managing the unmanageable
play

Managing the Unmanageable: Providers, Partners, and Patients T - PowerPoint PPT Presentation

Feb 04, 2024 •354 likes •454 views

Managing the Unmanageable: Providers, Partners, and Patients T HURSDAY , O CTOBER 24, 2019 12:00PM S PEAKERS : S ANJAY S ETH , M.D., E XECUTIVE V ICE -P RESIDENT , H EALTH EC C LIFF F RANK , I NTERIM E XECUTIVE D IRECTOR , S HORE Q

  1. Managing the Unmanageable: Providers, Partners, and Patients T HURSDAY , O CTOBER 24, 2019 – 12:00PM S PEAKERS : ▪ S ANJAY S ETH , M.D., E XECUTIVE V ICE -P RESIDENT , H EALTH EC ▪ C LIFF F RANK , I NTERIM E XECUTIVE D IRECTOR , S HORE Q UALITY P ARTNERS

  2. Critical Elements of Every ACO Patients Providers Partners

  3. Managing the Unmanageable Patients Prevention - What causes them to become unmanageable 1. Limited access to providers 2.Unsatisfied encounters with the providers 3.Social Determinants of Health Issues 4.Chronic illnesses • Symptoms • Don’t keep appointments • Go to the emergency room • Self referrals to specialists • Consequences • Low satisfaction scores • Low quality scores from lack of cooperation • Cause of attribution reduction

  4. Managing the Unmanageable Patients Cure – Through Provider Engagement • Practice Transformation to • Improve access and engaged encounters • Address Social Determinants of Health Issues • Chronic care management • Transitions of Care and Wellness Cure – Through Payer Negotiations • Management of auto-assigned patients • Assistance with unreachable/uncooperative patients • Focused management of patients with unique and exclusive problems • Contract re-negotiations

  5. Managing the Unmanageable Providers Prevention – What causes them to be unmanageable • Provider compensation – the non-incentivized / rewarded providers • No support for ACO activities, multiple programs, manual effort for MD • Symptoms • Does not interact with administration • Refuses to share data • Refuses to work with the care coordinators • Does not assimilate in to the ACO community Cure – Improved Provider Engagement • Strategies to improve engagement • Provider education; early success strategy • Define and include Citizenship • Better flow-of-funds for providers criteria in bonus calculations • ACO strategy support with data, practice support and care coordination • Use peer pressure • Different strategies for PCP and Specialist • Incentivize participation in ACO activities

  6. Managing the Unmanageable Partners Types of Partners: Home Hospice and Urgent Care Skilled Nursing Super Specialty Centers of Healthcare and Palliative Care Centers Facilities Groups Excellence DME Providers Providers Cure Prevention • Solve the unmanageable patients and providers • Formal contracts • Include partners as stake holders • Better provider participation with in-network providers • Urgent care as off-hours solution, waiver for SNF use etc. • Monitor utilization and services

  7. Questions and Discussion

  8. Stop by our ACO Exhibit Hall Virtual Booth https://www.acoexhibithall.com/vendor-booth/healthec/population-health-ii-software-tools-data-analytics/114/

  9. Thank You Dr. Sanjay Seth, Executive Vice President, HealthEC Sanjay.seth@healthec.com Cliff Frank, Interim Executive Director, Shore Quality Partners Cfrank@partnerahealth.com www.HealthEC.com www.Shorequalitypartners.com www.ACOExhbithHall.com

Recommend

Unmanageable UK Pension Debts Unmanageable pension debts can lead to sponsor insolvency. This

Unmanageable UK Pension Debts Unmanageable pension debts can lead to sponsor insolvency. This

Unmanageable UK Pension Debts Unmanageable pension debts can lead to sponsor insolvency. This session provides an independent trustees (IT) perspective, touching on - 0. (Leveraged borrowing) 1.Investment 2.Employer covenant 3.Actuarial

566 views • 23 slides
For Actionable Governance Darryl Richardson, Chief Product Evangelist 1 Understanding the

For Actionable Governance Darryl Richardson, Chief Product Evangelist 1 Understanding the

Mastering Your Data For Actionable Governance Darryl Richardson, Chief Product Evangelist 1 Understanding the Challenge Unmanageable Data Growth Understanding the Challenge Unmanageable Data Growth Regulatory Compliance

291 views • 27 slides
Mitigation and Adaptation Mitigation is avoiding the

Mitigation and Adaptation Mitigation is avoiding the

Mitigation and Adaptation Mitigation is avoiding the unmanageable Adaptation is managing the unavoidable 1 Mitigation and Adaptation

189 views • 17 slides
From Office to om Office to Off-Label: Off-Label: Managing Managing Ri Risk and sk and Pr

From Office to om Office to Off-Label: Off-Label: Managing Managing Ri Risk and sk and Pr

1 2 From Office to om Office to Off-Label: Off-Label: Managing Managing Ri Risk and sk and Pr Protecti otecting A ng Assets ssets Pan Panelists lists Mo Moderated by: derated by: Emily Urban, Senior Vice President, Berkley Life

495 views • 17 slides
MANAGING BROKER REGIONAL ROUNDTABLES 1 Presentation Overview The role of managing brokers in

MANAGING BROKER REGIONAL ROUNDTABLES 1 Presentation Overview The role of managing brokers in

MANAGING BROKER REGIONAL ROUNDTABLES 1 Presentation Overview The role of managing brokers in real estate regulation Overview of current project: A review of managing brokers roles and responsibilities Highlights from survey

588 views • 23 slides
C OMBINING OLD SCHOOL McCarter & English, LLP Managing ences and understanding what

C OMBINING OLD SCHOOL McCarter & English, LLP Managing ences and understanding what

LAW Annual Law Firm Managing Partners Roundtable: Recruiting, Mentoring and Managing Millennials Creativity is allowing New Jerseys top law firms to assimilate Millennials into their complicated cultures. All generations learn and are

403 views • 6 slides
MANAGING SOIL FOR MANAGING SOIL FOR MANAGING SOIL FOR MANAGING SOIL FOR ADVANCING FOOD

MANAGING SOIL FOR MANAGING SOIL FOR MANAGING SOIL FOR MANAGING SOIL FOR ADVANCING FOOD

MANAGING SOIL FOR MANAGING SOIL FOR MANAGING SOIL FOR MANAGING SOIL FOR ADVANCING FOOD ADVANCING FOOD SECURITY AND ADAPTING SECURITY AND ADAPTING TO CLIMATE CHANGE TO CLIMATE CHANGE R. Lal Carbon Management and Sequestration Center g q

582 views • 55 slides
Insurance alone is not enough! From managing policies to managing risks Onno Bloemers First Day

Insurance alone is not enough! From managing policies to managing risks Onno Bloemers First Day

Insurance alone is not enough! From managing policies to managing risks Onno Bloemers First Day Advisory Group | InConnect | Kruzr Basel, Open-Insurance Day - 02 | November 21, 2019 About me a brief introduction Reinventing how we manage

686 views • 43 slides
Managing your workforce Recruitment International - Managing your contingent workforce Jeremy

Managing your workforce Recruitment International - Managing your contingent workforce Jeremy

Automatic enrolment for employers Managing your workforce Recruitment International - Managing your contingent workforce Jeremy Leslie-Smith Industry liaison manager 28 March 2017 The information we provide is for guidance only and should

777 views • 76 slides
MANAGING CONFLICT MANAGING CONFLICT: Your Survival Guide to Successful Conflict Resolution

MANAGING CONFLICT MANAGING CONFLICT: Your Survival Guide to Successful Conflict Resolution

10/18/2017 MANAGING CONFLICT MANAGING CONFLICT: Your Survival Guide to Successful Conflict Resolution Virginia Bratton Jake Jabs College of Business & Entrepreneurship vbratton@montana.edu OPENING DISCUSSION With your neighbor,

266 views • 22 slides
MANAGING AND MANAGING AND PROCESSING LARGE PROCESSING LARGE DATASETS DATASETS Christian

MANAGING AND MANAGING AND PROCESSING LARGE PROCESSING LARGE DATASETS DATASETS Christian

MANAGING AND MANAGING AND PROCESSING LARGE PROCESSING LARGE DATASETS DATASETS Christian Kaestner Required watching: Molham Aref. Business Systems with Machine Learning . Guest lecture, 2020. Suggested reading: Martin Kleppmann. Designing

1.56k views • 112 slides
Dialogue Managing the Unexpected Managing the Unexpected the Role of the Regulatory Body

Dialogue Managing the Unexpected Managing the Unexpected the Role of the Regulatory Body

Swiss Federal Nuclear Safety Inspectorate ENSI Dialogue Managing the Unexpected Managing the Unexpected the Role of the Regulatory Body Cornelia Ryser, ENSI, Switzerland IAEA Technical Meeting Vienna, 25 29 June 2012 Assumptions

543 views • 4 slides
RECALLS Mitigating the Risk and Managing the Process October 9, 2019 Agenda Managing the Risk

RECALLS Mitigating the Risk and Managing the Process October 9, 2019 Agenda Managing the Risk

RECALLS Mitigating the Risk and Managing the Process October 9, 2019 Agenda Managing the Risk Managing the Process Q & A Session Risk Assessment Process Reporting Requirements Risk Management Tools Recall Preparedness Product Life

879 views • 65 slides
Managing your WIRB approved study Presented by: Carmen Thompson, CIP Agenda Managing your

Managing your WIRB approved study Presented by: Carmen Thompson, CIP Agenda Managing your

5/8/2020 Managing your WIRB approved study Presented by: Carmen Thompson, CIP Agenda Managing your site in Connexus Changes in Research (Modifications) Other Submissions Continuing Reviews Promptly Reportable Information

325 views • 17 slides
EXPERIMENTAL BOOKBINDING CONTENTS ACCORDION BOOK BRIEF HISTORY Originated from Asia,

EXPERIMENTAL BOOKBINDING CONTENTS ACCORDION BOOK BRIEF HISTORY Originated from Asia,

EXPERIMENTAL BOOKBINDING CONTENTS ACCORDION BOOK BRIEF HISTORY Originated from Asia, specifically from the Tang dynasty (A.D. 618-908), China. Source: Wikimedia Commons Invented to replace scrolls that turned unmanageable due to

529 views • 34 slides
Chapter 5 Managing Process Constraints Theory of Constraints Managing Bottlenecks

Chapter 5 Managing Process Constraints Theory of Constraints Managing Bottlenecks

Chapter 5 Managing Process Constraints Theory of Constraints Managing Bottlenecks Assembly Line Balancing What is a Constraint? Constraint: Any factor that limits the performance of a system and restricts its output. Operation 1

285 views • 13 slides
Managing digital vouchers with WINPACCS Andr Scharmann and Tobias Eckhardt, mbi GmbH Managing

Managing digital vouchers with WINPACCS Andr Scharmann and Tobias Eckhardt, mbi GmbH Managing

Managing digital vouchers with WINPACCS Andr Scharmann and Tobias Eckhardt, mbi GmbH Managing naging digita ital l vouch cher ers with WINPACCS Workshop 07 Block III (14:30-15:15) Managing digital vouchers with WINPACCS SYMPOSIUM 2019

711 views • 35 slides
Managing Polarities in Pursuit Managing Polarities in Pursuit of Quality of Quality USE

Managing Polarities in Pursuit Managing Polarities in Pursuit of Quality of Quality USE

Managing Polarities in Pursuit Managing Polarities in Pursuit of Quality of Quality USE POLARITY + + M ANAGEM ENT TO APPLY A DIFFERENT WAY OF SEEING, THINKING AND COM M UNICATING IN A - - COM PLEX WORLD. Denise Holmes |

495 views • 25 slides
Chapter 5 Managing Process Constraints Theory of Constraints Managing Bottlenecks

Chapter 5 Managing Process Constraints Theory of Constraints Managing Bottlenecks

Chapter 5 Managing Process Constraints Theory of Constraints Managing Bottlenecks Assembly Line Balancing What is a Constraint? Constraint: Any factor that limits the performance of a system and restricts its output.

180 views • 14 slides
Managing Complexity from a Legal and Operational Viewpoint Rakesh Kishan, Managing Principal

Managing Complexity from a Legal and Operational Viewpoint Rakesh Kishan, Managing Principal

7/19/2018 CRE/FM Outsourcing in a Technology Driven Environment: Managing Complexity from a Legal and Operational Viewpoint Rakesh Kishan, Managing Principal Trascent +1 973 420 7253 rkishan@trascent.com Kevin Rang, Partner Mayer Brown +1

571 views • 14 slides
Best Practices on Handling & Best Practices on Handling & Managing MTBE Managing MTBE

Best Practices on Handling & Best Practices on Handling & Managing MTBE Managing MTBE

Best Practices on Handling & Best Practices on Handling & Managing MTBE Managing MTBE 2004. 11. 3. Energy R&D Center SK Corporation I MTBE Balance in Korea I CONTENTS II II Feasibility Study MTBE Production/Use in SK II

772 views • 18 slides
Managing Capacity and ShinMing Guo Demand NKUST Managing dynamic demand Service

Managing Capacity and ShinMing Guo Demand NKUST Managing dynamic demand Service

Managing Capacity and ShinMing Guo Demand NKUST Managing dynamic demand Service capacity is perishable Yield Management Case: Disneyland Paris Established in 1992 Overestimate the initial demand Too many empty rooms

330 views • 16 slides
Managing Capacity and ShinMing Guo Demand NKFUST Managing dynamic demand Service

Managing Capacity and ShinMing Guo Demand NKFUST Managing dynamic demand Service

Managing Capacity and ShinMing Guo Demand NKFUST Managing dynamic demand Service capacity is perishable Yield Management Case: Disneyland Paris Established in 1992 Overestimate the initial demand Too many empty rooms

585 views • 17 slides
Managing Dependencies and Runtime Security ActiveState Deminar Managing Dependencies and

Managing Dependencies and Runtime Security ActiveState Deminar Managing Dependencies and

Managing Dependencies and Runtime Security ActiveState Deminar Managing Dependencies and Runtime Security About ActiveState Track-record: 97% of Fortune 1000, 20+ years open source Polyglot: 5 languages - Python, Perl, Tcl, Go, Ruby

727 views • 47 slides

More recommend