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Proactive Health CareManagement

Proactive Health Care Management

Outcomes Review Framework

Before a clinical measure is reviewed or published, its scope, source, timeframe, calculation, and approval process must be clear.

Scope

Population and encounters

Define which residents, settings, and encounters are included before reviewing results.

Source

Facility-approved data

Identify the records or systems used and who is responsible for the data.

Method

Definitions and timeframe

Document how each measure is calculated and the period it covers.

Review

Cadence and approval

Agree on who reviews the information, how often, and whether it may be published.

No clinical outcome figures are published on this site because an approved source, timeframe, population, and methodology have not been supplied.

What Must Be Defined First

These details should be documented before a number is used to describe clinical performance.

The residents, settings, and encounters included
The source of the underlying information
The measure definition and calculation
The start and end dates for the review period
Known exclusions, limitations, and missing data
The people authorized to review or publish the result

A practical next step

Let's talk about your facility's clinical priorities.

Share your setting, coverage needs, and goals. We'll use the first conversation to determine whether there is a strong fit.