MORRISEY S SOLUTIONS

Transcription

1 Credentialing and Privileging I Care Management I Quality and Peer Review I Practitioner Performance Reporting MORRIEY OLUTION software & consulting

2 Morrisey s enterprise software solutions and consulting services meet healthcare organizations evolving business needs while delivering a meaningful return on investment. As an added benefit, our solutions and modules can stand alone or work in cooperation with one another. These solutions encompass credentialing and privileging, care management, transitions of care and practitioner performance reporting. They provide clinical and administrative data that supports effective, efficient operations and reporting. U L T I N G CREDENTIALING AND PRIVILEGING MO for the Web (MOW ) Apogee Managed Care Privilege Content and Criteria Builder (PCCB ) MORRIEY ENTERPRIE OFTWARE OLUTION CARE MANAGEMENT U L T I N G Morrisey Concurrent Care Manager (MCCM ) Transitions of Care (TOC) olutions MO for the Web (MOW ) MOW automates and streamlines physician and advanced practice allied health professional credentialing. The Web-based system is designed for paperless credentialing and privileging, from onboarding through reappointment. MOW also automates online applications, contract management, and administrative and peer reviews. Apogee Managed Care User-configured work flows Online applications Automated verifications Integrated e-signature Electronic decision-making with automated routing Multiple standard and ad hoc reporting options Apogee automates and streamlines provider enrollment and management for managed care organizations, health plans, independent practice associations, physician health organizations and group practices. Use Apogee alone or with MOW for credentials verification organizations or other organizations that are responsible for managed care and hospital credentialing. Provider and facility data will also flow into Morrisey Concurrent Care Manager (MCCM ), Morrisey s care management software. COMPETENCY EVALUATION AND REPORTING Morrisey Practitioner Performance Reporting (MPPR ) U L T I N G Provider Relations logs and tracks provider events Facility Management allows credentialing and auditing of other facilities Unlimited office, practice group, IPA and PHO affiliations Integrated office site and medical record review capability Unlimited, user-defined review tools and scoring Office site review scores for on-site providers Laptop synchronization for off-site reviewers Toolkit to create or customize payor forms 2 3

3 Privilege Content and Criteria Builder (PCCB ) PCCB is a Web-based subscription service that enables organizations to create and customize clinical privilege forms based on proprietary online privilege content and criteria that Morrisey provides. Using an intuitive drag-and-drop interface, PCCB enables organizations to construct and customize single and multifacility forms. PCCB makes it easier to meet regulatory and accreditation requirements by ensuring that qualified, competent practitioners care for patients and perform procedures. Privilege content and criteria for more than 100 medical and surgical specialties, and advanced practice allied health professionals Every privilege definition cites the source from which the information was derived Procedure-related privileges are linked to ICD and CPT codes, enabling organizations to generate practitioner-specific clinical activity reports Focused Professional Practice Evaluation (FPPE) requirements, such as proctoring, may be linked to privileges Morrisey Concurrent Care Manager (MCCM ) MCCM is a comprehensive, Web-based care management system that supports an effective multidisciplinary approach to acute and community case management; discharge planning; documentation reviews; audits, denials and appeals management; quality/peer review; risk and liability claims management; and infection control. It includes an executive dashboard for point-and-click trend analysis. Longitudinal, patient-centric relational database, spanning the continuum of care Browser-based, enabling access anytime, anywhere Rules scheduler automatically identifies and schedules patients for reviews based on user-defined criteria Configurable work lists tailored to the needs of each user Work flow-driven reviews Multiple standard and ad hoc reporting options Point-and-click graphical reporting for department managers and executives Morrisey Practitioner Performance Reporting (MPPR ) MPPR enables organizations to assess and track practitioner competence and report the results. MPPR includes clinically vetted proprietary indicator content and specialty-specific report templates. The system provides an intuitive drag-and-drop interface that enables organizations to configure and download reports. Morrisey works with organizations to map data from existing hospital systems, so they re able to run performance reports automatically and then review them online. A Morrisey-hosted website, which includes specialty-specific report templates and indicator content Indicators linked to clinical privileges Data mapping to hospital systems Reports scheduler Online reports review and documentation of interventions Executive analysis Consultative implementation support services Transitions of Care (TOC) olutions Morrisey s TOC solutions help organizations ensure safe, effective patient care transitions by facilitating online care coordination and communications with key stakeholders, including hospital-based and community case managers and post-acute-care providers. With Morrisey, organizations are able to ensure compliance with care plans, leading to improved patient satisfaction and outcomes. Organizations are also able to reduce readmission rates, average length of stay and the cost of patient care. A Morrisey-hosted website, which includes a comprehensive national provider database and a Web portal for post-acute care providers A discharge networking module, enabling case managers to search for and coordinate with providers to meet patient and family needs urvey capabilities to track compliance with care plans and patient outcomes Integration with MCCM s acute and community case management modules 4 5

4 Morrisey s Consulting olutions Healthcare organizations are coping with an ever-changing business and regulatory environment, as well as unrelenting pressure to improve the quality of care. Developing strategies to navigate these challenges successfully requires skilled leadership and support. U L T I N G CREDENTIALING AND PRIVILEGING Practitioner Home Page (PHP) Website Practitioners MOW/Apogee ystem Medical taff Leaders Provider Enrollment/ Managed Care pecialists PCCB Website MORRIEY ENTERPRIE OFTWARE OLUTION CARE MANAGEMENT MCCM ystem Care Managers Quality/Peer Reviewers Risk Managers Infection Control Nurses U L T I N G MCCN/TOC Website Post-Acute Care Provider Portal Intake Coordinators Provider Administrators Morrisey National Provider Database Morrisey Consulting ervices helps organizations succeed in this increasingly complex environment. Using proven, collaborative approaches, Morrisey s professionals help organizations understand their current environment, analyze critical processes, map them against best practices, and develop a comprehensive plan for realizing sustainable and measurable results quickly. COMPETENCY EVALUATION AND REPORTING Key consulting areas Department operations assessment and redesign Optimal use of software Program assessments and redesign Privileging Peer review Competency management Care management Education EHR HIM Data Feeds Pathology urgery Data Warehouse U MPPR ystem Physician Leaders IT Data Analysts Quality Data Analysts L T I N G MPPR Content Builder Website 6 7

5 About Morrisey Associates Morrisey Associates is a world-class healthcare solutions provider that offers enterprise-level applications for practitioner credentialing and privileging, care management and practitioner performance reporting. Morrisey also offers industry-leading consulting services and flexible licensing options Riverside Plaza uite 1850 Chicago, IL P: F: /15