Population Health Management
Goals developed with input from member, family/caregiver, barriers and interventions that relate to assessment results.
What are some requirements for the patient centered care plan?
Includes neighborhood environment, social, community, education, healthcare access and economic stability....hint this is a comprehensive assessment question.
What are social determinants of health?
Committee that is responsible for quality improvement projects for case management program.
What is the corporate quality management committee?
Health care practitioner and member and family referrals.
How are our members identified for CM services?
This plan includes member's needs, preferences, and priorities to establish goals.
What is a person-centered care plan?
Physical, behavioral, cognitive and/or psycho-social screening tools, Mining of data resources, Health care practitioner referrals, Facility and outpatient services referrals, Member, family or caregiver referrals.
What are methods used to identify members in need of CM service.
The method used to evaluate a member's health.
What are CM assessments and interventions?
This is what the organization uses to support providers in the delivery of value-based care.
What are provider incentives and reimbursement?
This is a clinical guideline used within the organization to improve clinical outcomes for our members.
What is evidenced-based clinical guidelines?
Something that may prevent a member from meeting care plan goals.
What are barriers?
This is how often the organization monitors ongoing population health needs.
What is annually?
Connecting a member to ALTCS would be an example of this.
What is a resource that is available through the state government?
The location where CM policies are located.
What is ARCHER?
These participants are included in the development of the care plan.
Who are family, caregivers and providers?