Phoenix Medical Management, Inc. Services

From its inception, contemporary hospital case management practice has been based on the changes taking place in the healthcare marketplace and the standards of practice. With this knowledge, PHOENIXMed looks beyond standard solutions to offer new insights, reallocate resources, drive tangible results, and make programs more capable. We suggest that you begin with an objective assessment of your current case management program. The PHOENIXMed team knows the questions to ask, the documents to review, and the outcomes to analyze and produce a detailed report along with recommendations for improvements. For more information, contact info@phoenixmed.net today.

Our Clients Include:

• Hospitals & Health systems
• Clinically Integrated Networks & Integrated Delivery Networks
• Accountable Care Organizations
• Health Plans
• Primary Care Medical Homes ready to integrate complex care management
• Primary Care providers managing at risk lives in need of care management practices

Conversation for Case Management Transformation

Let the experienced leadership team at PhoenixMed help guide the conversation to help the executive team create a future vision for your case management program.  With competing business priorities and demands on time, executives are looking to experts who can offer timely insights, fresh ideas, and practical wisdom that will help leadership develop care coordination capabilities essential to reap the full benefits of value-based contracts.    Our team can provide essential background, current thinking, and practical strategies to begin transformation from a traditional discharge planning/utilization review department to an enterprise-wide care coordination program that impacts population health.   

Case Management Program Assessment

Over the course of an engagement, the PhoenixMed team will conduct a comprehensive evaluation of your health system/organization's case management program and the organization's readiness to embark on a transformation journey to a value-based model.  We will meet with key stakeholders, observe operations, review documents and data, and conduct focus groups with the medical staff to assess the value the organization places on its current program.  We will assess:

• The organization's knowledge and depth of integration of case management at various levels;
• Care coordination, utilization review, and counseling service activities including program infrastructure and workflow activities;
• Transitions of care processes and transitional care programs including daily activities and staffing levels;
• Access management/gatekeeping activities;
• Knowledge, skills, and effectiveness of current care managers, utilization review personnel, and counseling team;
• Clinical resource management strategies and the activities of the utilization review committee;
• Personnel's ability to access, analyze and integrate data into the case management program; determine whether data analysis findings are used to set goals and quantify clinical and financial improvements;
• Organization's ability to quantify and communicate outcomes to clinicians, appropriate facility committees, governing body, and members of the administrative team.

Case Management Transformation and Project Leadership

PhoenixMed can help transform and provide on the ground resources to support your transformation to implement a care management program across the continuum that provides outcome driven results as it relates to access to care, progression of care, and the transition of care delivery. Transformation typically starts with development of a comprehensive vision for positioning oneself in the market as leaders in care management across the continuum and engage a willing medical staff as active participants in the business of healthcare.  Once the vision is developed, we work with your staff across levels of leadership to develop and implement the changes to achieve desired results. 

Case Management & Utilization Review Education

PhoenixMed offers a wide arrange of presentations and classes to elevate our peers and the hospital industry to ensure your case management program is current, compliant, and forward thinking.