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Care Coordination Made Better: Improving CQI Models

Mike Mackniak - October 09, 2017 09:15 AM

Persons in need rarely fit neatly within the client profile of any one state or local agency. Instead, most individuals find themselves receiving services from many agencies and, quite often, the services or eligibility requirement of one may preclude services from another. Now, more than ever, the mental health system is in need of non-traditional approaches in order to effectively coordinate services among disparate providers and to deliver services to persons in need who live in our communities. By adopting a Continuous Quality Improvement model (Plan, Do, Review) particularly focusing on the “Review” aspect thereof, systems will operate more efficiently in terms of personal service as well as fiscal responsibility for our most vulnerable populations.

The treatment of persons in need residing in our community and their cross-utilization of disparate agencies and services is so fragmented that only a comprehensive entity, understanding the abilities and limitations of the various agencies affecting them, allows for their productive treatment.  Moreover, CQI as applied via the Care Coordination addresses the perceptions and contemplates the needs of stakeholders in a most comprehensive manner.

CQI must be borne of, and accepted by top administration. In order to be truly effective, all stakeholders and constituents must feel that their needs are addressed under any system of change, that proposals are not simply “Change for change sake” and that, collectively and individually, there is benefit to restructuring processes.

It is essential to the success of any delivery system which purports to integrate service providers and disparate agencies to include a monitoring and reporting (CARE COORDINATION) component to ensure the ongoing, good-faith and cooperation of the individuals and service providers. Such a monitoring agency will be the constant source of information throughout the consumer’s lives no matter where their particular needs may fall along the ever changing continuum in any service system.

Finally, this independent third party agency is a vital component of an effective and comprehensive “Plan, Do, Review” model of CQI in the human services fields. The formula of CQI and its implementation under Care Coordination have demonstrated their efficacy in disparate human/social service systems of care.

Michael Mackniak is an attorney, innovator and strategist. As a consultant for caregivers, decision-makers and fiduciaries, he is the nation’s foremost speaker on the value of interrelated service systems and developing efficient methods for delivering resources to our most at need populations. Michael lectures across the United States demonstrating the effectiveness of proactive planning and avoiding costly interventions. To learn more about Michael, please visit

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