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A Focused Look at Your Data: Opportunities to Improve Population Health
A Focused Look at Your Data: Opportunities to Improve Population Health Health Policy Matters (HPM) will assist ACOs and CPs with data analytics to identify opportunities for improvement in population health outcomes. This will include consideration of health care trends, social determinants of health (SDOH) factors, and quality measures. Phase One TA support will include [...]
May 11, 2021

Board Development or Workshop Series
Board Development or Workshop Series Boards can be the greatest asset of an ACO and they can also be a source of frustration. Busy executives need to educate, inform, and align board members around organizational performance, industry trends, policy and regulatory change, and other business challenges and opportunities. All boards have unique personalities and challenges [...]

Brief Action Planning Online Course
Brief Action Planning Online Course This on-demand, interactive course provides training in Brief Action Planning (BAP) principles and techniques. Core concepts included stepped care for self-management support and motivational interviewing. The practical skills taught are the Ask-Tell-Ask approach and how to use BAP to help people make meaningful, effective action plans. This is a skills-based [...]

Building Successful Partnerships
Building Successful Partnerships ACOs need to leverage community-based organizations and government programs in order to address the social needs of their populations. While these partnerships benefit from common goals related to member needs, they also involve new workflows, communications, data exchange, and more. Spring Street will help your organization to get the most out of [...]

Business Case for Addressing Social Determinants in Primary Care Settings Webinar
Business Case for Addressing Social Determinants in Primary Care Settings Webinar This interactive webinar is focused on helping primary care organizations assess, document, and articulate their business case for addressing the social determinants of health. Participants will be provided working tools to enable a deep exploration of the variables which can drive the business case [...]

Clinical Care Delivery Spectrum Development
Clinical Care Delivery Spectrum Development Clinical Care Delivery Spectrum Development utilizes an outcomes-driven method to establish a consistent, evidence-based process to determine which patients can be safely and appropriately cared for at each healthcare facility. The Spectrum can be structured for various patient care levels, such as acute inpatient including ICU, observation, swing bed, emergency [...]

Collaborative Care Management Integration
Collaborative Care Management Integration SMC Partners offers program and process design, data management and systems integration services to enable ACOs and Community Partners to connect their systems and create a community-wide view of care management performance metrics. Today many ACOs and CPs rely on faxes and manually maintained spreadsheets to record events such as care [...]
July 29, 2020

Collecting Provider and Staff Feedback on ACO/CP Programming
Collecting Provider and Staff Feedback on ACO/CP Programming Provider and staff input and perspective is key to determining the success of a new initiative and achieving continuous program improvement. However, gathering internal feedback can be challenging and time-consuming, and staff may be hesitant to provide honest input to someone internal to their organization. This technical [...]
May 11, 2021

Community Complex Care Blueprint Implementation
Community Complex Care Blueprint Implementation The Community Complex Care Blueprint supports implementation of enhanced case management services for individuals with complex health and social needs, such as those who are high medical and social services system utilizers, homeless, or precariously housed clients. This Off the Shelf TA offering combines a collection of web-based case management [...]
May 10, 2021

Conducting Trauma-Informed Data Collection: Workshops
Conducting Trauma-Informed Data Collection: Workshops Trauma-informed approaches have been developed in the field of behavioral health care to promote healing and avoid compounding harm caused by trauma among both clients and staff. Experience and comfort with these approaches is valuable not only for clinical staff providing care, but for non-clinical staff who may be gathering [...]
May 11, 2021
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