2 Health Systems Develop Clinical Integration Programs | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

2 Health Systems Develop Clinical Integration Programs

September 7, 2011
by root
| Reprints

In today’s economic and healthcare environment, it is more critical than ever that hospitals engage physicians to enhance healthcare quality while also improving efficiency and cutting costs across all care settings. To achieve this goal, physician organizations at Covenant Health System, a member of St. Joseph Health System based in Orange, Calif., and Memorial Hermann Healthcare System of Houston have developed Clinical Integration (CI) programs. These programs can serve as a bridge for hospitals to join the Medicare Shared Savings Program after first developing accountable care capabilities through contracts with private payers and local employers.

In CI programs, a network of independent physicians collectively commits to collaborate with a hospital or health system to delivering improvements in quality and cost of care. Once the CI program is established, physicians in the CI network may negotiate collectively for commercial payer contracts and present them for antitrust review by the Federal Trade Commission (FTC). These contracts can include pay-for-performance components that allow both physicians and hospitals to receive incentive payments for improved quality and efficiency achieved via enhanced collaboration, which must be demonstrated through compliance with recognized clinical best practices and improved outcomes.

Both Covenant and Memorial Hermann developed their CI programs with CRIMSON physician performance technology services from The Advisory Board Company, a Washington, D.C.-based research, consulting, and technology services firm serving a membership of more than 2,900 of the world's leading health care organizations.


Topics

News

Former Health IT Head in San Diego County Charged with Defrauding Provider out of $800K

The ex-health IT director at North County Health Services, a San Diego County-based healthcare service provider, has been charged with spearheading fraudulent operations that cost the organization $800,000.

Allscripts Touts 1 Billion API Shares in 2017

Officials from Chicago-based health IT vendor Allscripts have attested that the company has reached a new milestone— one billion application programming interface (API) data exchange transactions in 2017.

Dignity Health, CHI Merging to Form New Catholic Health System

Catholic Health Initiatives (CHI), based in Englewood, Colorado, and San Francisco-based Dignity Health officially announced they are merging and have signed a definitive agreement to combine ministries and create a new, nonprofit Catholic health system.

HHS Announces Winning Solutions in Opioid Code-a-Thon

The U.S. Department of Health and Human Services (HHS) hosted this week a first-of-its-kind two-day Code-a-Thon to use data and technology to develop new solutions to address the opioid epidemic.

In GAO Report, More Concern over VA VistA Modernization Project

A recent Government Accountability Office (GAO) report is calling into question the more than $1 billion that has been spent to modernize the Department of Veterans Affairs' (VA) health IT system.

Lawmakers Introduce Legislation Aimed at Improving Medicare ACO Program

U.S. Representatives Peter Welch (D-VT) and Rep. Diane Black (R-TN) have introduced H.R. 4580, the ACO Improvement Act of 2017 that makes changes to the Medicare accountable care organization (ACO) program.