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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