Trilogy Values
- Improve the Health of Populations
- Increase Patient Engagement and Satisfaction
- Assist Patients in Navigating the Complexity of Healthcare Systems
- Reduce the Overall Cost of Care for Targeted Populations with Multiple Morbidities to Support Value-Based
- Payment Models
- Promote Potential Revenue Growth
- Improvement in Quality Scores
- Empower Patients
- Support the Physician/Patient Relationship
Revenue Impacts
- Increase Patient Engagement and Satisfaction
- Reduce the Overall Cost of Care for Targeted Populations with Multiple Morbidities to Support Value-Based Payment Models
- Promote Potential Revenue Growth
- New Ambulatory Revenue Source
- Increase in Wellness Visits and Services Focused on Closing Care Gaps
- Increase In-Clinic Visits By Coordinating Care Needs
- Improvement In Quality Scores
- Readmission Reduction
KEY DRIVERS
Established Population Health Leadership
Advanced Teamwork Approach
Workflow Optimization
Data Analytics
Patient and Caregiver Engagement
Population Health Management
Care Management Solutions
Dedicated Resources for
Population Health
CHRONIC CARE MANAGEMENT (CCM)
- Program Enrollment
- Monthly Outreach
- Documentation Completion in EMR
- Patient Management Through a Team Approach with RN’s, Social Workers and Patient Care Navigator Assigned to Your Population
TRANSITIONAL CARE MANAGEMENT (TCM)
- Capture of Patient Post-Discharge to Meet Documentation and Regulatory Requirements
- Ensure Timely Office Appointments to Meet the Timelines for 7-Day or 14-Day Visits
- Frequent Care Management Contact and Support for 30 Days to Reduce Hospital Readmissions
ACO AND BUNDLED PAYMENT STRATEGY AND SUPPORT
- Readiness Assessment for ACO Model
- Population Health Strategy Through Advisory Services
- Care Management Workflow Development to Support
• Reducing Gaps in Care
• Lower Overall Cost of Care
• Meeting Quality Outcomes
PSYCHIATRIC COLLABORATIVE CARE MANAGEMENT (CoCM)
- Program Enrollment
- Monthly Outreach
- Patient Registry Development and Maintenance
- Documentation Completion in EMR
- Patient Management Through a Team Approach with RN’s, Social Workers, Psychiatric Consultant, and Patient Care Navigator Assigned to Your Population
Remote Patient Monitoring (RPM)
- Program Enrollment
- Monitoring Equipment and Setup
- Documentation Capture
- Patient Management Through a Team Approach with RN’s, Social Workers, and Patient Care Navigator Assigned to Your Population