Скачать презентацию Provider Educational Seminar Care Management Part II 3 18 2018 Скачать презентацию Provider Educational Seminar Care Management Part II 3 18 2018

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Provider Educational Seminar Care Management: Part II 3/18/2018 Provider Educational Seminar Care Management: Part II 3/18/2018

Care Management: Tele. Watch-Telemedicine System • Automated, telephone-based telemonitoring system • Patients self-report physiologic Care Management: Tele. Watch-Telemedicine System • Automated, telephone-based telemonitoring system • Patients self-report physiologic parameters (using durable medical equipment) and answers pre-recorded disease-specific questions • Algorithms designed to detect worrisome trends or responses which automatically alert the nurse Presented by: Johns Hopkins Health. Care 3/18/2018

Care Management: Monitoring Members • Medication use and adherence • Exacerbations • Urgent care/Inpatient Care Management: Monitoring Members • Medication use and adherence • Exacerbations • Urgent care/Inpatient utilization • Appointment follow-up • Overall action plan and goals • Immunization history • Test requirements and results Presented by: Johns Hopkins Health. Care 3/18/2018

Care Management: Automating Disease Management Tele. Watch Version 1. 0: Presented by: Johns Hopkins Care Management: Automating Disease Management Tele. Watch Version 1. 0: Presented by: Johns Hopkins Health. Care 3/18/2018

Care Management: Uses of Data • Identification of members Ø Population analysis • Clinical Care Management: Uses of Data • Identification of members Ø Population analysis • Clinical outcomes Ø Ø Lab value Medication usage Biometrics (BP, HR) Program specific (birth weight, NICU admits, A 1 c, Influenza vaccine, CD 4/viral load • Utilization Outcomes Ø Hospital admissions, length of stay Ø ER admissions • Satisfaction Ø Patient/caregiver Ø Provider Presented by: Johns Hopkins Health. Care 3/18/2018

Care Management: Utilization Management Units within: • Inpatient team • Intake services • Medical Care Management: Utilization Management Units within: • Inpatient team • Intake services • Medical review • Transitional care • Behavioral health Presented by: Johns Hopkins Health. Care 3/18/2018

Care Management: Special Needs Coordination Overview: • Coordinator acts as liaison between the member, Care Management: Special Needs Coordination Overview: • Coordinator acts as liaison between the member, Priority Partners, health providers, and government agencies • Provides interpreter services Presented by: Johns Hopkins Health. Care 3/18/2018

Care Management: Social Work • Members with chronic illness often have non-health related issues Care Management: Social Work • Members with chronic illness often have non-health related issues that may impact their ability to focus on their health • Social workers support clinical staff on a variety of issues such as: Ø Ø Ø Housing Non-covered benefits Food Domestic violence Transportation Community resources Presented by: Johns Hopkins Health. Care 3/18/2018