Activities | Collaborative Model | Centralized Model |
---|---|---|
Staff Preparation/Training | ||
āTraining health plan staff | X | X |
āTraining vendor staff | X | X |
āTraining clinic staff | X | Ā |
Determining Member Eligibility | ||
āGenerating list of members due for CRC screening | X | X |
āNotifying providers and health systems about mailed FIT kit program | Ā | X |
āProcessing provider and health system opt-outs | Ā | X |
āCoordinating health plan and contracted clinics/health systems to finalize member list | X | X |
āScrubbing list of eligible members | X | X |
āSending member list to vendor | Ā | X |
Introductory Letter and FIT Kit Mailing/Tracking | ||
āOrdering FIT kits | X | X |
āDistributing FIT kits and FIT kit mailing materials to vendor | X | X |
āPreparing and mailing introductory letter | X | X |
āPreparing and mailing FIT kits | X | X |
āMonitoring tracking system/sending regular activity reports to health plan/clinics | X | X |
āCalling members to ask if they received FIT and/or had questions; resending FIT kits if needed | X | X |
āFielding incoming calls from FIT kit recipients | X | X |
āReminding members to complete the FIT kit | X | X |
FIT & Results Processing | ||
āClinics: Receiving returned FIT, placing lab order, and sending to lab for processing | X | Ā |
āLab: Receiving completed FITs and processing results | X | X |
āLab: Notifying health plan about claims | X | X |
āLab: Entering results in clinic EHR | X | Ā |
āLab: Sending results to print vendor | Ā | X |
āPrint vendor: Sending results to clinics/providers | Ā | X |
āPrint vendor: Notifying health plan about positive results | Ā | X |
āCare coordinators: Calling members with positive results to connect with provider | Ā | X |
āProviders: Reviewing results in EHR | X | Ā |
āClinics/providers: Notifying patients of results and following up on positive results | X | Ā |
Evaluation/Program Administration | ||
āProcessing insurance claims as needed | X | X |
āConducting oversight meetings and conference calls | Ā | X |
āReporting fiscal and budget-related information | Ā | X |
āProcessing incentives | X | X |
āReviewing and evaluating mailed FIT program results | X | X |