(1) The health care authority, in
collaboration with the department of health, shall design and
implement a chronic care management program for state employees
enrolled in the state's self-insured uniform medical plan.
Programs must be evidence based, facilitating the use of
information technology to improve quality of care and must
improve coordination of primary, acute, and long-term care for
those enrollees with multiple chronic conditions. The authority
shall consider expansion of existing medical home and chronic
care management programs. The authority shall use best practices
in identifying those employees best served under a chronic care
management model using predictive modeling through claims or
other health risk information.
(2) For purposes of this section:
(a) "Medical home" means a site of care that provides
comprehensive preventive and coordinated care centered on the
patient needs and assures high-quality, accessible, and efficient
care.
(b) "Chronic care management" means the authority's program
that provides care management and coordination activities for
health plan enrollees determined to be at risk for high medical
costs. "Chronic care management" provides education and training
and/or coordination that assist program participants in improving
self-management skills to improve health outcomes and reduce
medical costs by educating clients to better utilize services.
[2007 c 259 § 6.]
NOTES:
Severability -- Subheadings not law -- 2007 c 259: See notes following RCW 41.05.033.