Clinical Redesign
As the shift from a fee-for-service payment model to one that incentivizes quality and outcomes through value-based-payments gains momentum, success will depend on coordinated redesign of clinical processes. Care delivery predicated on isolated pathways must give way to highly-integrated, patient-centric care. Doing so will help providers achieve all five dimensions of the Quintuple Aim.
Our Approach
Develop visual “blueprint” of the patient flow through the care delivery system
Align projects and processes to facilitate identification of workflow similarities and resource utilization
Analyze process maps to identify commonalities to encourage resource sharing and development of centralized services
Develop future state patient flow maps for clinical pathways using evidence based practices
Perform on-site validation analysis to validate and determine feasibility of proposed future state
Coordinate efforts with multidisciplinary teams including clinical operations and IT to devise implementation strategies
Facilitate “warm handoffs” of process maps to work streams to ensure continuity
Develop and implement workforce plan, including new roles, role transition, training, recruitment and onboarding
Assess current state financial incentive model(s) and redesign as needed to align financial incentives with new clinical model and value-based payment arrangements
