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RE
DEFINING MEDICAL DIRECTORSHIP WITH
A COMPREHENSIVE APPROACH
Our Physician-led clinical pods create higher clinical standards for Post-Acute providers and improved outcomes for patients
GAPS Medical Director
Extensive post-acute and executive healthcare experience
Collaboration with primary care, hospitals, ACOs and Payers
Subject matter experts in medication management, palliative care, hospice, managed care, nursing home and assisted living clinical services
Census Management
Improving Hospital Partnership Channels
Integrating patient care flow with ACOs
Creating or supporting speciality programs to drive community provider relations
Improve quality measures and elevate star ratings
PDPM Readiness
Expertise in PDPM Documentation and Billing
Physician driven rehab support
Aiding in Coding Optimization -
Mock PDPM review and preparation
Ensuring appropriate PDPM patient classification and case mix documentation
GAPS Clinical Pharmacist
Medication Optimization Management -eliminating unnecessary medications, adverse drug events and reducing unplanned hospitalizations
Cost Containment - improving pharmacy efficiency and utilization
Collaboration with nursing staff, physicians and GAPS Medical Director
Post-discharge After Care
Continuous monitoring and after-hours coverage
Identify and help manage clinical gaps and care needs during transitions from acute and post-acute settings and services
Support for CMS -sponsored case management programs (AWV, CCM, TCM programs)
Physician oversight and communication
Improving physician/nurse collaboration and communication pathways
Ensure patients will be seen and examined in a timely/compliant manner
Collaborate with physicians to improve patient outcomes
Patient and Family Experience
Overly medicated patients don`t progress. Our appropriately treated patients SIMPLY FEEL BETTER
Reducing unnecessary hospitalizations improves both patient and family experience
Quality Improvement and Advance Care Planning
Ensuring all patients have appropriate advance care planning especially when there is change in condition
Improve QAPI process and ensure regulatory compliance
ALF Care-Management
We integrate our medical model into the existing social and community models enhancing the communities length of stay and improving patient outcomes
Patient-centric GAPS Clinical Model
Interested in a partnership with GAPS? Please contact us.
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Contact info
Office Phone: 682-206-3118
Dallas, TX
Ann Arbor, MI
All Medical Records Requests must be faxed. No requests are taken via phone.
Fax: 682-228-5730
Patient Bill Inquiries: 1-800-877-9236
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