Organizations that are positioned for success in an integrated healthcare system are defined by their willingness to embrace five essential service delivery practice values:
Be Connected Increase time spent serving people and providers rather than simply meeting system requirements
Be Accessible Shift from scheduling individuals to actually seeing them.
Be Efficient Cover the true cost of care while increasing provider capacity to deliver quality services
Be Accountable Demonstrate that the individuals you serve are getting better
Be Willing to Change Drive transformational change, don’t let it drive you
Connections
Focus on serving people and providers rather than simply meeting system requirements
Healthcare providers must ask the fundamental question when thinking about the individuals you serve: “did they get what they needed from their first engagement?” If the answer is no, you may have been so focused on meeting system requirements that you missed a critical opportunity to demonstrate your commitment to someone seeking your help. The other essential question for providers: “how can we leverage each other’s strengths if we are separated by procedures, silos and legacy practices?” Providers – and the individuals you serve – thrive when practitioners are connected, both in terms of systems and culture.
MTM Services knows how to change organizational infrastructure in order to change organizational culture. When internal operations are more integrated, clinicians and staff can support one another, streamline service delivery processes, engage more efficiently with other organizations to maximize referrals and, ultimately, improve the consumer experience.
MTM products that enhance connections include:
- SPQM™ Quality Data Management System – Statewide and Individual CentersTurn service delivery data into actionable information to make objective decisions, manage operations, develop continuous improvement strategies and demonstrate outcomes to public and private payers
- Internal Service Delivery System IntegrationIdentify and address internal “silos” of care to design internal integration of clinical and administration functions
- Streamlining Documentation SupportMeasure redundant data collection and identify areas to streamline the documentation process to reduce staff time and frustration as well as and cost to treatment
- Secret Shopper Customer Service AssessmentUnannounced site-visit to observe the intake and assessment process and provide feedback and actionable recommendations
Accessibility
Shift focus from scheduling consumers to actually seeing them
What message does your current intake system send to your consumers? Long wait times undermine the delivery of today’s most needed and in-demand healthcare services. If the time between initial intake and the first meaningful encounter with a provider takes too long, then many individuals drop out before actual treatment begins as the message they receive is that their needs are not important to you. Intake enrollment is no longer a measurement of success for physical health providers – and particularly for critical specialty services, including mental health and substance use disorder care as well as intellectual / developmental disability services. Same-day access to care is the future, and it begins today.
MTM Services positions providers to operate under new models that emphasize timely access while improving quality of care, outcomes and costs. The shift begins with a redesign of the initial screening and intake process to ensure it is built around a single goal: to connect individuals with quality treatment and care as quickly as possible.
MTM products that promote accessibility include:
- Same Day Clinical AccessDevelop the systems to offer same day assessments to improve consumer satisfaction and engagement while eradicating no shows in the assessment process
- Just in Time Prescriber SchedulingMove a consumer from diagnostic assessment to a psychiatric evaluation within 3 to 5 days, increase engagement and reduce no shows/cancellations, generate positive clinical and financial results
- Collaborative DocumentationSupport clinicians’ ability to document the clinical record with consumer present/contributing to the process resulting in improved client engagement, reduced no/show cancellations, improved medication adherence and enhanced quality of clinician work life
- Centralized Scheduling and No Show/Engagement ManagementImplement electronic centralized scheduling, minimize “no show” rates and support consumers not adequately engagement in treatment services
Efficiency
Cover the true cost of care while increasing capacity to provide high quality services
The era of using billable rates to measure staff capacity is coming to an end. When too many individuals seeking care fail to show up for appointments, providers not only lose the opportunity to serve other individuals that need healthcare services, they also lose the opportunity to bill for clinicians’ time.
MTM Services works with providers to confront the “false reality of full” – the belief that capacity can be measured by scheduled appointments rather than actual billable hours delivered and consumer-level outcomes achieved. In doing so, we help providers understand the true cost of care – and why it matters – in order to maximize fee collection, support important back office functions, drive efficiency, demonstrate value and, most importantly, increase capacity to serve individuals seeking care.
MTM products that increase efficiencies include:
- Internal Utilization ManagementAchieve qualitative and quantitative measures of compliance, implement strong compliance plans and monitor work tied to key performance indicators
- Cost and Net Revenue Analysis per CPT/HCPCS Code Generate true cost-versus-revenue comparison by position type and CPT/HCPCS code and provide tangible data regarding necessary changes to improve models of care
- Streamlining Documentation SupportMeasure redundant data collection and identify areas to streamline the documentation process to reduce staff time and frustration as well as and cost to treatment
Accountability
Demonstrating that consumers are getting better
In the era of value-based care, revenue is no longer tied to enrollment numbers or quantity of services delivered. Providers are asked to be accountable for outcomes – not just to payors, but also to the individuals who deserve quality care that helps them get better. But how do you know if the treatment services provided by your organization are working? How can you tell if people are improving?
MTM Services has the tools to not only organize treatment plans, but also analyze risk stratified outcomes by diagnostic group to demonstrate changes in functionality. We help providers determine the consumer-level value of care provided based on the cost of services and outcomes achieved. The result: providers are positioned to be accountable to payors and partners, but also to individuals they serve who deserve access to care that will help them get better.
MTM products that increase accountability include:
- DLA-20 Outcomes Measurement ImplementationMeasure mental illness or disability’s impact and provide valid scores and consistent utilization for healthcare report cards, report psychiatric approval for Medicaid reimbursement
- Levels of Care DevelopmentDevelop severity of need based levels of care to guide UM/UR staff and support participation in shared risk/value of care funding environment
- Risk Stratification Outcome MeasurementProvide a comparable “apples to apples” client level outcome comparison for each direct care staff and for units/programs
- SPQM™ Quality Data Management System – Statewide and Individual CentersTurn service delivery data into actionable information to make objective decisions, manage operations, develop continuous improvement strategies and demonstrate outcomes to public and private payers
Willingness
to Change
Drive transformational change, don’t let it drive you
In a rapidly shifting healthcare environment defined by new payment models, changing performance requirements and evolving consumer needs, is your management team ready to lead the necessary transformation of clinical and operational practices? Is your staff ready to follow them? Effective leaders must be willing to question assumptions, revisit well-established systems and use data to inform timely decision-making. In the search for new funding sources, leaders will need to be entrepreneurial, building new relationships while tending to existing ones. Future success will require integrated teams that are ready to embrace change. And throughout the process, the focus on delivering quality care will only intensify.
MTM Services specializes in leadership skills development to drive transformational change, because we know incremental change will never achieve systemic results. Change requires leadership, the willingness to do more than tweak the system. And leaders must be able to manage change in order to make it real and lasting. We know how to bring the pieces together – from systems and procedures to strategic planning and coaching – to ensure organizations are well-positioned for the future.
MTM products that drive transformational change include:
- Strategic Business Plan Development and ImplementationIncorporate essential market analysis, address historical organizational culture and understand how to use partnerships, acquisitions, collaborations and mergers to thrive
- Internal Service Delivery System IntegrationIdentify and address internal “silos” of care to design internal integration of clinical and administration functions
- Transformational Change Executive CoachingLeadership development coaching to design and implement transformational service delivery system changes and sustain continuous quality improvement efforts
- Key Performance Indicator (KPI) DevelopmentMeet state and federal audit requirements, qualitative and quantitative measures of compliance and maximize team performance