List data-driven strategies for improving health plan collaboration with hospitals.
Use data and predictive modeling to address chronic conditions.
Identify value-based benefit designs.
Explain how to implement bundled payments for hospital and post-acute services.
Identify evidence-based health coaching models that provide positive health outcomes and encourage compliance to treatment protocol.
Discuss key concepts of cultural competency in delivery of health coaching to multicultural population.
Design effecive coaching recognition to maximize engagement and participation.
Identify the essential goals and intervention strategies of the CMS Care Transition Project.
Discuss the emerging drivers of readmissions.
List the implications of restructuring payments, adjusting for severity and engaging stakeholders.
Evaluate who should cover the cost of readmissions: The payor of the provider.
State the barriers to effective discharge planning and referral decision-making.
Describe potential solutions to effective discharge planning and referral decision making.
Demonstrate an evidence-based discharge planning decision support system.
Discuss strategies for identifying members likely to have the highest psychiatric costs to create targeted intervenntions.
Identify members likely to have the highest psychiatric costs to create targeted interventions.
Discuss the array of external influences driving change in healthcare delivery.
Cite case studies and results from specific strategies Dean has employed to aggressively enhance value-based care by improving quality and service while simultaneously reducing hospital readmissions, operational waste and other clinical inefficiencies.
Identify key mechanisms through which CMS communicated changes.
Cite key decision points for selecting the appropriate forum for notice and comment.
List the components of the Project RED hospital discharge intervention.
Evaluate the successof implementation and patient impact of Project RED.
Discuss variations among provider practices.
Examine Tuft Health Plan's results and outcomes.
Discuss the importance of holding physician chairs accountable by publishing departmental readmission rates on graded scorecards that can impact internal evaluations an promotions.
Examine how NYU is partnering with the Visiting Nurse Services of NY to udate dail weighing for heart failure patients.
Discuss achieving collaboration with hospitals at discharge b outlining clear goals and functions for health plan case managers.
Coordinate intervention campaigns with care management to impact ED and admission rates.
Assess the value of electronic medical record sharing to automate communications between post-acute providers.
Identify patient barriers and gaps in care that result in unnecessary emergency department visits, extend LOS and increase hospital readmissions.
Implement an innovative program to help individuals complete health care proxies and living wills.
Define performance goals, baseline metrics, community outcomes and available tools.
Measure the economic and clinical impact of a medical home program.
Discuss how to engage physicians at the appropriate stage of change.
Examine the cost/benefit analysis and impact of a strong commitment to electronic health records.
Evaluate the Medical Home model as a strategy for improving care.
Implement a cutting edge model to actively engage patients in self-care and long-term behavior change.
Identify technological opportunities to enhance existing programs.
Explain how to overhaul care and improve efficiencies by integrating interdisciplinary planning.
Identify the implications of potential payment reforms and Medicare guidelines.
What questions have arisen in your practice for which you need answers/strategies that you can implement?
Are you interested in basic, intermediate or advanced level trainings?
What barriers might you have that would interfere with implementation of new information learned from this training?
How can this training be improved to better impact competence, performance and/or patient outcomes?
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