Part 3 Integrating Mechanisms

Services and Integrating Mechanisms of the Continuum of Care INTERENTITY MANAGEMENT & STRUCTURE INTEGRATED INFORMATION SYSTEMS CARE COORDINATION INTEGRATED FINANCING EXTENDED ACUTE AMBULATORY SOURCE: Evashwick, C. (1987). Definition of the continuum of care. In C. Evashwick & L. Weiss (Eds.), Managing the continuum of care: A practical guide to organization and operations. Rockville, MD: Aspen Publishers HOME OUTREACH WELLNESS HOUSING Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Chapter 11 Organization and Management

Benefits to Organizations of Integrating Services Increased efficiency Economies of scale Wider distribution of risk Greater bargaining power Expanded market Improved customer satisfaction Enhanced quality and outcomes Located in the Continuum of Long-Term Care, 3rd Edition : Chapter 11. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Barriers to Organizational Integration Different service eligibility criteria Separate financing streams Conflicting regulations Differing organization cultures Client and staff loyalties Geographic boundaries Professional cultures and preferences Located in the Continuum of Long-Term Care, 3rd Edition : Chapter 11. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Barriers to Organizational Integration (Cont.) Communication patterns Inadequate information systems Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

General Management Techniques for Integrating Educate board Identify leaders Centralize decision making Unify marketing Consolidate finances and budgeting Centralize purchasing Located in the Continuum of Long-Term Care, 3rd Edition : Chapter 11. Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

General Management Techniques for Integrating (Cont.) Align human resource functions Integrate information systems Implement case management Establish disease management programs Coordinate clinical care Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Management Techniques for Integration Used by Providers Share a vision Create management team Educate board Identify leaders Unify marketing Located in The Continuum of Long-Term Care, 3rd Ed., pg. 191 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Management Techniques for Integration Used by Providers (Cont.) Centralize purchasing Align human resource functions Coordinate clinical care Establish disease management Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Management Techniques for Integration Used by Payers A single intake form A single patient identification number Case management Pooled categorical funding Single contracting of services to all clients regardless of source of coverage Located in The Continuum of Long-Term Care, 3rd Ed., page 195 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Management Techniques for Integration Used by State Governments A common intake form Case managers with responsibility to the state program, not to the collaborating agencies Located in The Continuum of Long-Term Care, 3rd Ed., pg. 196 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Management Techniques for Integration Used by State Governments (Cont Team management (program managed by a team of managers for multiple collaborating agencies) Pooled categorical funding Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.