Community Health IPA (CHIPA), an independent practice association comprised of 23 New York-based Federally Qualified Health Centers (FQHCs) using six separate electronic medical record (EMR) vendors, needed to align its practices and policies and fully transition to value-based care in order to optimize value-based contracts. Rather than relying on anecdotal evidence for care decisions, CHIPA wanted to use data and analytics to drive practice transformation. This workshop will provide insights into how we seamlessly incorporated a population health management (PHM) solution to optimize patient outcomes, costs, and resource utilization under value-based care agreements.
Specifically, this session will address:
How we discovered creative solutions related to confidential, proprietary, and contractually-obligated information;
Key factors driving the successful implementation of the PHM solution, including: integration of clinical and claims data, attribution methodology, risk stratification, targeted care management based on cost, quality and utilization data, creating profiles for each patient, dashboards that promote provider engagement, and generating MCO performance report cards; and
How we used technology to: ensure compliance at the organizational, practice and provider levels, track performance based on cost, quality and utilization, and monitor gaps in care at the patient and provider levels.