Integrating clinical and support process design for effective health services.
With increased capitation and managed care competition, health care systems must demonstrate effective health services with predictable costs, timing, transitions, and health outcomes. By involving patients, payers, and multiple providers, a health care system can design integrated clinical and support processes across the continuum for defined populations. The goals are lower costs, increased payer and patient satisfaction, and improved health status. This article shares examples and experiences from four health care systems that teamed with Premier, Inc., to design an integrated services sequence for defined populations.
Niemi
K
K
Premier, Inc., Charlotte, NC, USA.
Babka
J
J
Coe
I
I
Martin
C
C
Ruffing
S
S
D000328:Adult; D002648:Child; D002662:Child Health Services; D003363:Cost Control; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000458:organization & administration*; D003920:Diabetes Mellitus / Q000628:therapy; D019468:Disease Management; D005260:Female; D005431:Florida; D006301:Health Services Needs and Demand; D006333:Heart Failure / Q000628:therapy; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000628:therapy; D008329:Managed Care Programs / Q000458:organization & administration; D008427:Maternal Health Services; D009657:North Carolina; D017064:Process Assessment, Health Care; D013781:Texas; D014768:Virginia