3 Tips on How to Implement Chronic Care Management
If your practice has decided that it is time to implement Chronic Care Management, you ...
July 25, 2019
When Chronic Care Management (CCM) was first introduced, it was initially thought that Primary Care Physicians would be the group of providers who would utilize it most often. Chronic Care Management is the delivery of services directly to those who are battling 2 or more chronic illnesses. As time progressed, it was realized that specialists provide medical care to a large number of individuals battling multiple chronic conditions. For example, while a patient might start at their PCP with their initial symptoms, they might be referred to a Nephrologists where they are diagnosed with Chronic Kidney Disease. Or they might be referred to an ENT specialist, where they are diagnosed with Dysphasia. Specialists see high numbers of chronic conditions comparatively to PCPs. This is especially true for ENT specialists who treat chronic conditions like Dysphasia, Bell’s Palsy, or Head and Neck Cancer. The next step should be to introduce CCM for ENT providers as not only a means to offer a higher quality of care to your patients in need, but to also improve your bottom line.
1) Improved Quality of Care:
a. Measurable Treatment Goals:
CCM for ENT providers helps to identify measurable and achievable goals for the treatment of each individual patient. This enables for improved clinical decision making and improved patient
involvement as each goal is met.
b. Community Resources
One area that can drastically improve a patient’s quality of care and quality of life is whether or not they are utilizing resources in their community. CCM for ENT providers helps to identify resources in a patient’s community, other than their provider, that could have a positive impact on their health. This could include things like support groups, prescription discounts organizations, or any other resource that could simplify and improve a patient’s care.
c. Home Care Coordination
For patient’s battling chronic conditions, there is usually a high number of visits that take place for labs, testing, or care coordination. Home care coordination included in CCM for ENT providers enables the patient to utilize tools that allow them to stay home and still work toward improving their health. These tools include things like telehealth and remote monitoring.
d. Decrease Emergency Department (ED) Visits\ Research reflects that engaging in CCM for ENT providers has a direct impact on the number of ED visits and stays for chronically ill ENT patient’s
e. Patient’s Needs Come First
CCM for ENT providers enables the provider to put the needs of their chronically ill patients first while maintaining financial and operational peace of mind. This leads to higher levels of patient satisfaction as the patient feels more important in the eyes of their ENT providers.
f. Increased Patient Engagement
In many cases, patients battling multiple chronic conditions can often feel discouraged by their health. For patient battling multiple chronic ENT conditions like Conductive Hearing Loss, Meniere’s Disease, or Hyperacusis on top of other chronic illness, it can feel impossible to be constantly mindful of how they are engaging their provider. CCM for ENT providers helps to simplify how CCM patients engage their ENT providers, increasing the levels of patient engagement.
2) New Stream of Revenue
CCM for ENT providers is growing increasingly fast as CCM has opened up to cover any condition that ENT specialists feel is chronic for their patient. Through offering Chronic Care Management, providers earn reimbursements from the Centers of Medicare and Medicaid (CMS) for each patient they work with. CCM for ENT providers introduces an entirely new stream of revenue for the ENT specialist, directly impacting their bottom line and increasing revenue overall. The average doctor has 500 patients that qualify, representing an approximated $170 per patient per year of additional revenue. With this in mind, providers have the ability to earn as much as $85,000 in additional revenue aside from their existing income. While simultaneously improving the quality of care that their chronically ill patients receive, providers are also earning money for each patient.
CCM for ENT providers impacts the level of care a chronically ill patient receives from their ENT specialist in multiple ways. While doing so, CCM for ENT providers simultaneously improves the bottom line for specialists who choose to utilize it. To learn more about quality CCM for ENT providers, click here.