This rapid transformation to value based care means that most healthcare providers are seeing the benefit–as well as the need–for healthcare networks. Healthcare networks allow the clinician the means to share information and to improve patient care while minimizing duplicate care and lowering the cost of operation.
Creating a Clinically Integrated Network
The creation of a Clinically Integrated Network means that health care teams must develop primary and specialty care teams to enable them to streamline and improve the quality of care at the same time.
Inside the structure of a clinically integrated network
Those who are employed by it as well as affiliate with it are able to negotiate with the payers with regards to arrangements for reimbursement. This is not typically viewed as “good” practice outside a clinical network.
This is a big step forward for the healthcare space although some networks are exempt, such as Medicare Shared Savings Program (MSSP), and Accountable Care Organizations (ACO).
McKesson and several other providers have given us a list of the key criteria for what makes a clinically integrated network, or those able to prove they are a clinically integrated network.
Some key elements:
-Prove that they improve both the efficiency and the quality of care
-Consistently use clinical protocols all across their network and have “measurable goals” toward which they consistently strive
-Consistently monitor their network as well as their clinical network performance
-Have a “collective financial investment” in their reporting methodology or system
When we combine several or many smaller healthcare systems and create of them one much larger and stronger integrated network, every healthcare provider is able to achieve better care and greater billing/coordination efficiency.
In order to succeed as an integrated network, every provider must have full access to the information available for use in measuring quality as well as the effectiveness of patient care.
In part 5 of this 7 part series we’ll tackle one of the most, if not the most, challenging aspects of value based care…..Coordinated Care.
Mitch Robbins is an expert as it relates to Interim and Direct Hire Nursing Leadership Recruitment for hospitals and clinics, helping organizations build best in class clinical leadership teams in the USA.
Learn to how to STOP losing your best nurses, IMPROVE your patient outcomes and DECREASE your staffing costs with special guest LeAnn Thieman. Download the free webinar transcript with LeAnn, Hall of Fame Speaker, Nurse, and Co-Author of the book Chicken Soup for the Nurse’s Soul. Download your free copy here.