The Road to Value-based Healthcare
Created by physicians for physicians
Pivtl Health Solutions
Health Care, by necessity, is rapidly shifting from traditional fee for service to value-based care. To most physician groups, this seems like a daunting task. We, at Pivtl Health Solutions, have effectively navigated this transition and have been successfully practicing value-based care for over 20 years.
To accelerate and ease the shift for other physician groups, we offer three services. The uniqueness of our offerings is that these services have been created by and are presented by physicians who worked and lived through the changeover from volume to value. These physician leaders provide insights into patient focused ways of thinking and practicing including efficiency improvements, cost saving concepts, and most importantly, how to provide better care for patients.
Our services include:
- Disease Recognition
- Certification in Value-based Care
- Quality Delivery Oversight Committee
Created by physicians for physicians, Pivtl Health Solutions is engaging healthcare providers in driving lasting cultural change through proven population health value-based care leadership.
With an eye toward a full-risk payment model, Pivtl Health Solutions partners with clients to drive comprehensive, lasting cultural transformation via physician-led, forward-thinking collaboration that results in healthier patients, enhanced fiscal stewardship and greater physician satisfaction.
The Road to Value-based Care: Disease Recognition
This is a 10-week course that expands your knowledge of value-based care, emphasizing the importance of early disease recognition and proper documentation, and equipping you with tools to navigate from a volume-based to a value-based care practice.
The introductory 2-part module explains the necessity of moving from volume-based care to value-based care and how that transition will benefit the patient, the physician, and the health care system as a whole.
Specific topics covered include the foundation, principles, and science behind the HCC Model, the basis and use of the RAF Score, how value-based contracts work, and the importance of early disease recognition.
The subsequent eight modules focus on specific disease types providing real-life examples of how best to recognize and document conditions including common pitfalls for identifying and recording each disease and key takeaways.
Click here for details on our upcoming Disease Recognition Course
Certification in Value-based Care
This “bootcamp” is a single day session illustrating our philosophy and best practices based on our model of patient-centered care.
Course goals include:
- Clearly demonstrating how a move to a value-based model is beneficial for patients, quality of care, society, and providers.
- Providing a ‘second residency’ explaining how to successfully practice value-based care by sharing teachable skills.
- Sharing what we have learned on our 20+ year journey to help others to become more proficient at a more rapid pace.
Quality Delivery Oversight Committee (QDOC)
Pivtl offers comprehensive consulting services that assists your team in building your own Oversight Committee. We begin our approach by doing a detailed needs analysis followed by recommendations and next steps to help you build and manage a highly effective Oversight Committee.
The QDOC team is responsible for:
- Identifying gaps in care and areas for improvement though the analysis of financial, quality and utilization metrics.
- Overseeing, updating, and educating our physicians for the purpose of improving the care of our patients.
Health care is at a crossroads, with costs spiraling and financial incentives not tied to patient outcomes. Our training will enable physician groups to succeed in the transition to value-based models that reward improved clinical outcomes, high-quality care, and engaged and satisfied patients and providers.
Meet Our Team
Sean McLaughlin
Snehal Ghandi
Rishi Sud
Dave Hartenbach
John Rice
Janelle Rothmeyer
Mike Castellano
Dave Kearney
Rob Richman
Laurie Calzada
Tara Hodam
Sarah Shelley
Contact Us
The Road to Value-based Healthcare
the pivtl health solution's approach to value-based care follows the DREAM model
- Doctor-patient relationship
- recognize disease
- evaluate the whole person
- analyze data
- manage the team
