Changes in delivery models include transitioning of some health care services that were previously performed in acute inpatient settings to ambulatory settings.
Our goal is to equip health care teams with the knowledge, skills and confidence to navigate this journey through the training and consulting services described below.
Population health management is a proactive and comprehensive approach to healthcare that focuses on improving the health outcomes of an entire population
Serious Illness Conversation are clinician facilitated conversations with individuals with a serious illness to determine their goals, values and preferences that then inform the serious illness plan of care.
Compassionate and empathic communications that establishes trust with patients and their family is at the core of serious illness conversations, primary care providers and case managers typically have long-term relationships with patient’s and are ideally suited to initiate serious illness conversations.
Our care coordination training program uses the Corbin Strauss Chronic Illness Trajectory Framework. That provides structure, tools and resources to efficiently and effectively assess patients, develop a plan of care and identify case closure criteria for individuals with a chronic illness.
Appointments
Patients
Doctors
Exercises