Description:

Managing an integrated clinical system requires designing a continuum of care that is well positioned strategically, implementing the design effectively, and getting paid for the services. Seamless continuity of care as people move through the continuum has often proven an elusive goal of system reform efforts. To be successful, clinical leaders need practical tools that integrate and align clinical practice, operations and payer requirements. During this presentation, you will learn about the key features of a well-functioning continuum of care, and how to use level of care criteria as the framework for operational and clinical decision- making that will meet the requirements of managed care payers.

• Continuum of Care: The Key to the Integrated System

  • Definition of Continuum Elements

  • Continuum Organization Models

  • Assessing Your Continuum

  • Improving the Integration of Your Organization’s Services

• Care Management in Managed Care & Other Managed Environments

  • Level of Care Criteria

  • Medical Necessity

  • Utilization Management

  • Outlier Management

Register for Live & On-Line Presentation:

Participants of OPEN MINDS Live & On-Line webinars can sign up for
CME & CEU credits through Netsmart University for $20 per webinar.

Can't attend? Convenient presentation copies are available after the event.