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Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Updated: Jun 8, 2025

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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"Mission-Aligned Funds Flow": Effect on Clinical Departments.

Satyan Lakshminrusimha, Susan Murin, Joseph M Galante

    Academic Medicine : Journal of the Association of American Medical Colleges
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    UC Davis Health implemented a new funds flow model, improving physician compensation and recruitment. While initially fiscally challenging, the model enhanced departmental finances and hospital contributions, with plans for further optimization.

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    Area of Science:

    • Health Economics
    • Academic Medicine
    • Healthcare Management

    Background:

    • Academic medical centers face financial pressures from high costs, low reimbursement, and competition.
    • Faculty salary inequities, physician disengagement, and recruitment challenges stem from factors like public payer mix and research support burdens.

    Purpose of the Study:

    • To implement and evaluate an aligned funds flow model at UC Davis Health to address financial challenges and optimize departmental resources.
    • To create a mission-aligned financial model supporting recruitment, retention, research, and teaching.

    Main Methods:

    • UC Davis Health adopted an aligned funds flow model in July 2021.
    • The model aimed to provide financial margins for all departments, irrespective of payer mix.

    Main Results:

    • Over three academic years (2021-2024), the model led to increased physician compensation, recruitment, and departmental profit.
    • Total collections and productivity saw consistent increases, with significant gains in the third year.
    • Hospital contributions to funds flow rose substantially, from $67 million in 2022 to $101 million in 2024.
    • Improved parity across service lines was observed due to revenue model adjustments.

    Conclusions:

    • The funds flow model improved physician compensation and hiring but presented initial fiscal challenges.
    • Sustaining the model requires ongoing communication, transparency, and potential fine-tuning for financial balance.
    • Future plans include converting primary care to productivity-based models and adjusting new faculty support duration.