With ever-changing regulations, goals, payment models, and incentive plans, today’s Accountable Care Organization (ACOs) and Clinically Integrated Networks (CINs) have to be agile. They must have a strategy and tools in place to drive performance under a variety of circumstances.
For ACOs and CINs, every patient that receives care outside the network is a lost opportunity to improve quality, patient outcomes and ultimately costs. If a hospital network’s specialists are the easiest to reach and communicate with, it quickly becomes unnecessary to use non-network resources.
Optimizing communication with providers throughout the network, and even the community is key. But, with so many different EHRs (Electronic Health Records) in play, it is challenging to consistently share information and track performance across the network.
Here at Proficient Health, we have worked with a number of ACOs and CINs to help them overcome these challenges, and are excited to share what we have learned in a new eBook.
This latest eBook explores how leading ACOs and CINs have enabled better communication to improve the following:
- Patient Satisfaction
- Network Leakage
- Care Coordination/Collaboration
Here is a sneak peek at some of what you will learn:
Triad HealthCare Network (THN)
- Realized an immediate boost in in-network patient referrals after realizing they were sending 25 to 30 percent of all specialty referrals to out-of-network providers.
- Overcame fragmented communication due to multiple EHRs and faxing, to avoid delays in appointments and improve patient satisfaction.
Lurie Children’s Hospital
- Launched an innovative behavioral health program, to train and assist the primary care community to provide mental health services locally while simultaneously providing better access to Lurie Children’s specialists when required.
- Gained a competitive edge by streamlining same-day appointment requests to its orthopedic specialists, making it easy to keep those appointments in-network.
- Avoided unnecessary ED visits, duplicative testing and other costly procedures by streamlining communication with community-based pediatricians.
WakeMed Health and Hospitals and WakeMed Key Community Care (WKCC)
- Improved the ED Experience, by facilitating seamless communication with Primary Care Physicians (PCPs), resulting in shorter patient wait times, fewer unnecessary tests and better patient care.
- Created efficiencies and coordinated patient care across their entire system, with improved access to its on-call specialists and services.
- Enhanced Care Management by helping case managers better leverage the hundreds of PCPs throughout the WakeMed network, without interrupting days off and/or hours away from work.