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Embedded Model Examples

COLLABORATION BUSINESS MODELS FQHC/CHC/RYAN WHITE/SUB-SERVICES

Whole Organization
Distinct Staff
Separated Department
Promulgated throughout the entire organization as a sub-service of each department/service
Separated Department/staff provides sub-service throughout organization
Separated Department other depts send client to in organization
Entire staff perform various components of the sub-service
Only assigned sub-service staff perform assigned duties in all departments that generate sub-service outcomes
Clear separation of assigned duties in this model
FTE Percentages of staff salaries are split between grants or funding sources on their Payroll time sheet to reflect when they are performing their assigned sub-service duties
Staff are hired into this particular sub-service department and their FTE reflection on their payroll reflect their dedication to this sub-service at a higher percentage
Staff hired into this department with distinct duties/job expectations/outcomes for this department.  FTE payroll would reflect 100% dedication for this department (funding source(s)).
Care coordination is at its optimum in this model of embedded services because all of the staff are reviewing client records for completion of various sub-service components
Care coordination occurs but with less oversight for missing components by less assigned staff
Higher risk of fragmented Care coordination due to separated staff, departments, and possible separated documentation
Risk of duplicative sub-services/duties is high in this model especially if job descriptions or a funder's standard of care for duties/outcomes/service descriptions are not clear
Less risk of duplicative services but risk still present if the receiving department staff/sub-service staff job descriptions are weak or process flowsheets not well defined between department staff processes and sub-service staff processes
Minimal risk of duplicative services being performed unless the sub-service is modeled after another department/service/process