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Join CTG Client Solution Executives Jeanette Ball, BSN RN, PCMH CCE, and HealthEfficient Executive Director Alan Mitchell as they present "Linking Risk to Care Management to Transform Patient Care" on Tuesday, October 20 at 3:00 p.m. EST.

Linking Risk to Care Management to Transform Patient Care

As the prevalence of risk-based contracts rises, providers must shift their delivery models to thrive in a value-based environment, and understanding and addressing risk in patient populations is key. Providers must have a formal approach to risk stratification and care management; that is, segmenting patients into groups of similar health complexity and tailoring interventions for each.

HealthEfficient, a non-profit, federally funded network of community health centers, works with federally qualified health centers (FQHCs) to improve health outcomes. HealthEfficient’s Executive Director and CTG’s Population Health expert will detail how five FQHCs developed and implemented risk-stratified care management models by engaging clinical teams to consider unique care approaches based on specific needs and risk levels. Customized, weighted scoring was developed that takes into account unique risk factors of their populations, such as farm worker, homelessness, chronic disease, etc. Practices use Tableau to view and analyze real-time data feeds based on risk segmentation, as well as data trends that reveal where to target actions. Speakers will explain how they collaborated to identify care interventions that drive clinical strategies, define new care team roles, and optimize delivery processes to improve outcomes. Participants will receive a Risk Stratification Self-Assessment and answer polling questions to learn how they are using risk to inform care management.

Presentation Slides