Integrated care delivery

Transformed Team Tracks Kidney Transplant Patients Follow-up Care
  • Hosting a short-term special clinic for post-transplant patients, enabling them to get all their follow-up care in one visit
  • Creating an Excel spreadsheet of post-transplant patients and their follow-up needs
  • Making outreach calls to patients with care gaps

What can your team do to fill patient care gaps? What else could your team do to proactively meet patient needs?

 

Laureen Lazarovici Sun, 10/02/2016 - 14:38

Making Early Detection Easy With Screening Prompts

  • Designating and training a HealthConnect super-user on the team
  • Coaching and mentoring all team members on using the prompts in HealthConnect to urge patients to agree to sceenings and book appointments
  • Tracking how often staff members remind patients to get screenings

What can your team do to ensure that members and patients get their necessary screenings? What else could your team do to coach and mentor HeatlthConnect super-users?

Cooperation Among Departments Helps Women Get Needed Screenings
  • Checking HealthConnect when female health plan members come in for flu shots
  • Working cooperatively among different departments to ensure patients get preventive screenings
  • Building time into clinic schedules for same-day appointments

What can your team do to collaborate with other departments and help make the care experience even better for our members and patients?  What else could your team do to make KP the best place to work and receive care?

 

Laureen Lazarovici Fri, 07/01/2016 - 15:55
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