TY  - BOOK
AU  - Kosel,Keith
AU  - Miff,Steve
TI  - Building Connected Communities of Care: The Playbook for Streamlining Effective Coordination Between Medical and Community-Based Organizations
T2  - HIMSS Book Series
SN  - 9781000037036
AV  - RA425 .B855 2020
U1  - 362.12 
PY  - 2020///
CY  - Oxford
PB  - Productivity Press
KW  - Community health services-Planning
KW  - Electronic books
N1  - Cover -- Half Title -- Title Page -- Copyright Page -- Table of Contents -- The Call to Action -- Foreword -- Preface -- Contributors -- About the Authors -- List of Commonly Used Abbreviations -- 1 Playbook Overview -- Playbook Purpose -- Guide to Playbook Terminology -- The Six Tracks for CCC Implementation -- CCC Roles and Responsibilities -- Timeline to Implement a CCC Model -- Resource Acquisition and Preparation Phase -- Phase 1: Build the CCC Framework -- Phase 2: Initial Implementation -- Phase 3: Broader Community Implementation -- 2 The Readiness Assessment -- Readiness Assessment Requirements -- Requirement 1: Identify Target Clinical/Behavioral Health Conditions -- Requirement 2: Identify Social Needs That Impact Clinical Outcomes or the General Health of the Population -- Requirement 3: Describe the Client/Patient Profile That Would Be Targeted by a CCC -- Requirement 4: Describe the Organizations and Potential Users (Staff) of a CCC -- Requirement 5: Identify Functionalities Required and Develop CCC Use Cases -- Readiness Assessment Methodology -- Milestone 1: Obtain Data through Research, Surveys, Interviews, and Focus Groups -- Milestone 2: Generate a List of Gaps for Prioritization -- Milestone 3: Document Use Cases -- 3 Governance Track -- Introduction to the Governance Track -- Roles and Responsibilities -- Requirements for Successful CCC Governance -- Requirement 1: Secure CCC Resources and Initial Commitments -- Milestone 1: Create the CCC Value Proposition -- Milestone 2: Select CCC Partners and Secure Early Commitments -- Key Documents for Requirement 1 -- Requirement 2: Choose Your Governance Model -- Milestone 1: Identify Governance Requirements -- Milestone 2: Analyze Funding Documents to Identify Governance Parameters and Ensure Compliance; Milestone 3: Obtain Partner Commitments Not Previously Obtained during the Readiness Assessment -- Key Documents for Requirement 2 -- Requirement 3: Set Up the Formal Governance Structure -- Milestone 1: Draft and Finalize Governance Documents -- Milestone 2: Create Workgroups -- Key Documents for Requirement 3 -- Requirement 4: Define an Aligned, Comprehensive CCC Strategy -- Milestone 1: Establish CCC Target Goals and Evaluation Periods -- Milestone 2: Define CCC Measures of Success -- Milestone 3: Define the CCC Evaluation Framework Supervisory and Advisory Support -- Key Documents for Requirement 4 -- Requirement 5: Select Clinical Programs -- Milestone 1: Prioritize the Clinical Needs Based on the Estimated Impact of Interventions on the CCC Goals -- Milestone 2: Identify and Define the Clinical CCC Interventions -- Milestone 3: Select the Clinical and CBO Participant Sites -- Milestone 4: Identify Champions for Each Site -- Requirement 6: Formalize Participation Agreements and Begin Implementation of the Governance Plan -- Milestone 1: Establish All Necessary Agreements -- Milestone 2: Implement Policies and Procedures Required by Governance Documents -- Milestone 3: Develop a Publicity Plan to Publicize Successful CCC Implementation Efforts -- Milestone 4: Develop Ongoing Maintenance and Sustainability Plans -- Key Documents for Requirement 6 -- Requirement 7: Define a Strategy and General Requirements for CCC Technology and Data Integration at Partner Sites -- Milestone 1: Analyze any Funder or Sponsor Specific Technology Requirements -- Milestone 2: Translate the CCC Intervention Workoflows and Use Cases into Technical Requirements for the Technology Platform -- Milestone 3: Conduct Market Research to Understand the Range of Available Technology Platforms in the Market -- Milestone 4: Select the Right Technology Partner; Key Documents for Requirement 7 -- Requirement 8: Define and Perform Quality Assurance Activities to Ensure Intervention Integrity across the CCC -- Key Roles and Responsibilities -- Milestone 1: Define and Create Quality Assurance Processes -- 4 Legal/Policy Track -- Introduction to the Legal/Policy Track -- Roles and Responsibilities -- Legal and Policy Framework Assumptions -- Legal/Policy Track Requirements -- Requirement 1: Develop a Legal and Policy Framework for CCC Governance -- Milestone 1: Create Legal Documents for Early Partner Commitments to the CCC -- Milestone 2: Complete an Analysis of Sponsor and Funder Requirements for Governance -- Milestone 3: Create the Desired Governance Structure Based on Stakeholder Interests, Funding Parameters, and State Law -- Milestone 4: Establish Remaining Legal Agreements -- Milestone 5: Ensure Creation and Ongoing Implementation of Policies and Procedures Required by Governance Documents -- Key Documents for Requirement 1 -- Requirement 2: Develop a Legal and Policy Framework for the Technology Platform -- Milestone 1: Determine Applicability of HIPAA -- Milestone 2: Determine Requirements for Individual Privacy Expectations, Consents, and Authorizations -- Milestone 3: Determine Requirements for Nonclinical or Non-CBO Partners -- Milestone 4: Finalize Agreement with Technology Vendor -- Key Documents for Requirement 2 -- Requirement 3: Develop a Legal and Policy Framework for the Clinical Providers -- Milestone 1: Ensure Completion of Requirement 2 Milestones -- Milestone 2: Finalize Agreements with Clinical Partners/ Participants -- Requirement 4: Develop a Legal and Policy Framework for the Community Partners -- Milestone 1: Ensure Completion of Requirement 2 Milestones -- Milestone 2: Finalize Agreements with Community Partners/ Participants; Requirement 5: Develop a Legal and Policy Framework for CCC Program Sustainability -- Milestone 1: Review Sustainability Requirements for Each Track from a Legal Perspective -- 5 Technology Platform Track -- Introduction to the Technology Platform Track -- Prerequisites to the Technology Platform Track -- Roles and Responsibilities -- Requirements to Establish the CCC Technology Platform -- Requirement 1: Define the Underlying Business Requirements Supporting the Technology Platform -- Milestone 1: Know the Partner/Participant Organizations -- Milestone 2: Contemplate User Factors Affecting CCC Technology Adoption and Use -- Milestone 3: Know the Users of the System -- Key Documents for Requirement 1 -- Requirement 2: Determine Desired System Characteristics and Requirements -- Milestone 1: Conduct Technology Inventories at Partner Sites -- Milestone 2: Define the Functionalities Needed for Identified Use Cases -- Milestone 3: Align Clinical and CBO Needs with CCC Technology -- Key Documents for Requirement 2 -- Requirement 3: Define Required Application Functionalities -- Functionality 1: Define Notification Requirements -- Functionality 2: Define Secured Messaging Functionality -- Functionality 3: Define Requirements for Appointment Calendars -- Functionality 4: Define Needs for Document Storage and Tagging -- Functionality 5: Define Need for Real-Time Alerts -- Functionality 6: Define Query Service Eligibility and Availability -- Functionality 7: Define Reporting and Analytics Functionality Needs -- Functionality 8: Define Decision Support Needs -- Functionality 9: Define Beneficiary Registration Information -- Functionality 10: Define Ability to Identify and Merge Patient Records -- Functionality 11: Determine Eligibility Identification Functionality -- Functionality 12: Customize SDOH Screening Questions; Functionality 13: Define Referral Needs -- Functionality 14: Determine Data Elements, Definitions, and Requirements for a Resource Database/Referral Directory -- Functionality 15: Define Required Support for Organizations Offering Multiple Programs -- Functionality 16: Account for Resources Outside the CCC Referral Network -- Functionality 17: Support the Resource Database Updates at Any Desired Frequency -- Functionality 18: Define the Process for Curation and Selection of CCC Resources for Referrals -- Requirement 4: Stand Up the Technology Platform -- Milestone 1: Define Roles and Responsibilities for the Platform Implementation -- Key Documents for Requirement 4 -- Requirement 5: Develop a Short- and Long-Term User Support Strategy -- Milestone 1: Define and Document the Terms for Technical and User Support -- Milestone 2: Define and Document the Short-Term, Post-Launch Requirements for Technical and User Support -- Key Documents for Requirement 5 -- Requirement 6: Ensure the Technology Platform is Sustainable -- Key Documents for Requirement 6 -- 6 Clinical Providers Track -- Introduction to the Clinical Providers Track -- Prerequisites to Clinical Providers Track -- Requirements to Implement the Clinical Providers Track -- Requirement 1: Develop Relevant and Practical Clinical Workflows for the Selected CCC Clinical Programs -- Key Roles and Responsibilities -- Milestone 1: Develop Standard Operating Procedures for the Workflows -- Key Documents for Requirement 1 -- Requirement 2: Convene and Engage Frontline Clinical Staff to Support the CCC at the Clinical Sites -- Key Roles and Responsibilities -- Milestone 1: Convene Senior and Mid-Level Leaders to Review the CCC Clinical Programs and Goals -- Milestone 2: Develop the Clinical Workflows Staffing Model -- Key Documents for Requirement 2; Requirement 3: Develop and Perform Clinically Relevant Training for the CCC
N2  - This book proposes a novel approach to the coordination of medicine and social services through the use of people, process and technology, with the goal being to streamline coordination between medical and Community-based Organizations and to promote true cross-sector patient and client advocacy
UR  - https://ebookcentral.proquest.com/lib/orpp/detail.action?docID=6118870
ER  -