5 Things To Consider While Designing A Care Management Program

5 Things To Consider While Designing A Care Management Program

An efficient Care Management program can be a very potent arrow in your quiver full of strategies to improve patient outcomes, reduce health care expenses, cut down the claim rejection rate, and improve your facility’s overall reputation and fiscal health. Read on to learn more about the things that matter the most when it comes to implementing such an initiative successfully.

There has been quite a blend in the medical community of late due to an increased emphasis on the effectiveness of care provided to patients instead of the amount of effort put in by physicians and hospital administrators during treatment.

This shift in mindset is a result of ever-inflating national healthcare costs that have set off a wave of legal regulations aimed towards containing expenses. Repercussions can range from a “rap on the knuckles” for avoidable utilization and rejected claims or can be as severe as substantial penalties for quality slipups. As a first step to avoid legal hassles and loss of revenue, most healthcare entities in the country are trying to establish Care Management programs that include coordination of care post-discharge to optimally use medical and non-medical resources so that the patient can lead a healthy, good-quality life. If you are also looking for guidance on how to plan and execute such an initiative, here are some valuable hints for you:

  1. Engage Caregivers and Patients Equally – Involving your patients and their active caregivers in each step of the care management program ensures that they are engaged and connected, championing their own care goals with enthusiasm. Such a high level of participation from the patient community is vital to achieving good health results.

  2. Determine The Scope of the Program – Before you begin doing anything else, it is vital to define the scope of the program that you intend to roll out. Zeroing in on the target patient population will help you in tailoring a plan that fits your needs perfectly and is, therefore, ultimately successful.

  3. Evaluate Milestones Periodically – Establishment of quality gates at fixed intervals helps in monitoring the efficiency of the program and allows for plugging in corrective measures, as and when required, instead of waiting until the completion of the program. Outcomes reported by patients should be taken into account as part of these evaluations.

  4. Do Not Ignore Individual Requirements – While care management programs are created keeping a specific population in mind, it is still essential to pay attention to individual needs too. A relationship built on trust and honest communication will help glean individual requirements and allow for customizations when needed.

  5. Work Towards Eliminating Mind Blocks – Patients often experience fear and shame when being enrolled in a care management program. For the program to be successful, it is crucial to develop mechanisms to help dissolve apprehensions that cloud the collective psyche of patients. A committed leadership team can help chalk out these mechanisms.

A well-defined Care Management program can do wonders for your facility by enhancing patient outcomes and as a result, increasing your popularity as a hospital or practice amongst the patient community you serve. Mirra Health Care is an organization that can provide you with expert guidance in the area of Care Management. The qualified professionals at Mirra can help you lay out the framework for an excellent program as well as implement it.

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