Clinical integration means a significant shift in how patient care is provided and organized. It requires intensive physician engagement and involvement, guideline development and care management systems, new governance and organizational structures and supportive data systems.
DGA Partners can assist you in developing the clinical, structural and financial aspects of a clinical integration program.
- Assessing readiness—organizational, data management and clinical program elements
- Engaging the players—physicians in leadership; aligning incentives
- Selecting governance and organizational structure for physician participation
- Defining data management and IT requirements
- Selecting clinical care programs—which patients, what care settings, which methods, e.g. patient centered medical home, chronic care management systems, protocol development
- Developing a quality monitoring program
- Determining payer contracting options, e.g. Health system self-funded plan? Contracts with self-insured employers? Risk contracts? Bundled payments?
- Establishing a financial plan—a budget and capital plan
- Assisting in implementation
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