RHP Advocate Mount Carmel Health Memorial Hermann Covenant
advertisement
Advocate Mount Carmel Health Memorial Hermann Covenant Official Name Reading Health Partners Clinical Integration RHP Valley Preferred Advocate Physician Partners Clinical Integration Program Mount Carmel Health Partners Clinical Integration Covenant Health Partners (CHP) Health System Reading Health System Lehigh Valley Health Network Advocate Physician Partners of Advocate Health Care Mount Carmel Health System Memorial Herman Physician Network (MHMD) Note formerly known as: Memorial Hermann Health Network Providers Memorial Herman Health System Website URL Geography http://readinghealthpartners.org/ Serves five county market north-­‐west of Philadelphia Separate website (from Reading Health) Primary Navigation: Program Overview, RHP Updates, RHP Committees, Resources, Clinical Guidelines Website Social Media/Blog N/A Date Established 2014 Physicians: 630 Independent: 306 Employed: 324 Specialties: 50 AdvocateCare: http://amgdoctors.com/patients-­‐and-­‐ families/advocatecare/ APP: https://app.advocatehealth.com http://www.valleypreferred.com/ https://www.mchp.com/ APP Clinical Integration on Main Site: http://www.advocatehealth.com/physicianpartners APP Advisors: https://www.appadvisorsonline.com/ In geography: Allentown & Bethlehem | Serves Lehigh Valley & Out Eastern of geography: PA Rolling Meadows, IL | Serves greater Chicago aOut rea of geography: Columbus, OH | Serves central Ohio area Separate website (from Health Network) AdvocateCare does not have own website. Separate site (from Health System, but part of Mount Carmel Primary Navigation: Quick Links, Testimonials, Library, APP Clinical Integration Program information can be found Health Partners) Seminars/Events, About Us, Contact Us on APP website (no link from main site -­‐ must do manual Primary Navigation: Quality Initiatives, Clinical Integration, Secondary Navigation: Broken down by audience type: search) and in APP section of Advocate Health main website. Membership & Benefits, Education & Events, Payor Contracts, Brokers/TPAs, Employers and Members, Health Care APP Advisors is separate site (from Health Care) -­‐ difficult to In The News Providers, Find a Healthcare Provider, Search bar, BeneFIT find, no links from Health Care site Secondary Navigation: About Us, Event Registration, Forms, Corporate Wellness logo + link APP Advisors Primary Navigation: Home, About Us, What We Helpful Links, Login Do, What We Offer, Who We Serve, Contact APP Advisors Secondary Navigation: Education & Coaching, Guidance & Colalboration, Tools & Techniques Facebook: 723 Likes LinkedIn: 22 Followers Twitter (for APP News): 242 Followers N/A YouTube: 538 Views, 1 Subscriber 2013 2004 2010 Clients: 6,819 HMO Patients: 230,000 Managed Care Contracts: 19 Members: 200,483 members PPO Patients: 700,000 Patients (Covered under above contracts): 200,000 Physicians: 4,200+ Physicians: 4,000+ Physicians: 1,500 Hospitals: 18 throughout 11 counties in Eastern Pennsylvania Independent: 2,900 as well as 18 contracted health insurance companies in the Employed: 700 Valley Preferred network. Affiliated: 200 Hospitals: 10 Advocate * As of December 31, 2013 APP formed in 1995 as PHO (focused on coordinating services for commercially insured HMO patients). Over next years, developed approach for contracting w/PPO plans pursuant to its Clinical Integration Program. APP then, in partnership with Advocate Health Care system (assuming clinical and financial responsibilities for coordinating care across continuum), formed full blown ACO w/AdvocateCare in 2011 -­‐ nation's largest ACO organization. Basic Facts Clinical Integration (non-­‐exclusive network) * Physicians must participate in all contracts negotiated by RHP Model/Structure Savings Model Reading Health Partners (RHP): is a legal entity led by physicians that will hold providers accountable for Valley Preferred = PPO measureable standards of quality and efficiency, and that, as a result of its efforts to drive better quality, more efficient, less costly care, is better able to negotiate with payers and purchasers to reward providers based on performance (deliver “Value”). For Brokers/TPAs: Potential to earn broker bonus For Healthcare Providers: Receive incentives/financial rewards for participation in clinical integration activities Not a PPO, no-­‐risk, shared savings Application process, but no fee Membership Based/ Participation in CIN mandatory Fee TPA: Network management fee Fee for BeneFIT® Mount Carmel Health Partners = PHO with a Clinical APP Advisors = Clinical Integration consulting arm of APP Integration Program of which physicians in Network can choose APP = Clinical Integration Program to participiate in; moving towards ACO. AdvocateCare = Population Health Management, ACO + shared savings (est. 2011) Physician Hospital Organization (PHO): is a legal entity formed by a hospital and one or more physicians or physician groups AdvocateCare Model for the purpose of negotiating and obtaining contracts with Health plans fund APP Cl Program -­‐-­‐> APP establishes quality insurance plans and employers. There are numerous variations metrics and rewards high-­‐performing physician outcomes -­‐-­‐> of this model and many PHOs are evolving into clinical Health plans, employers, and patients benefit from reduced integration programs. costs, saved lives and improved productivity. http://www.memorialhermann.org • Link from main MH site to MHMD from Main navigation: Healthcare Professional > Memorial Hermann Physician Network • Website navigation at MHMD by audience: for employers, patients, providers N/A http://www.covenanthealthpartners.org/About-­‐Us/Our-­‐4-­‐ Cornerstones/Clinical-­‐Integration.aspx • No forward facing (easy to navigate) link from main site to CHP; not obvious clinically integrated org. from main site-­‐-­‐ comes through on CHP • CHP site is NOT segmented by audience-­‐-­‐it's directed to all audiences and does not feature specific benefits for each e.g. employer vs. patient Have social share icons (so users can post Covenant page URL to their social channels), but doesn't have own social channels. 1982, Physician group founded; 2005, CIN program founded 2007, physician group founded (joint venture) Physician Members: 3,900 w/2,000 involved in MHMD's CI Employees: More than 5,000 program (annual report; website indicates 3,600); independent -­‐ More than 600 physicians on staff; 325 CHP physicians and employed physicians -­‐ 5 physician led committees Other: Largest independent CIN physician organization in Texas; -­‐ Physician scorecards one of most advanced CIN programs in country, ranking top 50 nationally based on number of physicians participating and the Other: Covenant Health is the largest health care institution in quality of results delivered. the West Texas and Eastern New Mexico region. Four -­‐ More than 500 primary care physicians (many of whom are in cornerstone ministries: the Advanced Primary Care Practices patient-­‐centered medical -­‐ Covenant Medical Center, Lubock home initiative) -­‐ Covenant Medical Center, Lakeside -­‐ Over 1,700 physician specialists, the largest network of -­‐ Covenant Specialty Hospital specialists in the Greater Houston area. -­‐ Covenant Children’s Hospital Unique Benefit: Association with Memorial Hermann Health System (an integrated health system and ACO), one of largest non-­‐profit health systems in nation; more than 21,000 employees, serving Southeast Texas and the Greater Houston communities -­‐ MHHS serves Southeast Texas and the Greater Houston community with 12 hospitals Clinical Integration AdvocateCare: ACO and Medicare Shared Savings Program For most physicians, membership includes a share of the PHO, Shared savings (approved to participate in Medicare shared (MSSP) which is incorporated in the state of Ohio. Certain requirements savings program as an ACO) 2013 Specialists = 48% need to be met to become a shareholder. PCPs = 36% Hospitals = 16% APP (Clinical Integration): Potential to share in millions of dollars in quality and performance incentives. As a member of APP, you’ll enjoy a number of benefits related to our contract portfolio, including: competitive reimbursement rates, additional earning opportunities based on Clinical Integration Program performance, and non-­‐exclusive contracts that give you the freedom to participate in other contracts. Physicians can join partner network without having to Yes, membership required; application process and fee, $200 participate in CI program. (annual) Application process. Membership acceptance based on specific criteria: http://www.advocatehealth.com/applyingformembership Participation in CIN mandatory Covenant Health Pay-­‐for-­‐performance Shared savings model Yes, have to fill out online form for someone to contact you about becoming a CHP member. Levels of Membership* Class A Shareholder -­‐-­‐ $815 one-­‐time payment Guest Pass Membership (non-­‐Franklin County presence) * Different criteria requirement for each level of membership, also separated by PCP and Specialty Offer Insurance Plan? * Will not contract with commercial insurance companies. * Will start out with self-­‐funded insurance companies. Yes. Contracts with insurance companies. * Members cannot choose which contracts to participate in Yes. Contracts with insurance companies. Offers Mount Carmel Associate Health Plan to members 2013 Memorial Hermann and Aetna entered into an FirstCare Health Plans Accountable Care Network agreement that will provide for shared savings and quality incentives for approximately 100,000 commercial lives RHP Advocate Aetna American National Insurance Company Cigna Healthcare Definity Health, a UnitedHealth Group Company Everence Federated Insurance Great-­‐West Healthcare, A Cigna Company John Alden Life Insurance Company d/b/a Assurant Health Standard Life and Accident Insurance Company Time Insurance/Assurant Health UnitedHealthcare Health Plans IT Tool Functions N/A Aetna Beechstreet, Inc (ppoNEXT) Blue Cross and Blue Shield of Illinois / Blue Advantage HMO CIGNA Great-­‐West Healthcare HealthLink HFN HMO Illinois Humana MultiPlan PHCS Unicare UnitedHealthcare Crimson = Continuum of Care, Population Risk Management Epic = Electronic Medical Record Phytel = Disease Registry/Care Management Epic (EMR) Electronic documentation of health history including physicina notes, results, medications, etc. Mount Carmel Health MyPopulytics ERMA * Populytics separately incorporated, wholly-­‐owned by Lehigh CIRRIS Vendor: MedVentive Valley Health Network. Populytics formerly Spectrum EMR MCHP Calls: Health Partners Patient Registry Administrators, MyPopulytics formerly WebSAI. eICU® MyPopulytics Collects and analyzes clinical data from physicians, hospitals, -­‐ Secure access to info to help maximize role as a health laboratories, pharmacies, and other health care providers: Electronic Referral Management Application (ERMA) manager Point-­‐of-­‐Care streamlines the referral process and helps ensure patients -­‐ View benefit plans, find a provider, view claims and receive appropriate care based on clinical need and health care Population Management Crimson eligibility, contact a plan expert, participate in interactive coverage. Embedded protocols provide clinical decision support PQRS Reporting Capability -­‐ Continuum of Care (Inpatient): Collect and report upon healthy living programs within your own Personal Health Suite rooted in evidence-­‐based treatments and best practices. Provider Dashboard inpatient and acute care oriented quality and safety measures. From Brochure CIRRIS Point-­‐of-­‐Care® integrates three critical functions that -­‐ Contiuum of Care (Outpatient): Collect and report upon Throughout 2014, we will be deploying various stages of an previously were accessed through standalone applications: quality and efficiency metrics from office-­‐based practice. advanced new informatics technology system, which we have patient registries, generic prescribing data and physician -­‐ Population Risk Management: Optimize network by named Populytics. Along with our integrated teams of clinical, progress reports. It enables physicians to track their progress in managing total cost and quality for key populations. information technology and administrative experts who have the Clinical Integration Program and make adjustments to been at work on this project for three years, the new improve performance. Phytel (Disease Registry/Care Management) Populytics informatics technology will provide the data Improve population health through proactive care necessary to facilitate our transition from the old Electronic Medical Record (EMR) -­‐ recent health care reform management unsustainable volume-­‐based model of care, to the new legislation has created new urgency for the adoption of an EMR quality-­‐driven value-­‐based model of care. by all physicians. As a physician member, you'll have access to a comprehensive system designed to improve patient safety Among the many differentiators of Populytics from our and clinical outcomes. previous informatics tools is that it uses extensive claims data—payer information on millions of lives and episodes Electronic Intensive Care Unit (eICU®)-­‐ implemented in 2004 by —along with clinical data. By bringing both claims and clinical Advocate Health Care, the eICU® harnesses cutting-­‐edge data feeds together for the first time at such an advanced technology for round-­‐the-­‐clock, real-­‐time audio and video level, Populytics will provide our network with actionable monitoring of intensive care unit patients in eight Advocate information that will be used to manage population health hospitals. Patients in Advocate's 18 adult ICUs receive care from and close care gaps. This represents a considerable highly trained Intensivist physicians based in a central command center. Memorial Hermann Covenant Accountable Health Plan of Ohio (PPO) (administered by MH 20 health plans: HealthSmart) -­‐ Amerigroup Buckeye Community Health Plan (Medicaid Managed Care Plan) -­‐ Blue Cross, Blue Shield-­‐Blue Choice PPO CareSource Ohio (Medicaid Managed Care Plan) -­‐ Bravo Elder Health ChoiceCare Network (PPO) (subsidiary of Humana, Inc.) Employers Health Network Cigna HealthCare (Open Access Plans, POS Plan) -­‐ Freedom of Choice Great-­‐West Healthcare (PPO) (administered by Cigna) -­‐ Health Smart PPO and Accel Networks Health Design Plus (PPO) -­‐ Interplant HealthSmart Preferred Network (formerly Emerald Health -­‐ Integrated Health Plan Network) (PPO) -­‐ MHealth HealthSpan (PPO) -­‐ Molin Health Care Medicaid & CHIP HMP's Humana (Commercial and Medicare Advantage Plans) -­‐ Multiplan Interplan Health Group (PPO) (administered by HealthSmart) PHCS PPO & EPO/POS Medical Benefits Mutual (PPO) (contract held through Standard -­‐ ppoNEXT Customer Agreement) Provider Select PPO MediGold (Medicare Advantage Plans) -­‐ Texas True Choice Molina Healthcare of Ohio, Inc. (Medicaid Managed Care Plan) -­‐ Three Rivers Provider Network Mount Carmel Event Care and Hospice Consult Programs -­‐ Well Care Medicare HMO MultiPlan/PHCS (PPO) -­‐ Worklink Ohio Health Choice, Inc. (PPO & EPO) PrimeNet The Health Plan (Commercial and Medicare Advantage Plans) (offered to specialists and hospitalists only) Trinity Mount Carmel Associate Health Plan (administered by Aetna, Inc.) Crimson Care Registry Crimson Population Management Tool eOrdering eClinicalWorks MHMD physicians are integrated with each other using the most advanced healthcare information technology allowing immediate access to information on patients and knowledge of the health of the populations they treat. Physicians: Crimson Care Registry is a software registry that extracts patient information from the multiple electronic medical records (EMRs) used in physician practices to create a patient population registry for each practice; primary care physicians have adopted more than 70 standardized disease and wellness rules to follow using the data in the registry. This tool then produces reminders and performance reports or wellness gaps for the patients in their practice. Crimson Population Management Tool. Online tool helps hospitals and physicians track patient quality, outcomes and safety. Partnership with Crimson (utilizing Milliman analytics) now provides physicians with a standard reporting platform for claims-­‐based performance tracking. (MHMD physicians help create; used by over 300 hospitals and 25,000 physicians throughout country) eOrdering: computerized physician order entry system at its hospitals eClinicalWorks: Physicians can easily access patient information, whether in the office or on the go; moves health information among authorized physicians, specialists and healthcare organizations. Online prescribing feature streamlines prescription process by electronically transmitting N/A Crimson Physician Connect Physician Connect: An online program that gives doctors the ability to view important patient information in a virtual environment. View finalized, transcribed reports, access lab reports as they become available, download patient histories and physicals, access emergency room reports and other physician consults, review X-­‐rays, CT scans and other diagnostic images through the PACS, filmless Radiology interface, review medical documents on MD Consult, an online library of research, books, journals and practice guidelines that offers patient handouts in English and Spanish RHP Advocate Mount Carmel Health Memorial Hermann Covenant -­‐ to pharmacy so medications are ready when the patient arrives. Patient portal patients can request appointments, submit questions to their physicians and more. Physicians/patients: MHiE Suite of Solutions (Memorial Hermann Information Exchange) free service for patients that provides tools that give patients improved connectivity to physicians and healthcare services and provides physicians w/immediate access to most current clinical data on patients from a wide variety of settings, enabling them to better manage and oversee patient populations (integrates silos of health data that exist in doctors’ offices, diagnostic testing facilities, outpatient services, emergency rooms, hospitals, home health agencies and post-­‐ acute providers). Leads to improved patient safety and quality of care. MHiE (cHX) Community Health Exchange: secure, encrypted electronic network gives authorized users access to consented patients’ most up-­‐to-­‐date health information contributed by all Exchange members. MHiE Image Gateway: secure, access to view and share medical images. Relevant diagnostic images are available for Exchange members as patients transition to different venues of care. MHiE Diagnostic Health Exchange (dHX): access for lab orders, real-­‐time lab and radiology results, radiology image links and transcription documents. MHiE dHX directly integrates with selected EMR systems, making Memorial Hermann diagnostic test results immediately available to authorized caregivers. -­‐ investment in the future, but given the dynamics of the new health care paradigm, we cannot afford to live in the past. A grant from the Lehigh Valley Physician Hospital Organization, Inc. and Valley Preferred enabled the initiation of this new infrastructure. From Website To access the monthly Valley Preferred Provider Bulletin and the Quick Reference Guide, please click on the appropriate link below. You will be asked to create a login and password on the WebSAI page. Go to the left column menu and click on “Valley Preferred Reference Tools.” You can also save the “Quick Reference Guide” for easy access. Functions Cont. -­‐ Valley Preferred Provider Bulletin Valley Preferred Quick Reference Guide -­‐ In addition, this Internet portal can help you provide better service to patients who have medical and dental insurance plans that are administered by Spectrum Administrators. For your patients who access the Valley Preferred Network, you are able to review the status of claims submitted to Spectrum Administrators for re-­‐pricing. The site is encrypted, secure and HIPAA compliant. Functions Cont. -­‐ Why Pursue Clinical Integration? • Align medical staff (both employed and independent) around common goals of quality and efficiency • Improve community health • Respond to employer and payer demands for better healthcare value • Prepare for changing reimbursement structures What will RHP do? It will aggregate and integrate physician and hospital services to generate better care at less cost and more aligned incentives with payers. Cost is intrinsic to quality rather than separate from it. Definition of CI -­‐ -­‐ How does Clinical Integration work? APP Clinical Integration Program joins together what would By interconnecting all network providers, insurers (payers) otherwise be a fragmented group of independently practicing and employers with the information necessary to make physicians into a comprehensive care management program, timely, accurate decisions, medical errors and redundancies in comprised of a common set of quality goals and measures diagnostics or treatment will decrease, while patient/family across all insurance carriers, with a focus on improved health engagement, quality of care, and cost effectiveness increase. care outcomes and reducing the long-­‐term cost of care. Unlike other disease management or preventive health programs, the Clinical Integration Program provides extensive infrastructure and support to physicians participating in the program, as well as a pay-­‐forperformance incentive system, to drive outstanding levels of performance. Advocate Physician Partners’ financial incentive system links hospitals and physicians to increase the level of collaboration and degree of coordination of care. These linkages help overcome the sometimes conflicting incentives that exist in the traditional fee-­‐for-­‐service model of healthcare provider reimbursement. MHiE eClinicalWorks® Health Exchange (eHX): This solution facilitates interoperability between physicians within the eClinicalWorks community. This tool supports a holistic view of a patient’s ambulatory record within the connected eCW community. With patient consent, records can be shared between treating physicians to ensure greater accuracy. MHiE eClinicalWorks® Provider to Provider (eP2P): This integrated network connects physicians using eClinicalWorks to electronically share patient records, referrals, messaging and appointments. It is a scalable and secure way to enhance patient care through improved provider-­‐to-­‐provider dialogue. MHiE ScheduleNow: This free scheduling tool enables patients -­‐ -­‐ to easily search and book appointments online. Memorial Hermann is one of the first healthcare systems in the nation and the first in Houston to offer appointment scheduling for an array of outpatient services through a website. ScheduleNow provides appointment reminders via email as well as a link to a map for directions. enotIfy: keeping pCps InformeD of patient hospitalizations. Patients declare a PCP at time of admission and indicate that they want the PCP notified. The physician’s eNotify preferences are set up online to properly route the communications. (email, text or other clinical computer system) eNotify is HIPAA compliant and contains no patient health information. Clinical Integration is commonly defined as primary care At Memorial Hermann, clinical integration is a commitment Clinical integration allows healthcare efforts to be effectively physicians, physician specialists, and health systems working from MHMD physicians to practice evidence-­‐based medicine, and efficiently coordinated in order to maximize the benefit together, using proven protocols and measures, to improve collaborate with each other and with other healthcare patients receive. patient care. The Clinical Integration program with Mount providers, and to be accountable for the highest quality, safest Carmel Health Partners has implemented physician-­‐directed and most cost-­‐efficient care possible. At CHP, clinical integration provides our physicians and quality improvement programs, focused on improving patient Covenant Health with aligned incentives and the opportunity to care and clinical outcomes and being rewarded for the value we In collaboration with Memorial Hermann Health System, share the cost of infrastructure development. By supplying provide in the market. MHMD's CI program... physicians with a vast database of inpatient and outpatient ...aligns quality, safety and cost-­‐efficiency between data, our clinically integrated network responds to the Program is designed to respond to market dynamics which achieves independent and employed physician practices and Memorial demands of the marketplace by adding value to the medical the following: Demonstrated improved clinical outcomes and Hermann hospitals. consumer through enhanced quality and decreased cost. evidence-­‐based care for patients. Reduced health care costs for patients, employers, and health plans. Enhanced coordination of care between physicians, hospitals, and other health care providers. Assistance with Performance Quality Rating Scale (PQRS) reporting and performance. Facilitated delivery of the right care at the right time in the right setting. Improved reimbursement through demonstration of quality and cost improvement. We are committed to a promise to provide the highest quality The advantages of clinical integration balance additional care, driven by compassionate providers, with collaborative and demands on physicians through the opportunity to create and innovative solutions to all of our customers: patients, payors, share in cost savings. and physicians. Misc. Definition of CI: Clinical Integration is the new age of health care delivery" Clinical Integration prepares Health Partners physicians for Clinical Integration – involves independent physicians of every future changes associated with Health Care Reform. While specialty coming together in a common commitment to quality many aspects of the Health Care Reform bill have not been fully and accountability. defined, it seems certain that demonstrating quality, lowering A structured collaboration among physicians and hospitals to costs, and managing population health will be the key to future develop an active and ongoing program designed to improve success. Clinical Integration is intended to achieve these results the quality and efficiency of healthcare (Advocate) and earn rewards or avoid penalties for failing to meet these objectives. Clinical Integration is believed to be a step toward developing the framework of an Accountable Care Organization RHP Initiatives COPD Heart Failure Depression Primary Care Coordination BOOST (Better Outcomes by Optimizing Safe Transitions) Programs (Components of CI, how working towards health) Programs Cont. Metrics/Results Committees Quality Improvement and Clinical Integration Finance and Contracting Clinical Informatics Population Health Management Provider Network, Credentialing and Enrollment -­‐ N/A Advocate Mount Carmel Health Our Clinical Integration program includes: AdvocateCare Committees Collaboration of primary and specialty care providers and Triple AIM: Population health, patient experience, total cost per Clinical Integration (CI) Advisory Group hospitals to facilitate communication and coordination of capita. To support achievement of these interventions, APP has Oversees the implementation of Clinical Integration and links patient care. As gaps in care become evident, new systems initiated a number of program and structural changes: communication between all Clinical Integration committees, will target patient outreach and follow-­‐up. -­‐ Physician Incentive Model Mount Carmel Health System, employers, and payors in the Achieving Clinical Excellence, our physician incentive -­‐ Patient Attribution: Physicians receive list of patients market. program, sets the bar for all providers to meet and exceed the attributed to them Quality and Clinical Integration Committee highest quality standards for individual patients and defined -­‐ Primary Care Physician (PCP) Access: Expanding appointment Approves measures for the Patient Registry, develops populations. Providers are measured on a specific set of times, additional EMR capabilities, partnerships w/local protocols, and reviews potential quality initiatives that are a outcomes and are rewarded when they meet and exceed the pharmacy retail clinics part of the benchmarks. Outcome measures include prevention and -­‐ Enterprise Care Management (ECM): alignment btw APP and Clinical Integration program. treatment of chronic disease as well as general preventive health system re: outpatient and inpatient management Nominating Committee care for children and adults. Achieving Clinical Excellenceuses -­‐ Care Managers Appointed by the Board of Directors to nominate candidates to evidence-­‐based standards from national quality organizations -­‐ Palliative Care Pilot fill physician committee positions. such as National Quality Forum. -­‐ Multi-­‐Condition Centers Credentialing Committee Clinical Practice Guidelines are the basis of chronic disease -­‐ Advanced Medical Practice Develops credentialing policies and procedures based on NCQA management and the Valley Preferred incentive plan outcome -­‐ Skilled Nurse Model guidelines, reviews physician applications for Health Partners measures. The Physician Advisory Committee, a group of -­‐ Acute Enterprise Care Coordination initial appointment and reappointment, and responsible for the primary and specialty care practitioners who are the -­‐ Transition Coach Program ongoing monitoring of member physicians and making resources for the most up-­‐to-­‐date standards of care, develops -­‐ Physician Practice Operations Coach Program: The Practice recommendations to the Board of Directors with the guidelines. Operations Coach is dedicated to working with physicians and respect to the termination or continuation of a physician’s Quality Improvement Projects, continually initiated by Valley physician office staff to improve performance on key membership. Preferred member physicians, lead the way to improving AdvocateCare outcomes which drive organizational Information Technology Committee clinical performance and patient outcomes through performance improvement. Selects and implements IT software used by Health Partners progressive measurement and application of best practice and participating physicians. standards. As individual and groups of physicians demonstrate Current Quality Initiatives positive patient care results from the Quality Improvements in: Improvement Projects, the information is spread to other Clinical Initiatives ambulatory and inpatient care divisions. Generic Prescribing Initiative Outcome Measurements provide the ability to track, trend, Asthma Outcomes and improve a wide array of clinical and administrative data Diabetes Care Outcomes elements. To increase the quality of care and service to their Elective Labor Induction Initiative Childhood Immunization Initiative patients, physicians receive aggregate clinical reports of disease-­‐specific indicators that compare the physician’s clinical and efficiency outcomes to his or her peers’ indicators. APP Adivsors 3-­‐year Curriculum: -­‐ Year 1: Launching the Program BeneFit Corporate Wellness Program (microsite): -­‐ Year 2: Enhancing the Program http://www.benefitcorporatewellness.com/ -­‐ Year 3: Optimizing the Program Helping employees and their families live healthier lives. That’s the BeneFITSM Corporate Wellness Program—a natural outgrowth of Valley Preferred’s dedication to improving health care quality, affordability, and effectiveness in our communities. Memorial Hermann Covenant Recent Accomplishments: -­‐ 2013 Crimson Physician Partnership Award -­‐ Engaged in Population Health Management -­‐ Expanded Physician Membership & Specialties -­‐ Implemented the Patient Navigation & Transitional Care Coordination Program -­‐ Designated by Covenant Health as Vehicle for Health care Reform & Affordable Care Act -­‐ Hospital Efficiency Program Generated Savings for 5th Consecutive Year N/A CHP assists physicians in the transition from volume-­‐based to value-­‐based care through various programs. These programs are comprised of quality goals and measures across multiple care settings. Key components of Clinical integration: • collaboration between hospitals and physicians (both independent and employed) • improving quality and efficiency in care through measurable outcomes • using a robust IT infrastructure to support data-­‐driven performance improvement • aligned financial incentives Hospital Efficiency Program: during 2012 fiscal year CHP generated a total savings of $1.72 million from this program; over a lifetime of program CHP has generated $9.48 million. HEDIS measures STAR ratings Perinatal care Readmission rates ER utilization Medication management Past Projects & Initiatives Palliative Care Initiative Electronic Fetal Monitoring Project Optimal Prenatal and Postpartum Project Perinatal Safety Initiative UCO and Quality Initiatives -­‐ Events/Education Classes and seminars for physician and practice members Semi-­‐annual Vendor and Payor Fair Membership Discounts Financial Planning IT Services Data Destruction Collection Services Supplier Management Telecommunications Malpractice Coverage Group Purchasing From Fact Sheet On Website Clinical Initiatives CIN Initiatives Top Six Order Sets Usage Savings Performs in the 100th percentile of customer satisfaction Generic Medication Prescribing: Benefit is cost-­‐savings for * NOTE: Found under "Past Project Results" on website, * See chart in Annual Report (p. 38) for chart with cost savings according to a recent survey measuring customer service, insurers and consumers (vs. paying more for brand-­‐name) documents were confusing. Interchanges Initiative and Project -­‐ MHMD has helped Memorial Hermann realize more than $1M knowledge, responsiveness and reference material. -­‐ In 2012, APP prescribed a rate of 6% higher than two of not sure if there's a difference -­‐ not clear. See server for in cost savings through nearly 100% compliance with Order Set Chicago-­‐area's largest insurers. Initiative saved $41.1M. additional projects/metrics. usage by medical staff physicians for these six conditions: From Brochure Asthma Outcomes Initiative: Optimuminsight Program (Aetna/UHC Medicare Advantage): 1. GI bleeding Quality & Efficiency: Sets measurable goals based on best -­‐ APP achieved control rate of 66% vs. 50% for national Assesses chronic condition of Aetna and UHC members. 2. Heart failure practice metrics and encourages participants to meet or -­‐ Saved $6.2M annually in direct/indirect medical costs Requires physicians to complete Patient Assessment Form. 3. Chest pain exceed these goals with financial incentives disbursed -­‐ 26,801 days saved from absenteeism and lost productivity -­‐ Results: 78% of UHC forms generated were returned, 76% for 4. Sepsis twice/year. Performance focal points include: Diabetes Care Initiative: Aetna 5. Pneumonia -­‐ Clinical outcome measurements -­‐ 21,059 additional years of life, 33,694 additional years of Associate Health Plan PCP Project: Improve chronic conditions 6. Acute MI -­‐ Efficiency measures sight, 25,279 additional years free from kidney disease for members of Mount Carmel Associate Health Plan (MCAHP). -­‐ Acute inpatient length of stay -­‐ Saved $6M+ annually above national performance standards -­‐ Quality measures and targets: 1. Diabetes Care, a. -­‐ Engagement of patients in our Disease Management Prog. Elective Indunction Initiative: Reduce rate of elective delivery HbA1C <7% , b. LDL-­‐C <100, c. Diabetic eye exam, 2. -­‐ In 2011, APP rate was 11.7% vs. 13.7% for state of IL Hypertension: Blood pressure < 140/90 3. In 2014, Achieving Clinical Excellence plan changes will: -­‐ In 2012, APP rate was 5.7% vs. 7.2% for state of IL Hyperlipidemia (non-­‐Diabetics): LDL-­‐C <130 -­‐ Include transition measures Childhood Immunization Initiative: Associate Health Plan OB/GYN Project: Focused on ensuring -­‐ Increase pediatric measures -­‐ APP immunization rate HMO: 77% vs. 75% (nat. avg) women under MCAHP receive appropriate screenings based -­‐ Modify incentives for disease management -­‐ APP immunization rate PPO: 76% vs. 67% (nat. avg) upon national standards utilizing HEDIS. -­‐ Include larger plan populations -­‐ $1.1M savings in avoided hospitalization costs -­‐ Quality Measure: Physicians must meet 3 out of 5 quality (1) MH My Health Advocate Disease Management: Nurse case -­‐ Cont. to emphasize improved delivery of patients care messaures and have at least 3 members in the measure. manager provides telephonic follow-­‐up and support, (2) MH according to the Clinician and Group Consumer Assessment of Cardiac Life Program: Ongoing education and support for CHF Healthcare Providers and Systems (CGCAHPS) measures patients, (3) MH Palliative Life Program: Designed to palliate endorsed by the National Quality Forum (NQF) symptoms and return patients to healthy lifestyles, (4) Improving the Continuum of Care, (5) Diabetes Management Since 2009, more than 49 projects have been initiated or Programs, (6) Nurse Triage Line System completed. Among the clinical purposes of individ. Quality Four Cornerstones Approach (see chart downloaded): Clinical Integration: Physician Engagement, Quality Improvement, Population Health Management, Care Coordination, Clinical Risk Mgt. Core Components: Physician engagement by serving on one of CHP's committees. Clinical leadership and influence on the committees plays an integral role in the achievement of the strategic initiatives of Covenant Health Partners. Disease Management Program: In 2012 CHP introduced an innovative care coordination program. As patients transition across different care settings, a team comprised of nurses and patient navigators work w/physicians and patients to improve outcomes form chronic conditions through education, goal specific behavior change, and procurement of necessary resources. Patient Navigation and Transitional Care: care coordination program affects behavior through motivational interviewing, increasing patient confidence and helping them become self-­‐ sufficient. From comfort of home patients can work with their care coordinator to achieve outcomes specifically designed by their physicians who direct their care. Pharmacy Initiative: working to eliminate waste in pharmaceutical drugs.2012 generic fill rate was 71%, a 3% increase from previous year. Instituted a generic utilization initiative to provide education to physician members and patients about generic medication currently available. Hospital Efficiency Program: During 2012 fiscal year CHP generated a total savings of $1.72 million from this program; over a lifetime of program CHP has generated $9.48 million. * See p. 22 for full performance chart * See p. 5 for chart RHP Metrics Cont. -­‐ Advocate Improvement projects in recent years: -­‐ Development of a fitness program for obese children (BMI > 95%) using elements of youth culture -­‐ Development of a practice-­‐wide screening program for Aortic Aneurysm -­‐ Screening procedures for Autism Spectrum Disorders -­‐ Increased compliance of pneumococcal vaccine for diabetic patients -­‐ Improvements in multi-­‐departmental preoperative procedures -­‐ Development of a compliance program for opioid prescribing -­‐ Mount Carmel Health Medicaid Managed Care Prenatal and Postpartum Care Project: Ensure women receive appropriate prenatal and postpartum care based on HEDIS national standards of quality. -­‐ Measures and targets include: 1. Perinatal Risk Assessment Form – 75% , 2. Initiation of Prenatal Care – HEDIS 75th Percentile, 3. Frequency of Prenatal Care – HEDIS 75th Percentile , 4. Postpartum Care – HEDIS 75th Percentil 2012 Humana Medicare Advantage Program: Focused on improving quality care for members w/specific chronic conditions. -­‐ Physicians must have met 6 of the 9 quality measures: 1. BMI 2. Breast Cancer Screening , 3. Cholesterol Management , 4. Colorectal Cancer Screening , 5. Comprehensive Diabetes Care, 6. Diabetes Treatment, 7. Glaucoma Screening, 8. Modifying Anti-­‐Rheumatic Drug Therapy for Rheumatoid Arthritis 9. Osteoporosis Management in Women who have a Fracture Additional payment could be received for the following: 1. Generic Drug Dispensing Rate, 2. Mail Order Usage, 3. Medical Records Access , 4. Practitioner Assessment Form Completion, 5. 30-­‐day Readmission Rate. Performance was monitored on an ongoing basis, with payouts being made quarterly. Memorial Hermann Covenant -­‐ Results: Re-­‐hospitalization 30-­‐day rate (all causes) National Average: 27% Texas Average: 30% Cardiac Life Patients: 15.7% -­‐ Support Tools FAQs, Clinical Guidelines, RHP Updates, Quality Metrics, Participating Practices, IT Operations Support Calendar of Events, FAQs, Wellness Articles, Library, Testimonials, Glossary AdvocateCare & CIN: Resources section behind gated portal APP Advisors: Whitepaper Members Only Section (login required): Online Education, Newsletter archives, Physician Focus (bi-­‐monthly newsletter for physician members), Access Forms, Clinical Guidelines (download) No-­‐login-­‐required Access: Health Partners Publications, Resources Graphics N/A N/A Videos N/A Apps Communication N/A Reading Health System realizes the nation's healthcare system is moving in a clear direction away from payment for volume to payment for value. Reading Health Partners (RHP) is a physician-­‐hospital alignment that is both the patient-­‐centric and physician-­‐led, with guiding principals of improving both the quality and efficiency of healthcare in our community. Main Message PhysicianLINK: gated area containing CME online training courses and events/seminars (physician specific) Interactive reference tool N/A http://www.valleypreferred.com/library.aspx?pub=4 N/A AdvocateCare: http://stream.advocatehealth.com/flashFiles/advocatehealth/A dvocateCare/advocateCare.html N/A We are not a health insurance company—rather, we contract AdvocateCare: Triple aim: Quality, Cost and the Patient with health insurance companies and third-­‐party Experience (population health, patient experience, total cost administrators who provide a variety of health insurance per capita) plans for businesses, individuals, universities or colleges (for students) and those with unique health insurance needs. APP CIN: APP is a leader in population health management and Established as a preferred provider organization (PPO), not a has garnered wide-­‐spread national recognition for its health insurance company. innovative clinical integration program. The comprehensive approach coordinates patient care across the Reading Health Partners will leverage its strong Wholly-­‐owned by the Lehigh Valley Physician Hospital continuum—ensuring care is delivered at the right place and at relationship with physicians to support both primary and Organization (a health care delivery organization formed by the right time. This results in more efficiency, improved health specialty care physicians in delivering the highest quality Lehigh Valley Health Network and the Greater Lehigh Valley outcomes and significant cost savings for patients. of care at the greatest value for payers, and establish Independent Practice Association). opportunities of shared savings and other new payment APP also supports its physician members in managing the methods for physicians. Valley Preferred utilizes an integrated clinical approach to health of their practices with contracting, medical the diagnosis and treatment of patients, connecting all the management, electronic medical records and value added critical links in health care — doctors, patients, hospitals, services including group health and dental insurance and health insurance companies and employers — for quantifiable preferred pricing on vaccines, medical surgical supplies and results, through new modes of medical data, communication office supplies. and technology. Yes, graph of what's expected of physicians when they participate in Clinical Integration N/A N/A N/A N/A N/A The Mount Carmel Health Partners Clinical Integration program was developed to help Health Partners physicians and the Mount Carmel Health System succeed in the emerging health care environment. All providers are accountable for delivering demonstrated value to patients, payors, and the community, with value defined by the quality, service, and outcomes we deliver as compared to the overall cost of care. This value will be the benchmark for provider performance and reimbursement. Patients Health Library consisting of: -­‐ Health News: various topics -­‐ Tests & Procedures (by condition): Cardiovascular, Gastroenterology, Gynecology, Neurological, Orthopedic, Pulmonary, Urology -­‐ Health Encyclopedia (search) -­‐ Healthy Recipes -­‐ Health Tools: calculators, Adult & Children's BMI, Calorie Burn Rate, Children's' Asthma Peak Flow, Target Heart Rate, Cost of Drinking, Cost of Smoking, Due Date, Ovulation Date, Wellness Library consisting of: -­‐ At Work, Behavior, Dental, Fitness, Injuries & Emergencies, Nutrition, Parenting, Prevention, Safety, Today's Medicine, Weight Control, Your Body, Disease and Conditions http://www.covenanthealthpartners.org/About-­‐Us/Recent-­‐ Accomplishments/Crimson-­‐Physician-­‐Partnership-­‐Award.aspx Video on Crimson Partnership Award Winner (on You Tube): http://www.youtube.com/watch?v=Ipo9QtjrKe4&feature=yout u.be" N/A MHMD and Memorial Hermann have committed to leading the Vision (CHP): To be an integrated network in which physicians transformation of healthcare in Houston and the nation, both in and hospitals align to enhance quality and accountability in the hospital setting and in the management of populations of clinical outcomes and patient experience across the continuum people, including those with chronic illnesses and those who of care. are well. Covenant Health Mission: To lead the transformation of medical practice in Mission: To extend Christian ministry by caring for the whole collaboration with patients, payors and caregivers, through the person—body, mind and spirit—and by working with others to use of evidence-­‐based medicine. We establish a culture of improve health and quality of life in our communities. physician accountability and create and deploy new models of Vision: to bring people together to provide compassionate care, The Clinical Integration program is physician-­‐led and physician-­‐ healthcare that will improve the quality, safety and cost promote health improvement and create healthy communities. driven in order to provide a program which produces the efficiency of the care we provide for the populations we greatest rewards. To that end, the program also includes manage. Our covenant is to be one of the premier Texas healthcare collaboration, guidance, and support through its partnership systems by 2015, known for our Christian service, clinical with Mount Carmel Health System. This enables all participating excellence and commitment to healthy communities." providers to achieve the desired results and be viewed as leaders in demonstrating value in the central Ohio community. RHP General Patients Physician Network N/A Clinical integration provides patients with: (a) a better value for their health care dollar, (b) more effective care management and outreach from a trusted source, their physician, (c) more reliable information to support their choice of health plans, physicians, and hospitals, (d) more accurate and meaningful provider ratings, and (e) greater stability in their relationship with their doctor and hospital, and less likelihood that they will need to choose new health care providers every year. Advocate N/A Members/Patients: Our members get direct access to a large network of physicians, specialists, hospitals and ancillary providers without a referral from a primary physician. Members also have direct access to our award-­‐winning program — BeneFITSMCorporate Wellenss — offering health education tools, health screenings and strategic wellness programs tailored to meet company needs and goals including BeneFITSM Consultation & Toolkit, BeneFITSM Online, Health Risk Assessment, and Health Coaching. N/A N/A Physicians who elect to participate in a clinically integrated Achieving Clinical Excellence: Our performance-­‐based APP CIN: It's a challenging time to practice medicine. That's organization have the opportunity to develop protocols, incentive program, Achieving Clinical Excellence, establishes why there's never been a better time to consider membership standards, programs and tools that enable enhancements clear benchmarks for physicians to meet quality, financial and in Advocate Physician Partners, the leading care management in quality. patient-­‐engagement goals. We offer incentives for physicians and managed care contracting organization in the state of who provide care that is consistent with nationally established Illinois. Over 4,000 physicians rely on Advocate Physician Clinical integration allows physicians to: (a) demonstrate pathways, protocols and procedures, including quality Partners to assist them in this difficult practice environment. their quality to current and future patients, (b) choose the improvement initiatives, clinical self-­‐audits, electronic clinical measures against which they will be evaluated, and documentation of care goals, educational seminars and Advocate Physician Partners physicians are supported by a avoid measures imposed by health plans, (c) enhance disease management patient enrollments. management team dedicated to quality outcomes and focused revenue through better management of chronic patients, Quality Improvement: Our Quality Improvement Program on serving the needs of physicians while ensuring the future (d) gather collective support for building necessary provides physicians with the opportunity to achieve new growth and success of the organization, its member physicians infrastructure, and (e) engage in group contracting. levels of health care delivery, efficiency and accuracy, and to and hospitals. pursue these improvements by conducting preliminary research and recommendations on procedures to achieve Clinical Integration: The nationally recognized Advocate new best-­‐practice standards. Physician Partners Clinical Integration Program combines Since the program’s inception in 2009, multiple Quality evidence-­‐based medicine with an innovative pay-­‐for-­‐ Improvement Program projects have been initiated or performance program. This partnership fosters collaboration completed. among payers and patients, as well as physicians and hospitals, Clinician Self-­‐Audits: As a Valley Preferred clinician, you can creating the framework by which we evolve into an ACO. The measure outcomes on a per-­‐patient basis through our self-­‐ Clinical Integration Program is built on carefully researched auditing program. Physicians and advanced practice clinicians metrics and established performance targets. review treatment outcomes and measure them against national standards to evaluate their individual performance. Medical Management: Practice management has become a We offer incentives for physicians who provide care that is complex and time-­‐consuming task. As a physician-­‐led consistent with nationally established pathways, protocols organization, we support your desire to focus on practicing and procedures, and we provide special coaching and follow-­‐ medicine by assisting the physician practice with day-­‐to-­‐day up for physicians whose care is not consistent with national functions such as credentialing, eligibility and referral, parameters. utilization and case management services. Mount Carmel Health N/A Memorial Hermann Proof Points: Clinically integrated physicians produce better patient outcomes at a more cost-­‐effective level of care than non-­‐ clinically integrated physicians. • Compared to other physicians in Houston market, CI physicians consistently achieve reductions in cost of care, length of stay and number of readmissions, while earning higher quality scores. -­‐ Lowering length of stay 4.52 vs. 4.74%; hospital acquired infections .68% vs. 7.56%; complications 1.24% vs. 2.82%; 30-­‐ day readmits 5.92% vs. 10.38% and mortality rates 1.95 vs. 2.52%) • MHMD has helped Memorial Hermann realize more than $1 million in cost savings through nearly 100 percent compliance with Order Set usage by medical staff physicians for these six conditions: GI bleeding, Heart failure, Chest pain, Sepsis, Pneumonia, Acute MI Covenant Physician Engagement: A high level of physician engagement is critical to the effectiveness of this organization. CHP physicians have a strong dedication to enhance every aspect of medicine. Quality Management: Organization comprised of an elite group of physicians who believe providing the highest quality of care is the only option. Thought Leadership: MHMD physicians have spoken to the American Medical Association and hosted meetings for the National Quality Forum regarding collection of office-­‐based physician quality metrics and physician education for inpatient quality. Connectivity: CI involves a more coordinated, connected approach to health care delivery • Patients of MHMD physicians experience more coordinated healthcare delivery– physicians are all connected to the Memorial Hermann electronic medical record (EMR) system for viewing results and clinical documents at the point of care (more practices are deploying an in-­‐office EMR as well to further enhances the coordination of care). • Physicians are linked to Memorial Hermann lab and diagnostic N/A N/A services for quicker results and faster responses; physicians and hospitals share patient information for more efficient, comprehensive care and elimination of redundant testing and screenings. • Physicians talk to each other regarding best practices and outcomes. • through our organizational commitment to provide care of the highest quality and our collaboration with Memorial Hermann, we reassure patients that their healthcare needs are being met in the best possible way Health Partners is committed to the belief that by actively CI physicians practice evidence-­‐based medicine • Increase efficiency participating in its Clinical Integration network and upcoming • Provides member physicians with the resources necessary to • Enhance ability to monitor patients ACO opportunities, member physicians will not only be included run an efficient practice so they can focus on patient care. • Recognizes higher quality in payor contracts and pay for quality projects that might • Physicians reap the contracting benefits of large, multi-­‐ • Shares best practices otherwise exclude them, but also have the opportunity to specialty and single-­‐specialty medical groups without giving up • Improves communication among physicians participate in the development of protocols for their network of independent practice. • MHMD assists CI participants with • Builds physician -­‐ hospital relationship providers as well as their governance. workflow analysis and streamlining to incorporate quality • Utilize pay-­‐for-­‐performance to reward physicians for performance and outcomes of the entire CI group of achieving certain quality targets physicians– we invest in our physicians and take pride in our network. Streamlined Credentialing To simplify the credentialing process for physicians, MHMD has been designated to handle credentialing for each of our 20 contracted health plans. Member physicians only have to apply and be credentialed once – including just one office site survey every two years. Benefits: • Access to over 20 PPO managed care contracts Direct employer contracting • Rigorous, payor-­‐approved credentialing services, exceeding NCQA standards • Timely and accurate claims administration and claims conflict resolution • Direct payor contracts with employers through MHealth • Patient referral from Memorial Hermann’s 222-­‐CARE database • Continuing Medical Education (CME) programs and online medical reference library • Online EMR and patient data for Memorial Hermann hospitals • Discounted EMR solutions for physician practices • Group purchasing power with multiple vendors RHP Employers/TPA Healthcare Systems/Hospitals Staff Communication Pieces Advocate Clinical integration gives employers: (a) the ability to more Brokers/TPAs: Your relationship is important to us. Together, effectively manage the health care costs of employees and we can help employers contain their health costs and connect their dependents through the purchase of better, more their employees to the best health care in the industry. efficient health care services, (b) increased employee productivity and reduced absenteeism, through the better Employers/health care purchasers will obtain value-­‐based management of chronic disease, (c) lower health care health care, improved quality, and cost-­‐effectiveness. costs over the long term, through the reduction of variation in physician practice patterns, and (d) more Members/Patients: Our members get direct access to a large N/A reliable information to support conversion to consumer-­‐ network of physicians, specialists, hospitals and ancillary driven health insurance products. providers without a referral from a primary physician. Members also have direct access to our award-­‐winning program — BeneFITSMCorporate Wellenss — offering health education tools, health screenings and strategic wellness programs tailored to meet company needs and goals including BeneFITSM Consultation & Toolkit, BeneFITSM Online, Health Risk Assessment, and Health Coaching. Clinical integration gives hospitals the ability to (a) APP Advisors: Heath Systems & Hospital Organizations demonstrate their quality to current and future patients, With a renewed focus on efficiency as well as quality, health (b) enlist physician support for hospital initiatives, care reform demands that organizations demonstrate the including compliance with “core measures,” clinical ability to improve both their resource utilization and health pathways, standardized order sets and supply chain outcomes. With APP Advisors, your organization will learn how N/A management initiatives, (c) develop a better, more to reduce avoidable admissions, readmissions and length of collaborative relationship with their medical staff, (d) stay — three factors which have a direct impact on quality and improve performance on hospital pay-­‐for-­‐performance cost. measures, and (e) position themselves at an advantage in the market on the basis of quality. Stated simply, we must prepare for a new healthcare environment that no longer rewards us for the volume of the services we perform, but rather for the value of the care we deliver. N/A N/A Your own role in this journey is to provide the best care to every patient, every day. In return, we promise to be responsive to your issues and concerns in an ope and honest way. Newsletters -­‐ News Around the Clock, RHP Newsletter, Safety Escape Flyer Annual Value Report Road Ahead Newsletter Preferred EAP eNewsletter Clinical Integration Symposium Website Fact Sheet Physician Portal FAQs (one for each audience) Intranet postings Preferred Adviso r Newsletter (employers) Constant Contact email Patient Guide Flyer w/Q&A Messages direct to Dept. Heads Physician Guide Flyer w/Q&A Letters through HR Populytics Brochure Progress Update (Annual Report) Testimonials Mount Carmel Health Memorial Hermann Covenant • greater value • healthier employees • higher employee satisfaction • builds hospital -­‐ physician relationship • creates shared goals • cost-­‐effective care N/A N/A N/A N/A N/A N/A N/A N/A Health Partners Member Newsletter (bimonthly) Health Partners Website Webcasts/Online Education Educational Seminars Vendor and Payor Fair New Publications Commitment to Quality Report 2012 (Annual Report) Patient Registry Overview, Q&A Clinical Integration Overview, Q&A Quality Metrics Results FAQs Annual Report Network Membership Participation Criteria & Policies Newslink Newsletter Annual Report Stat Notes: monthly physician newsletter
