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Course Outline

The document outlines 6 areas of healthcare services: 1) Clinical Management focuses on episode-based care operations. 2) Population Health supports longitudinal health and wellness for individuals and groups. 3) Care Value improves business aspects of delivering value-based care. 4) Virtual Health uses telemedicine and telehealth. 5) Clinical Analytics provides clinical insights. 6) Electronic Health Information Management implements and connects clinical IT systems.

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Christian Makande
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110 views

Course Outline

The document outlines 6 areas of healthcare services: 1) Clinical Management focuses on episode-based care operations. 2) Population Health supports longitudinal health and wellness for individuals and groups. 3) Care Value improves business aspects of delivering value-based care. 4) Virtual Health uses telemedicine and telehealth. 5) Clinical Analytics provides clinical insights. 6) Electronic Health Information Management implements and connects clinical IT systems.

Uploaded by

Christian Makande
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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1.

Clinical Management: Services to support and improve operations related to


episodes of care
 Utilization Management
 Clinical Operations
 Care Delivery Model

2. Population Health: Services to support and improve delivery of longitudinal health


& wellness for individuals/populations
 Wellness & Prevention
 Chronic Condition Management
 Complex Care Management

3. Care Value: Services to support and improve the business and financial aspects of
delivering healthcare value
 HEDIS, Star Rating & Quality Improvement
 Risk Score Accuracy
 Value Based Care & Accountable Care Organization (ACO) Development
 Physician Enterprise

4. Virtual Health: Services leverage virtual interactions to deliver care; consumer-


provider or provider-provider
 Telemedicine
 Consumer TeleHealth
 Clinical Collaboration

5. Clinical Analytics: Services to provide information and clinical insights and support
next generation care delivery and care management
 Information Management
 Predictive Analytics
 Clinical Informatics

6. Electronic Health Information Management: Services to help implement, connect


and manage clinical IT systems
 EMR/HER
 HIE/Interoperability
 Care Management Systems and Clinical Analytics

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