|We'll talk diabetes in a sec Mrs Smith, |
but first, how's those darling kids?
They provided two big insights for the DMCB:
1) While the DMCB guesstimated that the typical ratio of care management nurses to enrollees amongthe mainstream care management service companies was in the range of 1:1500, at least two new programs are using a 1:750 ratio. By the way, 1:800 is what was quoted in this peer reviewed article. That's a lot of nurses for an "accountable" population and a lot of budget for a CFO to approve.
2) There is less of an emphasis on care manager "productivity," thanks to a recognition that nurse-client conversations outside hard nosed chronic illness management "engagement," "barrier identification" and "shared decision making" contribute to relationship building. The DMCB thinks of this as "magic nursing dust" that adds to the likelihood of patient behavior change. There are no hard data on the topic, but it's important in other parts of the health care universe, so why not here?