UCLA PowerPoint Presentation - Blue Shield of California Foundation

More documents

Recommendations

Info

Medical Home Definition in HCCI“Medical home” means a single provider orfacility that maintains all of an eligibleperson’s medical information and that is alicensed provider of health care services,and that provides primary medical careand prevention services.
Medical Home Features• Personal physician• Type, adherence• Physician-directed team-based approach• Staffing, location, communication methods• Whole person orientation and care coordination/integration• Coordination of all care, feed-back loops, disease or case management• Self-management support for chronic conditions• Modes of communication, educational materials, resources• Quality improvement• Feedback to providers, use of evidence-based guidelines, clinical decision support tools• Access to care• Open access scheduling, extended hours and urgent care, 24/7 nurse advice line, alternativemodes of communication with PCP• Provider payment• Method, incentives, and enhanced payment
Page 5 and 6: HCCI Enrollment: Total Unduplicated
Page 7 and 8: HCCI Enrollment Churn• Length of
Page 9 and 10: Any ChronicDisease*DiabetesDyslipid
Page 11 and 12: Average Number of Inpatient Days pe
Page 13 and 14: Network Definition in HCCI“Streng
Page 15 and 16: Challenges to Creating Provider Net
Page 17: Provider Networks in LIHP• Open v
Page 21 and 22: Medical Home Best Practices• Enfo
Page 23 and 24: LIHP Eligible Population• LIHP El
Page 25: Contact Us• Nadereh Pourat: Poura

UCLA PowerPoint Presentation - Blue Shield of California Foundation

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?