Premier healthcare alliance Accountable Care Implementation Collaborative members will leverage the model to make decisions on technology implementation to improve the health of their communities
CHARLOTTE, N.C.--(BUSINESS WIRE)-- Experts from 28 of the nation's leading health systems have developed an industry standard information management capability road map for coordinating accountable care.
The model outlines the key IT capabilities that will be required to support the evolution of organizations from the current fragmented, transaction oriented care delivery model to a fully coordinated accountable care model.
Premier healthcare alliance Accountable Care Implementation Collaborative members will leverage the model to help shape their decisions on what technology they need to implement and the sequence in which they need to bring that technology into their organizations. The Collaborative currently includes 28 health systems with more than 120 hospitals and 5,000 physicians providing care for 1.5 million patients across 23 states.
According to Terry Carroll, Ph.D., senior vice president for transformation and chief information officer (CIO) at Fairview Health Services, particular focus is on the requirements regarding population-based analytics across the continuum of care.
“The majority of health systems today have limited coordination across the continuum of care that is facilitated by information technology,” Carroll said. “The goal of this model is to create seamless care coordination with sophisticated population health measurement capabilities enabling improved health outcomes and value for individuals being served. It is important to understand that these are not necessarily all the required capabilities and it is likely that some of them may evolve as we truly learn what it takes to be a fully mature ACO.”
The CIOs and chief medical information officers (CMIOs) who developed the guidelines are part of the Collaborative’s Population Health Data Management (PHDM) work group. The work group’s purpose is to identify key population health data management strategies and capabilities required to facilitate successful accountable care models.
Collaborative members have developed a phased approach that ultimately will lead to seamless accountable care coordination and clinical integration through the following “levels of maturity:”
- Transaction – IT supporting individual providers in delivering care and measuring outcomes.
- Interaction – Basic care coordination capabilities with initial population-based metrics.
- Integration – Care coordination capabilities improve, and health status measurement is possible.
- Collaboration – Seamless care coordination with demonstrable improvement in population health status.
- Transformation – Realize across the population the Triple Aim™ goals of improving the health of the population, enhancing the patient care experience and controlling the per capita cost of care.
Each stage incorporates capabilities specific to transaction management, integration and the analytics necessary to support coordinated care delivery models.
“Today, health data is often not complete, timely or relevant with health indicators in different formats making them difficult to compare,” said Keith J. Figlioli, Premier senior vice president of Healthcare Informatics. “To truly provide accountable care, health systems need data that is unified, easily accessed and from providers, payors and patients. It is this type of free-flowing exchange of dependable data that can get our healthcare system to where it needs to be.”
Within each stage there are specific IT-enabled capabilities identified as critical to success in that level of maturity. Different organizations are at differing levels of maturity, but to deliver accountable care the work group believes that organizations will need to achieve the Transformation level.
IBM and Premier are developing an industry-first technology platform that will support this model to improve population health. It will allow hospitals, doctors and other health providers to work together to enhance patient safety while reducing the overuse of procedures, readmissions, unnecessary ER visits and hospital-acquired conditions.
“The idea is to provide evidence-based clinical support at the point of care delivery, helping doctors, clinicians and other providers make faster, better decisions about how to care for individual patients,” said Steven Riney, vice president and CIO at Methodist Medical Center of Illinois. “The development of new information-driven care models will also be critical for ACOs to drive improved health outcomes for the populations we serve.
About the Premier healthcare alliance, Malcolm Baldrige National Quality Award recipient
Premier is a performance improvement alliance of more than 2,500 U.S. hospitals and 72,000-plus other healthcare sites using the power of collaboration to lead the transformation to high quality, cost-effective care. Owned by hospitals, health systems and other providers, Premier maintains the nation's most comprehensive repository of clinical, financial and outcomes information and operates a leading healthcare purchasing network. A world leader in helping deliver measurable improvements in care, Premier has worked with the Centers for Medicare & Medicaid Services and the United Kingdom's National Health Service North West to improve hospital performance. Headquartered in Charlotte, N.C., Premier also has an office in Washington. http://www.premierinc.com. Stay connected with Premier on Facebook, Twitter and YouTube.
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