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Provider Educational Seminar

Provider Educational Seminar. Care Management: Part II. 5/27/2014. Care Management: TeleWatch -Telemedicine System. Automated, telephone-based telemonitoring system

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Provider Educational Seminar

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  1. Provider Educational Seminar Care Management: Part II 5/27/2014

  2. Care Management:TeleWatch-Telemedicine System • Automated, telephone-based telemonitoring system • Patients self-report physiologic parameters (using durable medical equipment) and answers pre-recorded disease-specific questions • Algorithms designed to detect worrisome trends or responses which automatically alert the nurse Presented by: Johns Hopkins HealthCare 5/27/2014

  3. Care Management:Monitoring Members • Medication use and adherence • Exacerbations • Urgent care/Inpatient utilization • Appointment follow-up • Overall action plan and goals • Immunization history • Test requirements and results Presented by: Johns Hopkins HealthCare 5/27/2014

  4. Care Management:Automating Disease Management TeleWatch Version 1.0: Presented by: Johns Hopkins HealthCare 5/27/2014

  5. Care Management:Uses of Data • Identification of members • Population analysis • Clinical outcomes • Lab value • Medication usage • Biometrics (BP, HR) • Program specific (birth weight, NICU admits, A1c, Influenza vaccine, CD4/viral load • Utilization Outcomes • Hospital admissions, length of stay • ER admissions • Satisfaction • Patient/caregiver • Provider Presented by: Johns Hopkins HealthCare 5/27/2014

  6. Care Management:Utilization Management Units within: • Inpatient team • Intake services • Medical review • Transitional care • Behavioral health Presented by: Johns Hopkins HealthCare 5/27/2014

  7. Care Management:Special Needs Coordination Overview: • Coordinator acts as liaison between the member, Priority Partners, health providers, and government agencies • Provides interpreter services Presented by: Johns Hopkins HealthCare 5/27/2014

  8. Care Management:Social Work • Members with chronic illness often have non-health related issues that may impact their ability to focus on their health • Social workers support clinical staff on a variety of issues such as: • Housing • Non-covered benefits • Food • Domestic violence • Transportation • Community resources Presented by: Johns Hopkins HealthCare 5/27/2014

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