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How to Deliver
Accountable Care
by David Lloyd |
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How to Deliver Accountable Care is the second edition of the book How to Maximize Service Capacity, written by David R. Lloyd, President of M.T.M. Services and a National Council for Behavioral Healthcare Senior Consultant. Both editions of How to Maximize Service Capacity have achieved combined sales of over 1,500 copies, making it a National Council for Community Behavioral Healthcare best seller.
This book hits the CBHO Managed Care Challenge, head-on, by providing methods for more cost-effective, accessible and quality outcome-based services at the same or less reimbursement rate. Enhancing the service capacity of the organization has proven to be one of the most effective methods to respond to this core challenge.
CBHO service capacity enhancement initiatives have achieved optimum results when all of the following care management needs are incorporated into the design and implementation of the project: |
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Implement the initiative below the management team level.
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Reduce client failure to appear percentage to the 10% to 12% range.
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Eliminate duplicative recordation culture.
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Minimize extensive documentation.
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Consolidate all paperwork forms into unified forms to serve a truly integrated service delivery environment.
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Implement an appropriate Utilization Management Plan to minimize over utilization of existing caseload members.
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Implement a single access to care model which helps ensure time-effective, disability-specific and cross-disability entry into services.
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Implement actual minutes billable hour standards and provide accurate monthly monitoring reports to ensure compliance, design and implement Billable Hour cost reporting for each clinical position.
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Assess "meeting culture" to determine if number/length can be reduced.
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Move from vertical programmatic/unit accountability structure, which places all change initiative pressure on Executive Directors and Management Team Members, to Horizontal Accountability where each team/unit in the organization is holding other teams accountable.
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When these barriers to enhanced service capacity have been successfully minimized/eliminated, CBHOs have realized substantial service capacity increases. Actual service capacity outcomes from CBHOs who have utilized Mr. Lloyd's assessment, training, management and project facilitation services indicate:
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Actual annual billable hours increase up to 66% compared to previous year with the same or less clinical staff positions.
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Reductions of up to 72% in the total number of different forms the agency utilized at the beginning of the service capacity enhancement project.
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Reduction of access times from 2 to 6 weeks to one hour for Acute, 24 - 48 hours for Urgent and 3 to 5 days for Routine referrals.
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Management team members are addressing the important horizontal accountability question: "If I had total control of my budget, would I purchase services from other management team members?"
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How to Deliver Accountable Care: Workbook |
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This interactive workbook is designed to help Management Teams get more out of David Lloyd’s best selling book, How to Deliver Accountable Care. The How to Deliver Accountable Care: Workbook, will assist your organization in establishing how David’s concepts of delivering accountable care apply to your organization. You will be able to utilize this workbook as a textbook of change for your Management Team. Utilizing David’s book as a blueprint for change has proven successful for hundreds of organizations across the country. |
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Using Data to Drive Your Service Delivery Strategies:
A Toolkit for Healthcare Organizations
by Scott Lloyd |
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Click Here to Download the worksheets that
accompany this book.
(Please do not
include
the last 3 digits (516)
of the Password
errantly printed
in some books.) |
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CBHO leaders with vision realize they need strategic-based data tools to determine and support their core service delivery principles and ultimately improve their organizations. Until behavioral health organizations can determine their actual data points for key information (e.g., cost per service), it is impossible for leaders to make accurate and worthwhile strategic quality-based changes to their current practice patterns. Similarly, to be effective, managers and staff must be able to access and better understand their organization’s performance information.
This book focuses on seven strategic-based data measurement tools (Examples Pictured Below) that shed light on these performance issues. These informative tools can be used to establish strategic indicators for:
1) Proper direct staff productivity levels;
2) Cost per service delivered;
3) Proper case load size for direct service staff;
4) Total service capacity for your organization; and
5) Total number of processes, staff time required, client time
required, and cost of an organization’s current intake process.
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| Ordering Information: |
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Click on the link below to be taken to the National Council for Community Behavioral Healthcare's website to order one or both of these books: |
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