Making Integrated Care Work

Contact Us: 202.684.7457

SAMHSA-HRSA Center for Integrated Health Solutions

View Menu
Glossary
Facebook Twitter Listserve Ask a Question Email

Systems Oriented Practice

 

 

 

 

 

 

 

 

The ability to function effectively within the organizational and financial structures of the local system of healthcare. Examples include: understanding and educating consumers about healthcare benefits; navigating utilization management processes; and adjusting the delivery of care to emerging healthcare reforms.

  1. Understand and practice effectively within the organization and culture of the interprofessional team, practice setting, and local healthcare system.
     
  2. Provide or arrange assistance to healthcare consumers, family members and other providers in understanding applicable healthcare benefits, coverage limits, and utilization management procedures.
     
  3. Organize and deliver services with an understanding of the impact of team based care on billing, reimbursement, and healthcare coverage.
     
  4. Consider both clinical and cost-effectiveness in decision-making about the organization and delivery of services.
     
  5. Anticipate and adjust the delivery of care to emerging healthcare reforms and structures, such as accountable care organizations, medical homes, and health insurance exchanges.
     
  6. Plan and deliver services with an understanding of the healthcare needs of the population being served.

Return to the full list of core competencies for integrated care >>

Call Our Helpline: 202.684.7457

 

 

 

 

 

 

 

 

The ability to function effectively within the organizational and financial structures of the local system of healthcare. Examples include: understanding and educating consumers about healthcare benefits; navigating utilization management processes; and adjusting the delivery of care to emerging healthcare reforms.

  1. Understand and practice effectively within the organization and culture of the interprofessional team, practice setting, and local healthcare system.
     
  2. Provide or arrange assistance to healthcare consumers, family members and other providers in understanding applicable healthcare benefits, coverage limits, and utilization management procedures.
     
  3. Organize and deliver services with an understanding of the impact of team based care on billing, reimbursement, and healthcare coverage.
     
  4. Consider both clinical and cost-effectiveness in decision-making about the organization and delivery of services.
     
  5. Anticipate and adjust the delivery of care to emerging healthcare reforms and structures, such as accountable care organizations, medical homes, and health insurance exchanges.
     
  6. Plan and deliver services with an understanding of the healthcare needs of the population being served.

Return to the full list of core competencies for integrated care >>

© 2011 NCBH, all rights reserved.
1400 K Street NW | Suite 400
Washington, D.C. 20005

Email: integration@thenationalcouncil.org

Phone: 202-684-7457