Table 2 Components of practice-based or centralized care management program structures
Component | Practice-Based | Centralized |
|---|---|---|
Patient entry into CM program | Physician or practice member identifies and refers at risk patient, usually during visit | Physician identifies and refers at risk patient to the care manage to call the patient back later; or patient is called by the care manager based on risk adjusted list |
Communication | Many types of communication: electronic medical record, ad hoc, huddles, regular meetings | Fewer types of communication: electronic medical record, monthly meetings, none at all |
Team-ness | Extension of physician practice; care manager does what is needed | Separate resource; care manager is an agent of the PO |
Physician description of care management program | How we deliver care here | Great resource that I can refer my patients to |