Region 4 Kelly Bowman Crisis Systems Manager Leverage strengths - - PowerPoint PPT Presentation

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Region 4 Kelly Bowman Crisis Systems Manager Leverage strengths - - PowerPoint PPT Presentation

Region 4 Kelly Bowman Crisis Systems Manager Leverage strengths of current infrastructure to support collaborative continuum of care coordination CCS Follow Up Care Coordination Case Management Current Success EHR uniformity


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SLIDE 1

Region 4

Kelly Bowman – Crisis Systems Manager

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SLIDE 2
  • Leverage strengths of current

infrastructure to support collaborative continuum of care coordination CCS Follow Up Care Coordination Case Management

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SLIDE 3
  • Current Success
  • EHR uniformity
  • Communication access between

coordination teams

  • Long standing community ties
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SLIDE 4

Integration Barriers

  • Non payor driven system

Scope of CCS

  • Care Coordinators only notified for inpatient

hospitalization & residential services Challenge coordinating lower levels of care Real time data

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SLIDE 5

Looking Ahead & Maximizing Success

Prioritize Outreach & Education

  • Connect CCS with RAE involved initiatives & community partners

Operationalize works flows to more clearly identify triggers points & level set expectations for coordination

  • teams. Maximize outreach without duplication.

Establish a monthly “Coordination Collaborative” for care coordinators, case managers, & CCS follow up teams.

  • Increase resource sharing
  • Clearly define roles & responsibilities
  • Identify best practices for coordination of high acute complex Members
  • Training collaborative & skill building
  • Improve interagency communication
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SLIDE 6

Aligning Vision to Improve Performance Metrics

Readmission Level Improvements 7 Day Follow Up Appointments ER Utilization