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PBH Local Business Plan 2007 <br />7. Analysis of demographics as related to utilization and diagnosis <br />8. Review performance on Utilization Management Plan indicators <br />9. Monitor outcomes of Utilization Review activities <br />10. Authorizations and denials of care <br />Objectives Target Date for Responsible Partners and <br /> Com letion Stakeholders <br />Area or Improvement: DD 9-1-07 PBH Access Unit of the Consumers <br />waiting list management. Utilization and Clinical PfOVIderS <br />Objective: Improve capacity Management Department Case Managers <br />to collect and expeditiously PBH Administration <br />provide information on people <br />waiting for services by service <br />type, age, disability, and other <br />ke factors. <br />Area of Improvement: Develop 6-30-08 design system PBH Access Unit of the Consumers <br />clearinghouse" wpadty for <br />tracking and management of Utilization and Clinical Providers <br />program openings in provider 6-30-09 System Management Department Case Managers <br />services and key generic services implemented PBH Administration <br />such as housing. Community agencies <br /> <br />0 ' iv :Design system for such as DSS, Advocacy <br /> <br />reporting and disseminating 6-30-10 Evaluate system organizations <br /> <br />information to consumers, adequacy <br />providers and others about <br />specific program capacity <br />such as bed availabili <br />Area of Improvement: 1-1-08 complete Utilization Management PBH Provider Council <br />Authorization of long term wre De artment <br />p <br />has followed a short term care <br />model and Is not emclent; Network Department <br />burdensome for providers. <br />Objective; Work with <br />Finance Department <br />Business Operations Sub- Information Systems <br />Committee of the Provider Department <br />Council to evaluate problems <br />and identify mutually <br />a reeable solutions. <br />area orImprovament: Improve 1.1-08 Complete Utilization Management PBH Provider Council <br />rtandard authorlutlon process; Department <br />make this more efficient and <br />providerfrlandly. Network Department <br />Obiective: Work with Finance Department <br />Business Operations Sub- <br />Committee of the Provider Information Systems <br />Council to evaluate problems Department <br />and identify mutually <br />a reeable solutions. <br />Area of improvement: Focus of 7.1-07 UM plan reFlects Utilization Management Medical Affairs <br />unf actwates should be on <br />utilization review (concurrent changes Department <br /> <br />and retrospective). 6.30-08 Evaluate <br /> r ress• revise Ian as <br />G - y 3B <br />