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Subcontracted Model Examples

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

Internal Contract
External Contract Onsite
External Contract Off site
Contract with internal organizational department/service and/or staff to perform
Contract with external organization/staff to perform sub-service in organization
Contract with external organization/staff to perform separated external sub-services with organizational clients/staff
Staff FTE percentages dedicated to the sub-service would need to be reflected on their payroll
External Organization would manage staff FTE documentation of their staff dedication percentages on their payroll
External Organization would manage staff FTE documentation of their staff dedication percentages on their payroll
Risk high for duplication in services if job descriptions/process flows not clear on separated duties
Risk moderate for duplicative services if job descriptions/process flows not clear on separate staff duties versus job descriptions/process flows internally
Risk low unless organizational and external organizational process flows similar to each other
Care coordination high in this model due to organizational staff being the sub-contracted entity performing the sub-service and most likely using the same documentation.  Fragmentation possible if the staff/sub-service are treated separately by the internal departments
Care coordination moderate in this model due to separated staff model but may increase if separated staff are using same internal staff documentation
High risk of fragmented Care coordination due to separated service, probable separated documentation