Each toolkit includes a definition of the area being addressed, a checklist of recommended activities for that area an organization should consider in their move from fee-for-service to pay-for-value, and tools and resources associated with each line item.
For the purposes of this HIMSS Alternative Payment Model Infrastructure Toolkit, the definition of Program Administration and Operations is as follows. Program Administration provides the strategic vision, direction, management and coordination of inter-departmental activities necessary to carry out the organizational mission as defined by senior leadership and the Board. It involves management of the complex relationships between clinical, administrative, financial, and health IT departments; monitoring of overall performance within these programs; and provides the framework for identifying and resolving issues that raise significant management or regulatory compliance implications.
Components of Program Administration may include:
Operations refers to the administration of business practices required to support program administration in the most efficient way possible. For the purposes of an APM entity, the primary goal of operations is to transform resources or data into the most efficient, highest quality of care possible to maximize patient satisfaction and the organization’s financial performance. Operations may include: