UCLA PowerPoint Presentation - Blue Shield of California Foundation

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Challenges to Implementation ofMedical Home in Safety Net• Assignment of personal physician• Physician directed team-based approach with virtual/off-site teams• Care coordination with restricted services• Quality improvement with limited decision support tools and sufficient feedbackto primary care provider• Availability of resources to patients for self-management support• Innovations to enhance access including open access scheduling and alternativemodes of communication with providers• Provider incentives and enhanced reimbursement for medical home functionsbeyond care delivery
Medical Home Best Practices• Enforced adherence (Orange)• Innovative Care Clinic (ICC) (San Mateo)• Panel Patient Management (Alameda)• Intensive care management (Kern)• Electronic Summary Sheet (ESS) (LA)• Multidisciplinary team across MHs (San Diego)• System-wide EMR and disease registry access (San Francisco)• Disease & Case Management with risk stratification (Santa Clara)• Bundled fee-for-service primary care reimbursement (Ventura)• Individual Physician Assignment (Contra Costa)
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 and 18: Provider Networks in LIHP• Open v
Page 19: Medical Home Features• Personal p
Page 23 and 24: LIHP Eligible Population• LIHP El
Page 25: Contact Us• Nadereh Pourat: Poura

UCLA PowerPoint Presentation - Blue Shield of California Foundation

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