Value-Based Care: Managing Processes to Improve Outcomes from Coursera

What's inside

Syllabus

Introduction to Managing Office Processes in a Value-Based Care Practice

This module is an introduction to and exploration of critical office-based processes a value-based practice must manage in the drive towards improved patient outcomes, a primary VBC tenet. In managing patients in a healthcare system, the targeted processes include: Patient-Centered Medical Home, preventive and screening services, annual wellness visits, managing acute needs via an open access model, quality of care metrics, coding to support enhanced coordination, and staffing. Managing office processes plays a key role in this strategic pursuit. From information retrieved from annual screenings to how the office is set up, every patient visit is an opportunity to identify and address a healthcare issue. This is what physician offices want to do and should be thinking about; besides, patients always prefer to handle problems in the office rather than in the hospital. However, managing processes is not the responsibility of one person. It is a team effort, requiring input from all team members. To improve outcomes, all team members have critical roles in designing, implementing, and refining processes. At the end of this module, you will explore a fourth dimension related to staffing that, when added to the Triple Aim, creates the Quadruple Aim.

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Read about what's good

what should give you pause

and possible dealbreakers

This course explores critical office-based processes and supporting functions, important in the drive towards improved patient outcomes

Taught by Sara G. McNeil, Lechauncy Woodard, and Susie Gronseth, experienced instructors in the field

Office-based functions play a crucial role in improving health outcomes through timely identification and management

Supporting functions, such as registries, analytics, technology, guidelines, and community resources, facilitate efficient patient care

Panel management enables proactive identification of unmet patient needs, leading to improved health outcomes

Concepts are relevant to value-based care models, emphasizing the importance of managing processes and functions to enhance value

Reviews summary

Essential processes for value-based care

According to students, this course offers a highly practical and relevant exploration of value-based care processes, making it invaluable for healthcare professionals. Learners particularly praise its ability to provide actionable insights into managing office-based functions, improving patient outcomes, and understanding concepts like panel management and the Quadruple Aim. Many find the explanations clear and the material directly applicable to their work, serving as a strong foundational course within the specialization. While a minority of experienced learners found some content a bit basic or desired more advanced strategies and diverse real-world examples, the consensus is that the course successfully equips students with essential tools to navigate the complex healthcare system.

Offers a solid and relevant foundation for Value-Based Care.

"It built well on the previous courses in the specialization."

"Overall, it provided a solid foundation."

"I found this to be a strong foundational course for understanding the mechanics of value-based care from an operational perspective."

Effectively clarifies complex value-based care principles.

"The concepts of panel management and identifying non-utilization patterns were explained clearly..."

"The explanations were clear, and the pace was manageable."

"The practical application of concepts like Patient-Centered Medical Home... was well-illustrated."

Provides immediately applicable strategies for healthcare operations.

"This course was incredibly practical and directly applicable to my work in a primary care setting."

"As a medical office manager, this course provided me with actionable insights to streamline our operations."

"I learned how to use practical tools and strategies that I could apply immediately to my work."

Some video lectures were dry, requiring external research.

"I found some of the video lectures dry and hard to follow."

"The material on SDOH and community resources was too brief. I had to do a lot of external research to fully grasp some concepts."

"The self-directed learning aspect means you really need to push yourself."

Content may be too basic for experienced professionals.

"The content was okay, but I felt it was a bit basic for someone already working in healthcare management for a few years."

"I wished for more advanced strategies."

"I struggled to see how some of the concepts would be directly implemented in a smaller practice without significant resources."

Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Value-Based Care: Managing Processes to Improve Outcomes with these activities:

Review Module 1 materials

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Reviewing the materials from Module 1 will help you to refresh your knowledge of the key concepts and terms that will be covered in the course.

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Review the module notes
Complete the module quiz
Read the assigned textbook chapter

Review course prerequisites

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Start the course off with a stronger foundation by reviewing prerequisites and materials foundational to this course

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Review materials from previous courses related to this topic
Attend a refresher course or workshop

Complete the patient case study

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Completing the patient case study will help you to apply the concepts you have learned in the course to a real-world scenario.

Browse courses on Medical Management

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Read the case study
Identify the patient's problems
Develop a plan of care
Discuss your plan with the patient
Follow up with the patient

Four other activities

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Learn about office-based quality metrics

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This course introduces office-based quality metrics; explore this topic in more depth on your own

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Search for and enroll in online tutorials
Read articles and books on the topic
Attend a workshop or conference

Volunteer at a free clinic

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Volunteering at a free clinic will provide you with the opportunity to apply your skills and knowledge to help others.

Browse courses on Medical Management

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Find a free clinic
Apply to volunteer
Attend volunteer training
Provide care to patients

Practice patient interaction

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The course provides a foundation for communicating with patients; practice your interaction using these foundational principles

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Develop a variety of case studies or scenarios
Practice communication techniques

Practice panel management techniques

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The course will introduce panel management techniques; further reinforce your understanding by practicing what you've learned

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Develop a plan for implementing panel management techniques
Practice implementing the plan on a small scale

Career center

Learners who complete Value-Based Care: Managing Processes to Improve Outcomes will develop knowledge and skills that may be useful to these careers:

Medical Office Manager

Medical Office Managers are responsible for Value-Based Care by managing the essential processes that result in high quality patient care. This course can help provide you with the knowledge and skills to understand and manage clinic processes that lead to the best outcomes. Many of the fundamental principles of Value-Based Care will be covered in-depth in this course, including managing guidelines, processes, and functions to improve outcomes.

See salaries and explore the career path for Medical Office Manager

Quality Assurance Manager

The role of the Quality Assurance Manager is to ensure the delivery of quality care. This course can help you enhance your Quality Assurance skills with a focus on enhancing clinic-based functions. The course covers a wide range of quality assurance topics, including process improvement, data analysis, and regulatory compliance.

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Healthcare Administrator

Healthcare Administrators are responsible for the overall management and efficient operation of healthcare facilities. This course will help build a foundation in Value-Based Care principles. Healthcare Administrators must be knowledgeable of medical processes and outcomes. This course provides a deep dive into the management of those processes, including patient-centered care, preventive services, and quality metrics.

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Health Informatics Specialist

Health Informatics Specialists use data to improve healthcare delivery. This course will help build a foundation in Value-Based Care and provide you with the skills to analyze data and identify areas for improvement. Health Informatics Specialists often work closely with clinicians to improve patient outcomes. This course will give you valuable insights into the clinical processes that can be improved with data analysis.

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Case Manager

Case Managers work with patients to improve their health outcomes. This course will provide you with the knowledge and skills to manage patients with chronic diseases and navigate the complex healthcare system. Case Managers play a vital role in Value-Based Care by coordinating care and ensuring that patients receive the services they need.

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Utilization Review Nurse

Utilization Review Nurses review medical records to ensure that patients are receiving the appropriate level of care. This course will help you develop the skills to assess patient needs and make recommendations for care. Utilization Review Nurses play a key role in Value-Based Care by ensuring that patients receive the most appropriate and cost-effective care.

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Patient Navigator

Patient Navigators help patients navigate the healthcare system and access the services they need. This course will provide you with the knowledge and skills to assist patients with chronic diseases and complex needs. Patient Navigators play a vital role in Value-Based Care by helping patients to understand their condition and treatment options.

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Clinical Data Analyst

Clinical Data Analysts use data to improve patient care. This course will provide you with the skills to collect, analyze, and interpret clinical data. Clinical Data Analysts play a key role in Value-Based Care by identifying trends and patterns that can be used to improve patient outcomes.

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Health Educator

Health Educators develop and implement educational programs to improve health outcomes. This course will provide you with the knowledge and skills to create and deliver effective health education programs. Health Educators play a vital role in Value-Based Care by teaching patients about their condition and treatment options.

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Social Worker

Social Workers help patients address the social and economic factors that affect their health. This course may be useful for you in your role by providing you with a deeper understanding of the social determinants of health. Social Workers play a vital role in Value-Based Care by helping patients to overcome barriers to care and improve their overall health.

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Registered Nurse

Registered Nurses provide direct patient care and are responsible for managing patient care plans. This course may be useful for you in your role by providing you with a deeper understanding of Value-Based Care principles and how they can be applied to patient care. Registered Nurses play a vital role in Value-Based Care by delivering high-quality care and ensuring that patients receive the services they need.

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Physician Assistant

Physician Assistants provide medical care under the supervision of a physician. This course may be useful for you in your role by providing you with a deeper understanding of Value-Based Care principles and how they can be applied to patient care. Physician Assistants play a vital role in Value-Based Care by delivering high-quality care and ensuring that patients receive the services they need.

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Pharmacist

Pharmacists dispense medications and provide medication counseling to patients. This course may be useful for you in your role by providing you with a deeper understanding of Value-Based Care principles and how they can be applied to medication management. Pharmacists play a vital role in Value-Based Care by ensuring that patients are taking their medications correctly and that they are receiving the most appropriate medications for their condition.

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Medical Coder

Medical Coders assign codes to medical records to ensure that patients are billed correctly for the services they receive. This course may be useful for you in your role by providing you with a deeper understanding of Value-Based Care principles and how they can be applied to medical coding. Medical Coders play a vital role in Value-Based Care by ensuring that patients are billed accurately and that healthcare providers are reimbursed appropriately for the services they provide.

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Medical Records Technician

Medical Records Technicians maintain and manage medical records. This course may be useful for you in your role by providing you with a deeper understanding of Value-Based Care principles and how they can be applied to medical record management. Medical Records Technicians play a vital role in Value-Based Care by ensuring that medical records are accurate and complete, and that they are accessible to healthcare providers when they need them.

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