The OPEN MINDS Managed Care Competencies Assessment

This OPEN MINDS assessment is focused on the organizational and technical competencies service provider organizations need to make a successful transition to managed care. Our tool was designed to evaluate and identify recommendations in 12 key management domains. The tool is an organizational assessment, and you may only take one assessment at a time. After submitting a completed assessment, you can view archived results or start a new assessment the next time you access the tool. Simultaneous users of this assessment is not recommended as answers may not be recorded properly for accurate findings and recommendations. Once you’ve completed the assessment in its entirety, a series of recommendations and next steps will be available for you to print and save. Come back as often as necessary to retake the assessment before your subscription to the tool has expired.

Navigate through these 12 domains, using the links to each section below – all questions are required to be completed before submitting the assessment for analysis and recommendations.

1Clinical Operations

2Customer Focus

3Network Management & Marketing

4Technology & Data Management

5Financial & Revenue Cycle Management

6Leadership & Strategy

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Once you’ve completed the assessment in its entirety, a series of recommendations and next steps will be available for you to print and save. Come back as often as necessary to retake the assessment before your subscription to the tool has expired. If you have any questions, please call a member of OPEN MINDS Customer Service team toll-free at 877-350-6463 or by email at openminds@stg-openminds-staging.kinsta.cloud.

A process whereby covered persons with specific health care needs are identified and a plan is developed which utilizes health care resources to achieve the optimum patient outcome in the most efficient, cost-effective manner. It typically integrates care provided by all stakeholders – the payer, the provider, the patient and the family – in an effort to find the most appropriate treatment for that person.

A single point of contact for consumers to seek and schedule services. Centralized intake usually is implemented with a single toll-free phone number or chat option with staff trained in consistent engagement, assessment and scheduling protocols.

A review for an extension of a previously approved, ongoing course of treatment over a period of time or number of treatments. Continued stay, or concurrent reviews are typically associated with inpatient care, residential behavioral care, intensive outpatient behavioral health care and ongoing ambulatory care.

A set of standardized performance measures designed to allow reliable comparison of the performance of managed health care plans.

A measure that can be quantified that indicates the degree to which an outcome has been successfully achieved.

A system of behavioral healthcare delivery that manages quality, utilization and cost of services, and which measures performance in the area of mental and substance abuse disorders.

The administrative and clinical processes from the time a consumer appointment is scheduled through claims processes that ensure that all healthcare services are paid. The main stages of the revenue cycle include referral and intake, service provision and documentation, billing and collections, and analytics and performance improvement.

The conditions in the places where people live, learn, work, and play that affect a wide range of health risks and outcomes. Healthcare services that integrate physical and behavioral services and address social determinants have the greatest long term impact on health and wellness.