessment

Tile Health employs AI voice agents to call patients and complete the initial assessment, identifying social determinants of health (SDOH). ChronicCareIQ requires a medical assistant to call the patient and manually record responses into the software.

Best Practices
  • Customize AI scripts to match your practice's tone.
  • Schedule AI calls during high-response windows.
Common Pitfalls
  • Allocating expensive clinical staff to routine phone assessments.
  • Failing to capture SDOH during the first call.
3

AI-Generated Care Goal Drafting

Based on the assessment, Tile Health's AI generates specific, measurable care goals. In ChronicCareIQ, providers or staff select from a library of templates, which may require significant manual editing to meet patient-specific needs.

Best Practices
  • Review AI suggestions for clinical nuance.
  • Leverage Tile's auto-generated SMART goals.
Common Pitfalls
  • Using generic templates that don't satisfy APCM audit requirements.
  • Over-editing AI drafts instead of refining the prompt logic.
4

Provider Review and Electronic Signing

Both platforms offer digital signatures, but Tile Health flags specific care plan sections that require provider attention based on clinical risk scores. ChronicCareIQ presents the full plan for a standard manual review.

Best Practices
  • Use the 'exception-based' review model in Tile Health to save time.
  • Ensure the provider NPI is correctly linked for billing.
Common Pitfalls
  • Signing off on care plans without checking AI-flagged risk areas.
  • Delaying signatures, which stalls the APCM billing cycle.
5

Automated Patient Distribution

Once signed, Tile Health automatically sends the care plan to the patient via a secure portal or SMS. ChronicCareIQ requires staff to manually trigger the distribution or print the plan for the patient.

Best Practices
  • Enable SMS notifications for higher patient engagement.
  • Verify the patient's preferred communication method in the EHR.
Common Pitfalls
  • Forgetting to document that the patient received the plan.
  • Mailing paper plans when digital access is faster and cheaper.
6

Dynamic Care Plan Updates

Tile Health monitors patient interactions and automatically suggests updates to the care plan when status changes are detected. ChronicCareIQ relies on scheduled manual reviews by the care management team.

Best Practices
  • Set triggers for AI updates after ER visits.
  • Review the 'Change Log' in Tile Health weekly.
Common Pitfalls
  • Waiting for the annual review to update chronic condition status.
  • Ignoring patient feedback provided through AI channels.

Expected Outcomes

1

Reduction in care plan creation time from 45 minutes to under 10 minutes.

2

100% compliance with CMS APCM documentation requirements.

3

Significant decrease in staff burnout related to manual data entry.

4

Faster patient enrollment and higher retention in the APCM program.

5

Improved accuracy in identifying patient social determinants of health.

Frequently Asked Questions

Tile Health uses proprietary AI voice technology to conduct natural conversations with patients, capturing assessment data automatically. ChronicCareIQ provides a digital interface but requires your staff to physically make the calls and enter the data.

Tile Health is typically faster to implement because its AI handles the bulk of the data mapping and patient outreach, whereas ChronicCareIQ requires extensive staff training on their manual workflow and template customization.

Yes, Tile Health offers deep EHR integration, but it goes a step further by using AI to interpret and act on EHR data, rather than just displaying it for manual review.

Many practices transition from ChronicCareIQ to Tile Health to reduce labor costs. Tile Health can ingest data from previous platforms to ensure continuity of care during the switch to AI automation.

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APCM Care Plan Workflow: Tile Health vs ChronicCareIQ | Tile Health