Developing the enhanced care management workforce
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Perspectives from the field
- Contributor(s):
- California HealthCare Foundation, issuing body. Camden Coalition, issuing body.
- Publication:
- [Oakland, CA] : California Health Care Foundation, March 2023
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Workforce Holistic Health Inservice Training California
- Genre(s):
- Technical Report
- Abstract:
- CalAIM (California Advancing and Innovating Medi-Cal), initiated in January 2022, is an ambitious effort to transform Medi-Cal. CalAIM includes a major new benefit - Enhanced Care Management (ECM) - provided through Medi-Cal managed care plans (MCPs) working with a team of community-based providers to address the needs of 10 specific California populations with complex needs, including health-related social needs as well as physical and behavioral health conditions. The ECM benefit builds upon Medi-Cal’s Whole Person Care pilots and Health Homes program (PDF) operated in some counties. The whole-person model of care envisioned for ECM requires providers to develop significant new capabilities to develop the trust and relationships needed to successfully navigate across Medi-Cal’s different delivery systems on behalf of their clients. ECM teams must possess skills related to outreach and engagement, care planning, care coordination, health promotion, transitional care support, member and family education, and social services coordination. Specifically, providers must be competent to carry out the following roles: (1) Identify, perform outreach to, and engage with eligible members. (2) Conduct a comprehensive assessment and create a care plan. (3) Provide enhanced coordination of care to enact the care plan. (4) Encourage health promotion. (5) Provide services to support comprehensive transition care for members leaving the hospital or other institutional settings. (6) Educate the individual and their family members about relevant conditions. (7) Coordinate and refer the member to community and social support services. Practitioners also must understand the relevant state and local policies that may impact the populations they serve (e.g., parole, housing, child welfare requirements) and possess unique clinical skills to treat specific populations, such as children or adults with a serious mental illness or substance use disorder.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (7 pages).
- NLM Unique ID:
- 9918645976306676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918645976306676