3004 – Practice-Based Care Management As A Strategic Building Block To Value-Based Care
Successful delivery of value-based care requires three new core competencies for primary care: Precise risk identification for attributed lives, elimination of cost caused by avoidable and un-necessary services and supporting top of license work and appropriate patient care venue choice.
Traditional care coordination models have failed to deliver medical and financial benefits at the scale required in advanced models like Primary Care First. While best practice program and high complexity models exist, delivering effective care coordination services to larger populations in an economically feasible way has been difficult to achieve.
In this presentation learn how Maine Health, an 11-hospital system with 800 employed primary care and 1600 specialty physicians has built and implemented a pragmatic model of modern ambulatory care management.
1. Describe how to integrate an array of best practices into a scalable ambulatory care management model, such as: consumer marketing techniques for patient enrollment, behavioral economics for patient engagement, and leveraging non-licensed remote staff
2.Summarize how to directly relate patient activation scores to care plan items
3. Measure the success of the program using a care coordination dashboard