What are the most effective ways to ensure your managed care education and training program is successful?

Before you start planning your program, you need to identify the gaps and strengths of your current staff's knowledge and skills. You can use various methods to assess your needs, such as surveys, interviews, focus groups, performance reviews, or audits. You should also consider the learning objectives, outcomes, and standards of your organization and the managed care industry. Based on your assessment, you can prioritize the topics and areas that need more attention and improvement.

Human well-being must be the foundation of any program. BE—DO—HAVE! Without first knowing how to BE, then how to DO, HAVING that thing will be disastrous. Once you build the character, things just flow smoothly..

1. Surveys add lot of value if the way they are handled and managed is meticulously done. 2. Also focal group discussions keeping with the objective add to results. 3. Need assessment parameters or feeding points are crucial as they are key areas where our strategy is pivoted.

In my experience, to fill knowledge/skills gaps concerning managed care, begin by analyzing managed care performance. Utilization and pmpm expenses, credentialing, referral management, carve out billing, care gaps and clinical pathways, copayment collection rates, risk-adjusted revenue levers, patient complaints management, etc are all domains to a high performing managed care organization. Are there areas underperforming? Prioritize them and create a baseline with before and after surveys. Knowledge/skills interventions should be implemented in an engaging manner for clinicians and staff. Lastly, reinforce these interventions on a consistent basis, tracking performance improvement along the way.

Ensuring the success of a managed care education program involves a comprehensive approach. Begin with a needs assessment to pinpoint gaps, followed by a tailored curriculum and diverse learning methods. Engage experienced facilitators and leverage technology for accessibility. Collaborate with industry leaders for real-world insights, and implement continuous assessment and feedback loops. Provide post-training support and certification to motivate participants. Measure impact and return on investment for ongoing relevance and effectiveness in equipping healthcare professionals.

There are a variety of methods that you can use to deliver your managed care education and training program. Some of the most common methods include: 👉 Instructor-led training (ILT): ILT is a traditional method of delivering training in which an instructor leads a group of participants through a course curriculum. ILT can be effective for delivering complex topics, but it can be time-consuming and expensive. 👉 E-learning: E-learning is a self-paced method of delivering training that allows participants to learn at their own pace. E-learning can be a cost-effective way to deliver training, but it can be challenging to ensure that participants are engaged and motivated.

Desde mi perspectiva los programas que combinan metodologías tanto activas como pasivas, con escenarios simulados y reales permiten generar un aprendizaje mas significativo en las personas. Sumar emoción y desafíos desde su propio contexto harán de la capacitación una experiencia productiva y exitosa.

When designing this content, it is important to have instructors experienced in managed care or the area of focus related to it such as risk adjustment coding to accurately convey the content. The content should be current and reflect industry standards and practices. It is also beneficial for instructors to be able to share real world examples and emerging practices related to the content. This helps increase engagement and learning. Also always consider graphic representation and job aids to address different types of learners.

The content of your managed care education and training program should be - ✅️ relevant to the needs of your employees and ✅️ aligned with your organization's goals. The content should be well-organized and easy to understand. You should also use a variety of learning activities, such as lectures, discussions, and case studies, to keep participants engaged.

Defining the content of a program should include vital components 1. Inclusivity of stakeholder engagement. This is to mitigate resistance. 2. Engage in co-creation. 3. Understand the final impact stakeholder' culture. An example would be when designing a program to reduce non communicable diseases in women , you can train health workers , however if the culture of the target population see beauty as how big a woman is then however you train the program will fail.

Once you have developed your managed care education and training program, you need to implement it in a way that is effective and efficient. This includes developing a marketing plan to promote the program, scheduling training sessions, and providing ongoing support to participants.

Most of the training programs miss out on the aspect of on the job facilitation, where the individual tries to implement the learnings and the facilitators/mentors troubleshoot the contextual issues faced by the learners on the field. On the field Mentorship may be added as a 5th heading in the article to underscore its importance in such training programs. In the larger run it is this facilitation that will ensure that the learners adopt the skills in the long term. This step interplays with strong monitoring system to measure progress.

Evaluation of training programs must be multi-dimensional in nature. The evaluation matrix must include a comprehensive scoring mechanism which has the flexibility to accomodate quantitative data points such as tests, surveys, interviews, focus group discussions with the trainers, participants, facilitators/Mentors or analytical points that compare whether the learning objectives of the training program were achieved or not. This approach may provide a comprehensive understanding of the areas where improvements are required for the training program.

La evaluación del aprendizaje adquirido es solo una arista. Es clave evaluar el impacto real a través de indicadores que pueden ser los mismos que se usaron para evaluar la necesidad. La capacitación en salud es un componente clave de la seguridad y calidad del servicio y además permite la mejora continua y estar a la vanguardia en la atención.

Being able to evaluate specific needs of each area in your organization is a must .It will then allow you to chose and set training programs that fit the people who needs it most. It is also important to emphasize how each role affects the entire organization so that each role player knows the importance of how doing their job well affects the entire organization.

Few additionals ways to increase the chances that your managed care education and training program will be successful are as follows - 1️⃣ Get buy-in from leadership. Make sure that your organization's leadership team is supportive of the program and understands the benefits of investing in employee training. 2️⃣ Create a culture of learning. Encourage your employees to take advantage of learning opportunities and provide them with the time and resources they need to succeed. 3️⃣ Use a variety of training methods. Don't rely on one method of training to deliver your entire program. Use a variety of methods to keep participants engaged and motivated.

Healthcare educational institutions must strive to design educational contents which reflect the impact of heartfelt communication. ie educational resources that promote the act of communication skills which look beyond the veil of what patients are saying and look into how patients are feeling. This is the essence for company sustainability across changing times.

I. The assessment of success of a training program it's important look at sustainability of the training program, this means reviewing it in a few years and seeing the impact.