Demystifying Value-Based Care: Managing Costs of Care-SLIDES - Managing Costs of Care in Value Based Care

SLIDES - Managing Costs of Care in Value Based Care

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The document presents a comprehensive workshop agenda focusing on "Managing Costs of Care" within the Value-Based Care (VBC) model, specifically designed for medical professionals. It covers diagnoses, treatment plans, and management strategies for various medical and mental health conditions often encountered in home-based primary care (HBPC).<br /><br />The workshop starts with an introduction by Margaret Cordes, MPH, and outlines that there are no financial disclosures from planners or faculty. The Continuing Medical Education (CME) session adheres to the standards set by the Accreditation Council for Continuing Medical Education (ACCME) and offers up to 4 AMA PRA Category 1 Credits approved for multiple medical roles.<br /><br />The agenda includes sessions on managing congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), wound care, and mental health conditions. Each segment aims at providing high-quality, cost-effective patient care under value-based payment arrangements. Key components for success in VBC include patient identification, gap analysis, cost management, data and financial considerations, revenue capture under the VBC model, and payer negotiations.<br /><br />Specific segments are led by experienced faculty:<br /><br />1. **Congestive Heart Failure (CHF)**:<br />   - Paul Chiang, MD, emphasizes guideline recommendations, medication management, and addressing barriers to optimal care.<br />   - Case study: a 79-year-old CHF patient.<br />   - Strategies include salt and fluid restrictions, medication adherence, and monitoring techniques.<br />   - Statistics reveal CHF's significant health and economic burden.<br />  <br />2. **COPD Management**:<br />   - Staging and risk stratification using the GOLD criteria, pharmacological management based on risk categories, and treatment goals to improve symptoms and reduce exacerbations.<br />   - Strategies for home treatment of COPD exacerbations and differential diagnosis to prevent hospital readmissions.<br /><br />3. **Wound Care**:<br />   - Michael Kingan, DNP, outlines pressure injury stages, wound management goals, and recommended interventions.<br />   - Case study: handling a severe pressure ulcer in a palliative patient.<br />   - Focus on prevention and appropriate documentation for reimbursement.<br /><br />4. **Mental Health**:<br />   - James Ellison, MD, discusses strategies for treating depression, anxiety, agoraphobia, and schizophrenia in homebound patients.<br />   - Emphasizes the use of evidence-based pharmacological and non-pharmacological treatments and the importance of a multidisciplinary approach.<br /><br />The workshop provides access to additional resources online and supports continuous learning and improvement in delivering value-based care efficiently.

Keywords

Managing Costs of Care

Value-Based Care

Home-Based Primary Care

Congestive Heart Failure

Chronic Obstructive Pulmonary Disease

Wound Care

Mental Health

Continuing Medical Education

Cost Management

Payer Negotiations