ACT
The Ancillary Care Team includes
What is the Care coach, Resource coordinator, Behavioral health specialist and Pharmacist
WHO is affected by referrals?
Who are Patient and PCP
NPS stand for
What is Net Promoter Score
A referral should be
What is medically necessary
The intersection of cost and quality
What is Value Based Care
Ancillary Care team is an _________ that requires an _________ referral
What is internal
WHAT's the what of referrals?
What needs to be addressed that is beyond PCP ability?
NPS measures
What is consumer loyalty
Pre-referral work-up should include
What are labs, imaging, medication evaluation and high risk disease detection?
State 1 of the premises behind value based care
What is 1. identify high-risk chronic diseases treatment and risk reduction 2. Being fiscally astute with the allocation of clinical resources to reduce complications associated with chronic medical conditions 3. NEVER compromising QUALITY OF CARE delivered
Provider Driven Care + Ancillary Care Team Support =
What is Patient Engagement
WHERE is the patient going?
What is the Specialist, Procedure, Diagnostics in Network?
A high NPS score reflects
What is a positive patient experience?
Ensure adequate pre-referral work-up is
What is Good medicine
VBC is a value based strategy and health-care delivery models where as FFS is ___________
What is volume based strategy and health-care delivery models
Care coaches provide what services?
What is Transitions of Care, Clinical Longitudinal Pathway and Episodic care services
WHEN should patient be referred?
What is when the pre-referral work-up is completed?
Can influence patient's network preference even in open access markets
What is a positive patient experience?
Types of referrals to communicate with referral coordinator
What are stat, urgent, important or acute referrals?
Value-based models change incentives to focus on value by
What is rewarding better outcomes and lower spending?
Communication platform to discuss complex patients
What is Interdisciplinary Team Meetings
WHY does the patient need to be referred?
What is PCP can't manage the issue?
Creating a tight referral network thru ______________ empowers the primary care provider to completely coordinate the patient's care thru the care continuum.
What is cultivation of positive professional relationships and communication
Referral management supports our
What are our values?Care, Accountability, Respect, Excellence
Is considered one of the major drivers of high costs because it encourages and incents the use of more (and expensive) services.
The FFS payment model for health care