Clinical and Business Competencies in Disability Care Coordination Organizations

2.50
Hdl Handle:
http://hdl.handle.net/10755/148731
Type:
Presentation
Title:
Clinical and Business Competencies in Disability Care Coordination Organizations
Abstract:
Clinical and Business Competencies in Disability Care Coordination Organizations
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Mastal, Margaret, PhD, RN
P.I. Institution Name:Delmarva Foundation of the District of Columbia
[Clinical session research presentation] Many states have established Disability-Care Coordination Organizations (DCCOs), specialized programs to serve the health and life needs of Medicaid beneficiaries with disabilities and chronic disease. This presentation presents the results of a study of DCCOs conducted under the auspices of the Center for Health Care Strategies, a program office of the Robert Wood Johnson Foundation.  DCCOs usually are established as new organizations rather than as an offshoot or product line of an existing organization, their start-up and operations leveraging strong alliances among multiple stakeholders - providers, consumers, advocates and payors. They contract with the state Medicaid agency generally under a prepaid capitation arrangement, but some DCCOs have fee-for-service arrangements. Capitated arrangements allow for provider choice of the right benefit to meet the individual's unique needs and reward DCCO's ability to retain cost savings. DCCOs coordinate care for persons with disabilities and/or chronic disease through teams of nurses and social workers who partner with the client and with community providers and vendors to arrange disability-competent medical, social and life care services. We identified six core clinical activities common to all the DCCOs in this study: Comprehensive physical, psychosocial, functional and environmental assessments; Self-directed, person-centered planning; Support with scheduling and keeping health visits; Centralized medical-social record; Focus on patient education and behavioral modification, and Constant (24/7) communication availability between and among consumers, providers and care coordination staff.  We also identified three core business competencies: Coordination of all health and life care services (360 degree coordination of benefits), Engaging the community resources; Continuous enhancement of the organization's competency to address the unique needs of persons with disabilities and chronic disease. DCCOs are making significant strides in empowering persons with disabilities to self manage their complex needs and realize improved health states.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleClinical and Business Competencies in Disability Care Coordination Organizationsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148731-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Clinical and Business Competencies in Disability Care Coordination Organizations</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mastal, Margaret, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Delmarva Foundation of the District of Columbia</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mastalm@dfmc.org</td></tr><tr><td colspan="2" class="item-abstract">[Clinical session research presentation] Many states have established Disability-Care Coordination Organizations (DCCOs), specialized programs to serve the health and life needs of Medicaid beneficiaries with disabilities and chronic disease. This presentation presents the results of a study of DCCOs conducted under the auspices of the Center for Health Care Strategies, a program office of the Robert Wood Johnson Foundation.&nbsp; DCCOs usually are established as new organizations rather than as an offshoot or product line of an existing organization, their start-up and operations leveraging strong alliances among multiple stakeholders - providers, consumers, advocates and payors. They contract with the state Medicaid agency generally under a prepaid capitation arrangement, but some DCCOs have fee-for-service arrangements. Capitated arrangements allow for provider choice of the right benefit to meet the individual's unique needs and reward DCCO's ability to retain cost savings. DCCOs coordinate care for persons with disabilities and/or chronic disease through teams of nurses and social workers who partner with the client and with community providers and vendors to arrange disability-competent medical, social and life care services. We identified six core clinical activities common to all the DCCOs in this study:&nbsp;Comprehensive physical, psychosocial, functional and environmental assessments; Self-directed, person-centered planning; Support with scheduling and keeping health visits; Centralized medical-social record; Focus on patient education and behavioral modification, and Constant (24/7) communication availability between and among consumers, providers and care coordination staff.&nbsp; We also identified three core business competencies:&nbsp;Coordination of all health and life care services (360 degree coordination of benefits), Engaging the community resources; Continuous enhancement of the organization's competency to address the unique needs of persons with disabilities and chronic disease.&nbsp;DCCOs are making significant strides in empowering persons with disabilities to self manage their complex needs and realize improved health states.</td></tr></table>en_GB
dc.date.available2011-10-26T09:49:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:49:43Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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