Data-Driven Clinical Transformation in an Unhealthy Region
Originally presented at HIMSS19 on February 13, 2019
Originally presented at HIMSS19 on February 13, 2019
Description
Value-based care can be a daunting change. It’s particularly true in the Southeast, ranked the least healthy U.S. area. Building on a partnership with a large Louisiana-based health plan, COSEHC leads a large practice transformation network, serving over two million people through 703 practice sites and 4,599 clinicians. Leveraging actionable information, evidence-based guidelines and training, its PTN has become a CMS top performer. It shares challenges and successes in meeting or exceeding most chronic disease targets and saving millions by transforming patient- and family-centered care; data-driven quality improvement; and creating sustainable business operations.
Learning Objectives:
- Identify challenges and opportunities in transitioning from fee-for-service to fee-for-value for providers serving high-risk populations
- Illustrate methods used to facilitate transformation in large and fragmented provider networks, including provider and patient engagement across large, unhealthy regional populations
- List tools, partnerships and processes used to achieve clinical transformation
- Describe outcome improvements which have surpassed goals to date: improving population health, reducing costs and transitioning participating practices to value-based care models
- Recognize barriers to provider adoption, alignment and active participation across one of the nation’s largest CMS practice transformation networks
