Page Comparison

Process Group

Care Mangement

Objective

Enroll target beneficiary into specific chronic disease management programs to promote early screening, diagnosis and treatment to ensure appropriate cost-effective medical services are identified, planned, and obtained

Input

• List of beneficiaries in need of care management programs

• Geography

• Diagnosis

• Treatment plan

Output

• List of beneficiaries enrolled in chronic disease management programs

• Beneficiary treatment needs assessment

• Treatment plan

• Provider list

Task Set

• Provide list of qualified and approved providers to beneficiary

• Home visit to beneficiary

Measurable Outcomes

• Beneficiary enrolled in care program

• Treatment plan established for beneficiary enrolled in care program

Sources

• Joint Learning Network, 2012

• File: NHIIS_Phase_1_Public_Report_JLN_IT_Workshop_FINAL_Jan182012_A4.pdf