Building the infrastructure for clinical integration
Topics: Clinical Integration, Hospital-Physician Alignment, Physician Issues
Clinical integration—are you ready?
In a perfect world, a clinical integration (CI) program is a win-win-win for hospitals, physicians, and patients. CI enables hospitals to engage both employed and independent physicians in performance improvement. In exchange for that significant, collective commitment to improvement, CI organizations get a powerful exemption from antitrust laws, making them uniquely able to negotiate jointly for commercial payer contracts.
In the real world, however, it can be daunting to align a hospital's goals with those of independent physicians—let alone while improving care quality and meeting the high regulatory bar for this antitrust “safe harbor.”
Success hinges on shaping physician performance
Executives interested in pursuing CI must carefully design a program that can generate real performance gains and comply with legal standards for joint physician contracting. For most programs, that means providing physicians with the considerable organizational, technological, and performance management resources required to drive improvement.
How We Help
Crimson Continuum of Care, part of the Crimson Clinical Advantage suite of offerings, combines technology, dedicated support, and lessons learned from early adopters to provide a robust performance management platform for supporting a CI program. Proven to be an effective platform in multiple FTC presentations, Crimson enables hospitals to:
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Seamlessly integrate physician performance data from across the care continuum (inpatient, outpatient, and ambulatory care settings), as well as from administrative and clinical systems.
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Rapidly establish CI program measures via a robust measure library and refine measures over time with a unique calculation engine.
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Calculate and distribute incentives, enabling physicians to track progress against expected bonus payments through the self-service portal.
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Demonstrate value case to specific payers and monitor aggregate progress of CI physicians compared to relevant benchmarks.
Contact us for more information about Crimson Continuum of Care
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