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