Off the Shelf TA

Population Health Management


Found 28 Results
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MLPB Advancing Health Through Justice

Care Team Consultation & Legal Education


Care Team Consultation & Legal Education MLPB team members provide legal education and problem-solving insight in two ways. Interdisciplinary Team Meetings: Real-time embedding is a critical capacity-building tool for helping teams to spot peoples’ legal risks, rights, and remedies, and strengthen team-based problem-solving. Rapid-Response Consultations: Telementoring support available to care team members outside of IDTMs [...]

July 29, 2020


Stroudwater

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 [...]

May 11, 2021


SMC Partners Logo

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


Institute for Community Health

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


Hexplora

CP Impact on Health Utilization Outcomes


CP Impact on Health Utilization Outcomes Despite all the data being shared by MassHealth, it is still a challenge for Community Partners (CPs) to both understand and present to ACOs how they are improving health outcomes for their assigned population. Hexplora brings its national experience working with health plans and MSSP ACOs to the Massachusetts [...]


Institute for Community Health

Developing a Program Framework and Performance Monitoring Plan


Developing a Program Framework and Performance Monitoring Plan Health care systems are increasingly developing medical management or care coordination programs, implementing new technologies, and providing additional support services to address barriers to care faced by vulnerable populations. This Off the Shelf TA project will help organizations better articulate and monitor their initiatives. It will also [...]


Collaborative Healthcare Strategies

ED Care Alerts Improve Performance


ED Care Alerts Improve Performance Almost all ACOs and CPs have access to ADT alerts. Almost all hospitals in Massachusetts have access to a state-wide high-risk patient alert system. These are the exactly right tools for the job of improving engagement, follow up after discharge, and reducing readmissions! This TA engagement will help your team: [...]

July 29, 2020


Stroudwater

Improving Emergency Department Operations & Utilization


Improving Emergency Department Operations & Utilization Improving ED throughput and inefficient practices and improving the use of appropriate care settings are key to reducing MassHealth ACOs' total cost of care. Efficient practices are essential to ensure time-sensitive treatment, transfer, discharge or admission. Stroudwater ED operational improvement engagements evaluate current practices and processes and identify gaps [...]


Stroudwater

Improving Primary Care Chronic Opioid Management


Improving Primary Care Chronic Opioid Management 36% of opioid deaths involve a prescription opioid. (CMS Roadmap: Fighting the Opioid Crisis; November 2019). The Six Building Blocks Program was developed by a physician-led team from the University of Washington and the Kaiser Permanente of Washington Research Institute to improve management of chronic pain and chronic opioid [...]


MLPB Advancing Health Through Justice

MLPB System Design and Technical Assistance


MLPB System Design and Technical Assistance MLPB partners with communities of care to assure that people are at the center of social care design. MLPB’s human-centered law and policy expertise can promote sound social care program design that centers prevention, a strengths-based orientation, and awareness of how legal contexts drive available remedies. As other systems [...]


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