• Conducts “gap”or Opportunity Analysis and Process Redesign;
if applicable
• Nominal Groups
• Population Health and Productivity Analysis (PHPA/PHPA+)
• Standard, Plus, or Custom Analysis; and Reporting
• Sensitivity model
• Identifies cost drivers within population(s) that are impacting employee health status, work performance, and organizational costs;
• Formulates a plan of action to reduce/avoid unnecessary health care/disability costs to enhance productivity by assisting the workforce in maintaining optimal health status
• Establishes a baseline for measuring and evaluation the effectiveness of care management, health/disease management programs, and/or health promotion/wellness programs |
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• Develops and Implements Clinical Integration Programs
• Supports and Implements Medical Home Models
• Develops and Implements effective communication and promotion programs
• Develops effective incentive programs
• Develops and / or contracts for effective performance guarantees from vendors / programs
• Evaluates program(s) -- standard or custom analysis and reports -- documents the business case for programs
• Enhances, builds, selects programs that achieve desired program, financial, and business goals
• Develops / Enhances programs for Disease, Disability, Maternity, Wellness, Health Management
• Cancer
• Cardiac
• Comorbidity
• Diabetes
• Hypertension
• Maternity
• Preconception
• Interconception
• Prenatal
• Postpartum
• Neonatal Intensive Care Unit (NICU)
• Infant Care
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• Mental Health
• Obesity
• Pediatric Health
• Respiratory
• Specialty Rx
• Weight
• Wound Care
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• Vendor evaluation and selection for programs and services
• Pay for Performance models
• Achieves desired behavior change and patient adherence/compliance
• Facilitates clinician communication training for desired results – behavior change and adherence
• Policy, procedures, criteria, and program development/enhancement related to obesity management
• Nursing care plans, patient/individual self-care plans, assessments with associated logic/algorithms, and more
• Content for disease, maternity, and/or health management
• Executive health management
• Individual health management
• Solves healthcare puzzles (problem solving in healthcare)
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