Transform Health MD
Transform Health MD is experienced in assisting primary care providers in Maryland achieve the necessary care transformation requirements to reduce healthcare costs and utilization while improving quality of care and patient satisfaction.
Benefits of Selecting Us as Your Care Transformation Organization
By choosing us as your Care Transformation Organization, you will gain access to a variety of resources, including:
- Support from practice transformation, care management, pharmacy, social work and behavioral health team members who work synergistically with practices to help transform their delivery of care
- Risk stratified care management and coordination for patients to ensure their individual needs are met across the care continuum
- Optimization of workflows and use of data analytics to identify gaps in care and increase efficiency
- A connection to the University of Maryland Medical System to help align care coordination across the care continuum
Our Delivery Model
Our patient-centered care model uses a team based approach to work collaboratively with providers on care delivery transformation that is tailored to their individual needs.
Our Service Area
- Baltimore City
- Baltimore County
- Howard County
- Anne Arundel
- Prince George's
- Queen Anne's
As an affiliate of UMMS, Transform Health MD leveraged system-wide clinical and operational experts to stand up a community website to support healthcare organizations and practices in our community during the COVID-19 public health emergency.
Various webinars are held to review specifics of resources and provide opportunities for community members to discuss their needs and connect with experts.
Transform Health MD provided advisory guidance for the selection of telehealth technology. Practice Transformation team provide operationalization support and optimization of workflows in documentation, coding and billing support, as needed. Updated regulatory guidance and payer-specific guidelines due to the COVID public health emergency are provided as well..
As public health experts determine that it is safe to see patients and stay-at-home restrictions are relaxed, physician practices should strategically plan when and how best to reopen. Transform Health MD shared the best practices and resources for practice reopening as a part of their monthly Medical Directors/CTO Collaborative meeting. CDC, AMA, AAFP, MGMA guidelines, and checklists were shared with an open discussion with all the practices with regards to their current status for Telehealth vs. in-person visits, challenges, and preparedness for practice reopening.
Care Management Support
Our Care Management team has proactively reached out to patients during the COVID-19 pandemic to check-in, identify medical and care management needs, and provide education regarding preparedness and prevention. In addition to reaching out to patients who are referred for or are already engaged in care management, we use the CRISP COVID-19 Vulnerability Index (CVI) and Likelihood of Avoidable Hospitalization tools (pre-AH) to identify and prioritize outreach to additional patients at risk. Through this proactive outreach, we have assessed and addressed social support, behavioral health, medication access, and food security needs. We have discussed advance care planning and connected patients with their primary care providers for telehealth visits.
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