On Demand: Hiding in Plain Sight Part 2: Formalizing Care Management for ROI-Presentation Slides

Presentation Slides

Pdf Summary

The document discusses the formalization of care management services to improve Return on Investment (ROI). It emphasizes the importance of conducting a current state analysis, estimating patient populations, understanding payor structures, identifying gaps, and projecting financial outcomes. Various care management services, such as Transitional Care Management (TCM) and Principal Care Management (PCM), are outlined, detailing patient criteria and required elements. Recommendations include utilizing existing resources, analyzing current workflows, and developing effective communication strategies. Key steps for success involve calculating revenue per encounter, staffing requirements, space allocation, and financial projections. The document stresses the importance of setting realistic goals, building for the future, and focusing on good patient care. It concludes with key takeaways highlighting the significance of formalizing care management practices and designing programs with future needs in mind. For further information and registration, the CVTransforum.com website is recommended. The authors, Joel Sauer and Ana Mercurio-Pinto, are available for questions and consultation regarding care transformation strategies.

Keywords

care management services

Return on Investment

current state analysis

patient populations

payor structures

Transitional Care Management

Principal Care Management

staffing requirements

financial projections

good patient care