7 Best Practices for Complex Care Management

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Karen Utterback By Karen Utterback 
Former Vice President, Product Marketing and Strategy, McKesson (Retired)
7 Best Practices for Complex Care Management

A study by The Commonwealth Fund showing traits of successful complex care management (CCM) programs contains several points that should interest home health clinical directors.

The study, “Caring for High-Need, High-Cost Patients: What Makes for a Successful Care Management Program?,” examined 18 successful CCM programs to offer guidance on best practices in this area. According to the findings, effective programs:

  1. Customize their approach to their local contexts and caseloads
  2. Use a combination of qualitative and quantitative methods to identify patients
  3. Consider care coordination one of their key roles
  4. Focus on building trusting relationships with patients as well as their primary care providers
  5. Match team composition and interventions to patient needs
  6. Offer specialized training for team members
  7. Use technology to bolster their efforts

Look at the seven traits again. How many of those best practices do home care agencies practice every day? Nearly all of them, I’d guess.

Consider the first point, customizing the approach to local contexts. Your clinicians and aides are in patient homes every single day, providing a wide variety of services from wound care and physical therapy to safety audits and personal care. No other portion of healthcare has the personal touch that you do.

Care coordination is a critical part of your job, communicating with the patient’s primary care physician and surrounding the patient with the services he/she needs to get back to a healthy state and to age in place with grace and with dignity. That requires building trust with both patients and providers, as well as matching interventions to patients.

Agencies best-suited to participate in new care models like complex care management use home health software for agency management to report outcomes, aggregate patient data and show partners and potential partners the value the agency brings to the process.

What traits does your agency share with The Commonwealth Fund list? Leave a reply and let us know how you are making a difference in your market.

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