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Implementation
Planning a care-management program
The decisions to make before choosing programs, devices, or partners.
Start with the population
Before choosing a program, describe the patients you want to support: their conditions, how often they are seen, and where gaps in between-visit care appear today.
Match programs to purpose
Each program has a different purpose. RPM adds structured home measurement; CCM and PCM maintain care plans; BHI coordinates behavioral health; TCM supports transitions; AWV organizes prevention.
Define responsibilities early
Agree who handles outreach, review, escalation, documentation, and billing before launch.
- Who contacts patients, and when?
- Who reviews information, and against which parameters?
- How does a concern reach the provider?
- Who documents, codes, and submits claims?
Decide how you will measure
Choose engagement, operational, and clinical measures before launch so results can be interpreted later.