What PCD Can Do for You

Data Analytics and Management

Care Coordination and Management

Quality Improvement Initiatives

Health Information Technology (HIT) Support

Regulatory Compliance and Reporting

Financial Management and Risk Sharing

Strategic Planning and Advisory Services

Data Analytics and Management

One of the primary services provided is advanced data analytics and management. The consulting group utilizes data analytics tools to collect, process, and analyze vast amounts of patient data. This service includes:

• Data Integration: Consolidating data from multiple sources such as electronic health records (EHRs), insurance claims, and patient surveys.

• Risk Stratification and Risk Adjustment: Identifying high-risk patients who may benefit from targeted interventions and coding visits appropriately.

• Predictive Analytics: Forecasting patient outcomes and resource utilization to aid in proactive care planning.

• Performance Metrics: Tracking key performance indicators (KPIs) to measure the effectiveness of healthcare interventions.

Care Coordination and Management

Effective care coordination is essential for achieving the goals of ACOs. The consulting group provides expertise in designing and implementing care coordination strategies that ensure effective collaboration among healthcare providers. Services include:

• Patient-Centered Medical Homes (PCMH): Establishing and maintaining PCMHs to provide comprehensive, patient-centered care.

• Chronic Disease Management: Developing programs to manage chronic conditions such as diabetes, heart disease, mental illness, and asthma.

• Transitions of Care: Facilitating and standardizing smooth transitions between different care settings to reduce re-admissions and improve patient outcomes.

• Care Management Programs: Creating tailored care plans for high-risk patients, including care at home, regular follow-ups and health coaching.

Quality Improvement Initiatives

The consulting group assists ACOs in implementing quality improvement initiatives that enhance patient care and safety. This service comprises:

• Clinical Pathways: Developing evidence-based clinical pathways to standardize care and reduce variability and improve HEDIS scores and key outcome metrics.

• Performance Feedback: Providing performance reports to healthcare providers to encourage continuous improvement. Panel management.

• Patient Engagement and Satisfaction Surveys: Conducting surveys to gather feedback and identify areas for improvement.

Health Information Technology (HIT) Support

To support the effective use of health information technology, the consulting group offers a range of HIT services, including:

• EHR Optimization: Enhancing the functionality and usability of electronic health records systems.

• Telehealth and home care and monitoring Implementation to expand access to care and improve patient convenience.

• Data Security: Implementing robust data security measures to protect patient information.

Regulatory Compliance and Reporting

Navigating the complex landscape of healthcare regulations is challenging for ACOs. PCD provides guidance on regulatory compliance and reporting requirements, including:

• Assisting ACOs in meeting the requirements of the Medicare, Medicaid and Dual eligible populations including organizational structure and documentation.

• Quality Reporting: Ensuring accurate and timely reporting of quality measures to relevant authorities and insurers.

• Compliance Audits: Conducting audits to ensure adherence to regulatory standards and identify areas of improvement.

• Policy Development: Creating policies and procedures to maintain compliance with federal and state regulations.

Financial Management and Risk Sharing

Financial management is a critical aspect of ACO success. The consulting group offers services that help ACOs manage financial risk and optimize resource allocation. These services include:

• Risk Contracting: Developing and negotiating value-based contracts with payers.

• Cost-Benefit Analysis: Evaluating the financial impact of care interventions and identifying cost-saving opportunities.

• Shared Savings Programs: Implementing programs that distribute savings generated from improved care efficiency.

• Financial Performance Monitoring: Tracking financial performance and providing insights for strategic decision-making.

Strategic Planning and Advisory Services

PCD provides strategic planning and advisory services to help ACOs achieve their long-term goals. These services include:

• Vision and Mission Development: Assisting ACOs in defining their vision and mission statements.

• Strategic Road mapping: Creating detailed roadmaps that outline actionable steps to achieve organizational objectives.

• Market Analysis: Conducting market analyses to identify opportunities and threats in the healthcare landscape.

• Leadership Training: Providing training programs to develop leadership skills among ACO executives and managers.