¿Cómo ayudará a mi práctica?

Practice experts are ready to help you.

Experts who have worked with other clinicians to improve their practices will work with you to customize and implement a plan for your practice. Through a grant-funded contract with the state of Delaware, you will receive:

  • An assessment of your practice

  • A customized plan to build capabilities beneficial for value-based payment models

  • On-site support, coaching and training

“Our practices were able to move from episodic to more holistic care—we saw a 44% decrease in highest-risk patients utilizing care coordinators in our practices.”

Lara Hudson, RN, BSN

Manager, Clinical Programs, Nanticoke Health System, Seaford

Practice Transformation Milestones:

You’ll get support every step of the way in the form of peer-to-peer consults, in-person training sessions, live webinars, recorded training and on-site coaching.

Within 6 months:

  • Identify the 5 percent of highest-risk patients and highest priority of care coordination

  • Provide same-day appointments and/or after-hours access to care

  • Implement a process for following up after hospital discharge

Within 12 months:

  • Supply voice-to-voice coverage to panel members 24/7

  • Document sourcing and implementation plan for launching a multidisciplinary team working with highest-risk patients to develop a care plan

  • Document a plan to reduce ER overuse

Within 18 months:

  • Implement a process for contacting patients who did not receive preventive care

Within 24 months:

  • Implement a multidisciplinary team working with highest-risk patients to develop care plans

  • Document a plan for patients with behavioral health needs

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