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The OU Bedlam Medical Home's integrated care plan aims to enhance healthcare delivery for the medically marginalized of the Tulsa Metropolitan Area. This plan sets goals to qualify for FQHC funding, attract foundation grants, and educate future physicians on lean healthcare models. It emphasizes a multidisciplinary approach to care, incorporating critical outpatient and inpatient services, including social services, prevention, and chronic care management. By utilizing EMR and quality metrics, the initiative seeks to coordinate care effectively and improve health outcomes within the community.
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OU Bedlam Medical Home Plan for Integrated Care for the Medically Marginalized of Tulsa Metropolitan Area November 1, 2006
Goals for Plan • Health services model to qualify for FQHC funding and attract foundation grants • Model of lean health care for educating the next generation of physicians • Model of innovation for research in health services research • Model of care that is multi-disciplinary incorporating strengths of OU-Tulsa
60% Medicaid 20% Medicare 15% Uninsured 5% Insured Enrollment Clinical Needs Assessment Triage Coordinate Care Social Services Acute Care Prevention Care Chronic Care Specialty Care Hospital Care Integrated – Coordinated Plan - EMR Quality Metrics
60% Medicaid 20% Medicare 15% Uninsured 5% Insured Medical & social needs assessment from PH data Enrollment Clinical Needs Assessment Triage Coordinate Care Social Services Acute Care Prevention Care Chronic Care Specialty Care Hospital Care Integrated – Coordinated Plan - EMR Quality Metrics
60% Medicaid 20% Medicare 15% Uninsured 5% Insured OU-Bedlam Delivered Services Enrollment Clinical Needs Assessment Triage Coordinate Care Social Services Acute Care Prevention Care Chronic Care Specialty Care Hospital Care Integrated – Coordinated Plan - EMR Quality Metrics
60% Medicaid 20% Medicare 15% Uninsured 5% Insured Network of contracts and relationships for providing access to spectrum of care Enrollment Clinical Needs Assessment Triage Coordinate Care Social Services Acute Care Prevention Care Chronic Care Specialty Care Hospital Care Integrated – Coordinated Plan - EMR Quality Metrics
60% Medicaid 20% Medicare 15% Uninsured 5% Insured Information Technology and Central Staff for these services Enrollment Clinical Needs Assessment Triage Coordinate Care Social Services Acute Care Prevention Care Chronic Care Specialty Care Hospital Care Integrated – Coordinated Plan - EMR Quality Metrics
60% Medicaid 20% Medicare 15% Uninsured 5% Insured Need centralized quality improvement plan for care and research Enrollment Clinical Needs Assessment Triage Coordinate Care Social Services Acute Care Prevention Care Chronic Care Specialty Care Hospital Care Integrated – Coordinated Plan - EMR Quality Metrics