Provider-Payer Partnerships as an Engine for Continuous Quality Improvement.
Psychiatr Serv
; 69(6): 623-625, 2018 06 01.
Article
em En
| MEDLINE
| ID: mdl-29493418
ABSTRACT
The authors describe a quality improvement approach in which a crisis center and a payer collaborate to improve care. Each crisis visit is considered as a potentially missed opportunity for community stabilization. Daily data on crisis visits are sent to the payer for a more up-to-date analysis of trends than is possible with financial claims data, which may lag behind services provided by up to 90 days. Using these trend data, the two organizations collaborate to identify patterns that lead to opportunities for improvement and develop multiple rapid-cycle projects for better management of services, resulting in significant decreases in readmissions and in the number of high utilizers.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Programas de Assistência Gerenciada
/
Colaboração Intersetorial
/
Melhoria de Qualidade
/
Serviços de Saúde Mental
Limite:
Adolescent
/
Child
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Psychiatr Serv
Assunto da revista:
PSIQUIATRIA
Ano de publicação:
2018
Tipo de documento:
Article