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  • 1.  Care Management Metrics

    Posted 10-15-2024 08:41

    Hello!

     

    As we prepare for 2025 and start setting our target metrics, I am curious what others use for metrics.

     

    • We have RN Care Managers embedded in the practices. We set a caseload target and visit target currently.
    • We have a central team of RNs and MAs doing TOC. We set a target of calls per day (12.5) and encounters per month (250).
    • We also have a support team that processes mental health, home health, hospice and palliative care referrals. The target of completed referrals per month is 98. They also schedule hospital follow up appointments with a target of 81 per month.

     

    Any information is helpful on target metrics. If you have a team who does referrals, how do they divide the workload? We do not only do referrals and several other tasks so it is hard to define a target with the workload.

     

    Thank you!

     

    Ashley Rosa, MSN, BSN, RN

    Manager Ambulatory Care Management

    Bronson Healthcare Group, Michigan

     



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  • 2.  RE: Care Management Metrics

    Posted 10-16-2024 08:26

    Hello-- A few that we use would be % ACP completion, % Comprehensive Assessment completion, capacity & productivity, patient and provider satisfaction, average change in A1c and BP at care management discharge and then 9 months post discharge, and % of ED follow up calls within 72 hours for those enrolled in CM. 

    Hope this helps!

    Traci



    ------------------------------
    Thanks,
    Traci

    Traci Hamilton, MSN, RN
    Vice President of Clinical Services
    ________________________________________
    IHA
    24 Frank Lloyd Wright Drive
    Suite J2000
    Ann Arbor, MI 48106
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  • 3.  RE: Care Management Metrics

    Posted 10-17-2024 08:51

    Good morning,

    This is great information! At the MSU NP-Led clinic that I practice as a Clinical Nurse Specialist at, there is currently only one TOC RN that is assigned to this NP PCP clinic and the physician PCP clinic. While she does great work, it seems that there is opportunity for the PDCM metric that focuses on 4% of patients needing to be called 2 times during the calendar year at least 1 month apart. Considering her workload and tasks, it is difficult to meet this metric. Any suggestions on how you go about this process? This clinic is not currently affiliated with a hospital entity but moving that direction as we continue to integrate with a large Michigan health system. 



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    Mariah Foster
    Michigan State University
    Laingsburg MI
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    Original Message


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