Payers, Employers, Pharmaceutical Industry

Outcomes Management and Evaluation: Everyone wants to optimize both clinical and economic outcomes. That’s the holy grail of medical management. We all know, however, that rarely do the outcomes approach the ideal state and very often they do not reach even modest goals. In addition, the best efforts are often clouded when the measurement and data collection systems are called into question. What are the key elements that we should be measuring? Are these the measures that are of importance to out constituents? How do we know when we are successful? What processes can we put into place to improve our outcomes? How can we create better partnerships between providers and patients/ consumers? These are all questions that Eidus Health Solutions has helped to answer for some of the largest sponsors in the US. We can do the same for you.

Guidelines Development and Implementation strategies. Clinical guidelines are the foundation of quality medical practice. Unfortunately, there are a plethora of clinical guidelines and a low level of  adaptation in clinical practice. Reasons for lack of use of the clinical guidelines abounds, but includes lack of credibility of the guidelines due to perceived biases, excessive or unclear scope, lack of user friendliness, and lack of support tools for patients and practitioners. We have assisted physician groups, pharmaceutical and marketing organizations, and managed care organizations in coming up with solutions that decrease the unexplained variations in care and improves conformity with credible clinical guidelines. This assistance has ranged from the actual facilitation of the development of evidence-based clinical guidelines to the development of tools and reminder systems that promote their use.

Accreditation: Has your organization thought about accreditation? If you are a provider organization, disease management company, health related web-site, or preferred provider organization, do you understand the accreditation options? Have you decided between JCAHO, NCQA, and URAC which option is best for you? What are the infrastructural requirements? How long will it take to get ready? What is the real intent of each standard? Should we go for accreditation or certification? With significant experience on both the provision of the services that can be accredited as well as the surveying and accreditation process, we are in an excellent position to help you answer these questions.

Behavioral Change Strategies for Patients: Much of getting optimal outcomes involves getting patients to change their behavior. In prior times, in was easy to say that patients changing behavior was exclusively the patient’s responsibility and if the patient did not change his/ her behavior, if was because of a lack of motivation. Now we believe that changing patient behavior requires a partnership between patients and health care professionals and that there are behavioral change theories and systems that can help improve behavioral health outcomes. Bob Eidus has implemented cutting edge strategies and initiatives into disease management programs and brings a strong understanding, not only of the theories of behavioral change, but also the practical constraints. including time and money. We can help you too design effective strategies and interventions and also to test to see whether what you are implementing is working.

Disease Management Economic Modeling: What is the return on investment of our disease management program? What will be the ROI on it in 5 and 10 years? If we are considering putting into place new programs, do we have sound economic models to track our progress? Are the models based the latest medical information as well as sound biostatistical design? Are we comfortable with our measurement plan? Bob Eidus and his associates have provides these answers to managed care organizations, employers, and the pharmaceutical industry and can do the same for you.