The 5 Principles of Care Management


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The ultimate goal of any medical practitioner is to deliver high-quality service which results in better health results without a hefty price tag. Unfortunately, while this is a great idea, often it becomes difficult to practice because there are several stakeholders involved in the patient-care lifecycle, making it next to impossible to align all of them to achieve a seamless experience. Here is where the Care Management viewpoint fits in to smoothen out the creases.

With value-dependent payment becoming the new buzzword, there is a pronounced need for a centralized entity that has a bird’s eye view of a patient’s fitness trajectory so that it can coordinate with all consulting physicians as well as social work agencies accordingly. Managing the overall care provided is an all-encompassing theory that covers a comprehensive range of activities cutting across a person’s journey as a patient. It focuses on reducing healthcare costs and improving results by bridging the communication chasm between consulting physicians, cutting down duplicate investigations, enabling patients to monitor their health, and working towards eliminating socio-economic roadblocks that hamper the patient’s well-being. Here are some of its main aspects:

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  1. Recognizing Expensive, High-Risk Populations – The most critical task of any care management team is to zero in on individuals that are at a higher risk of developing certain chronic illnesses and chalk out a preventive action plan for them that takes into account their psychological, social and medical backgrounds.
  2. Encouraging Shared Decision Making – When people are not bulldozed into making decisions based solely on their physician’s opinions they tend to behave more responsibly and follow preventive measures to the T. Care Management teams aim to engage patients in planning and executing steps to stay healthy for long.
  3. Coordinating Care – You must have heard patients complain about having to get the same panel of tests run several times when consulting multiple physicians. Such overlap leads to unnecessarily inflated bills and added nuisance in terms of wastage of time and effort. Care Management teams form a link between all the necessary players to ensure smoother operations by breaching communication barriers.
  4. Enhanced Patient Outreach – Being in touch with the patients even after they leave the premises of the healthcare facility helps in averting some dangerous post-discharge complications. Making sure that patients have understood and adopted any recommended medication alterations, ensuring that they know the circumstances in which they should seek immediate assistance, and addressing queries and follow-up questions are all tasks that are taken on by care management teams.
  5. Implementing Cost-Effective Health Solutions – By using various healthcare related knowledge repositories including journal publications, treatment histories of patients with similar conditions, research reports, etc. and churning the data gleaned from them using advanced analytics tools, it is possible to shortlist the most cost-effective treatment plans. Data Analytics teams within the Care Management setup are responsible for such projects.

Care Management is a patient-centric approach that can help healthcare entities contain costs. Mirra Healthcare is an organization that employs trained and experienced professionals who are adept at working with healthcare establishments of all sizes. By enlisting Mirra’s services for your facility, you can be assured of one thing, and that is the ever-growing satisfaction and loyalty of your patients.

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