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August 28
2023 The Medicaid Market In Play
2022 Mississippi Awards Joint Medicaid +CHIP Managed Care Contracts To T...
2021 The Customer Experience – A Little Goes A Long Way
2020 Cash Management—The Key To Recovery, Not Just Survival
2019 Six Functions For Moving EHRs To The Next Level
2018 Integration, Interoperability & Consumer Engagement
2017 What Does ‘Value-Based’ Look Like In The I/DD Field?
2016 California Foster Care System Moving To Needs-Based Rates
2015 Maricopa County's Emerging Integrated Care Management Model
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Replies to This Discussion
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Permalink Reply by Paul Terlemezian on
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2014 When CRM & EHR Merge - The Potential & The Challenges
"Clearly the need to acquire and hold data for the purpose of care coordination and consumer engagement will continue to be a major issue in the discussion of care management, and the need for to reduce the number of data silos within organizations. Of course that raises the obvious questions about security –"
A challenge I have experienced with CRM systems is that they have never been designed to help the "user." In the business world they are designed to help marketing and upper management - but are dependent on the salesperson being motivated to enter timely and accurate data. This does not happen because the CRM does not really help the sale rep.
I anticipate the same issue with healthcare. The concerns described in this article relate to the payers and providers -what will they allow the patient to see. Will anyone ever develop a health CRM for the patient?
We see the same issue with corporate learning. The LMS is not designed for the learner. An LMS designed for the learner would provide access to the learner throughout their career independent of their employer. When will we see this?
Would the learner pay for it? Probably not - which tells us a lot about the perceived value of an LMS to the learner.
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2015 Maricopa County's Emerging Integrated Care Management Model
The article describes several health care models that are being developed:
- Person-Centered Medical Home Option – These are primary care focused with a coordinated care team.
- Person-Centered Health Care Home Option – This model, which focuses on providing services in one location using a single medical record, is for beneficiaries with the most complex behavioral and physical health needs.
- Assertive Community Treatment (ACT) – This model was described as a 24/7 health home without walls – or ACT team intensive.
- Accountable Care Organizations (ACOs) – These are organized systems of health care provider organizations that include primary care, specialists and hospitals, with a shared accountability for the cost and quality of consumer care.
- Federally Qualified Health Centers (FQHCs) – FQHCs are serving as integrated care delivery sites in the system.
How many learning models do we have? Do we have any? Perhaps we have content delivery models or content management models - but do we really have any "learning models?"
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2016 California Foster Care System Moving To Needs-Based Rates
"This new approach will replace the current approach that links foster care rates to the child’s age. The new approach and new rates for foster parents and kinship caregivers will go into effect by January 2017. Under this new approach, kinship caregivers will receive the same maintenance rates as non-relative foster parents."
Would we be willing to consider budgeting for training based on needs vs. headcount?
Would we ever allow the learner to be trained by someone they prefer to be trained by - including a previous vendor they ha experience with (or a family member?) What risks would this create? What benefits might it create?
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2017 What Does ‘Value-Based’ Look Like In The I/DD Field?
"Since publishing our last few pieces on the changes in the I/DD market – The Future Of IDD Is In The Home, Strategy In The I/DD Market, and The I/DD Market Evolution – we’ve had a number of OPEN MINDS Circle member requests to provide some concrete examples of performance measures, service guidelines, and value-based reimbursement (VBR) arrangements."
What percentage of content delivered in classroom or online is understood and applied by the learner within a week, three months or a year? Do we know? Do we have a reliable way to measure it? Does it matter? Is it low enough or important enough to consider doing something differently? (either the measurement, the delivery, the creation or the consumption?)
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2018 Integration, Interoperability & Consumer Engagement
"what data is shared, how data is exchanged, and the ability to interpret this data to be utilized for care coordination at the individual consumer level or for population health management varies widely"
Do we have access to the data we need to help us determine the value that learning is creating?
The use of formal performance reviews continues to evolve. How do we integrate with the outcomes of those reviews - beyond delivering the training - did the training make a difference?
Is performance data too sensitive for us to be working with?
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2019 Six Functions For Moving EHRs To The Next Level
- "Optimizing reimbursement
- Interoperability and data exchange strategies
- Virtual care
- Integrating care
- Quality measures and social determinants of health (SDH)—
- Leveraging analytics"
How does our LMS help us in these 6 areas? What more would we want from it in these areas? What is it providing that is not covered by these 6?
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2020 Cash Management—The Key To Recovery, Not Just Survival
Cash is clearly a currency - as might be relationships. time. and knowledge. How might we manage those during a time of crisis?
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2021 The Customer Experience – A Little Goes A Long Way
How have we "raised the bar" regarding learner experience? Have the results also been raised? How high? How do we know?
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2022 Mississippi Awards Joint Medicaid +CHIP Managed Care Contracts To T...
Which city, state, or country would be a good analogy for how your organization is viewed by the other organizations in your company? Or - by your clients?
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2023 The Medicaid Market In Play
How many sources of training are available to the employees of your company?
Who makes the decision on the sources?
What options do employees have if the choices do not offer what they want?
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What is the most effective business model that you have experienced?
Was that always the business model for that business?'
What might change that would make the business model ineffective?
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