This week's insight...
Robert Fortini
Vice president and chief clinical officer
at Bon Secours Health System

July 11, 2012
Vol. I, No. 8

Robert Fortini
Robert Fortini,
Vice president and chief
clinical officer at Bon Secours Health System

For Further Reading:

Best Practices in Contemporary Case Management

How Do You Determine Risk and Acuity
Levels in a Case Management Model?

"We use our own scoring system and our own tools. We have a tool that we developed in Excel® that is being built into the EPIC® system, which will allow us to do effective reporting as well as automatic calculation of risks. We've started conversations with several of our payors about using their predictive modeling tools based on claims data.

I also met with Cigna and Anthem, who showed me some well-articulated tools. Our intention is to increase the amount of communication with that side of the equation so that we can effectively use them in the offices."

Robert Fortini presented during Embedded Case Management in the Primary Care Practice: Program Design and Results, a 45-minute webinar, during which he discussed the development and roll-out strategy of Bon Secoursí embedded case management program, which is modeled after Geisinger Health Systemís Patient Care Navigator program.

Read related blog post: 8 Priorities of Healthcare Case Managers: Patient Advocacy Tops List.

Want to view past insights? View them here.

Download new market research: 2012 Trends in Embedded Case Management.

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