To achieve the Triple Aim, a CIN must strategically identify and organize around patient care goals and develop delivery models that achieve those goals at a lower cost. The main takeaway here is that success takes time and dedication to collaborate from the top down. See Pursuing the Triple Aim: The First 7 Years, The Milbank Quarterly, June 2015, 93(2): 263-300. Establishing a learning system to drive and sustain the work over time, which most often includes (perhaps, even requires) strong and secure data sharing among providers to allow them to track patient choices and impact on their health.Ensuring scalability as the CIN forms, develops, and grows, as the expertise of the providers in the CIN must accommodate the particular needs of the patient population.This includes a strong governance structure and a sense of purpose. Creating a foundation for population management of an identified population.In a 2015 study published by IHI, CINs have shown they are successfully structured to meet the Triple Aim when they achieve a few markers. The point is for the CIN to identify the specific health care needs of a population, and the attendant costs in addressing those needs, and to organize in a meaningful and purposeful way to address the same to aim for quality outcomes for the individual patient and the population as a whole. For example, a CIN may negotiate with a payor to manage the health care of an identified population and receive upside and downside financial risk associated with the same it may contract to care for one or more employers' self-insured employee populations or it may identify a community need to address a particular underserved patient population. The patient population a CIN manages may take various forms. (2) Reducing the per capita cost of health care. (1) Improving the patient experience of care. According to the IHI, in order to provide the highest quality of care, health care systems and providers should focus on: national strategy for health care, making it incredibly salient for all American health care organizations. The Triple Aim was developed by the Institute for Healthcare Improvement (IHI) in 2007 in order to establish priorities for a modern health care system. CINs have become the desired vehicle by which health systems ensure they are progressing toward achieving these Aims. Consider, for example, that one of the measures many health care professionals focus on to ensure quality is the Triple Aim of health care, a set of guidelines to help ensure that a health system is functioning as effectively as possible. Recent trends indicate CINs make a significant impact in enhancing the overall quality and cost of patient care, which payment-for-quality measures are designed to achieve when they are carefully designed and managed. To achieve this, a quality CIN utilizes data-sharing structures to maintain and track a patient's entire medical history (not just billable events), which improves the quality of the data and enhances the patient experience. In a well-designed CIN, patients continue to see their long-time primary care physicians but have access to an entire system of specialists who are integrated in a way that focuses on improving the individual patient experience and health outcomes. Register now for FREE unlimited access to Register CINs represent a model of health care that integrates larger organizations like hospitals with a network of specialists and independent physicians. Today, however, health care providers are increasingly collaborating within various models of care that address the health care needs of an identified population and that base payment upon quality of care and improved outcomes to the health of the population as a whole.Īmong such collaborations, the clinically integrated network (CIN) can be quite effective in terms of organizing health care providers to improve overall quality through performance measurement, value and efficiency. Health care providers have traditionally relied upon a fee-for-service model, in which, generally, each medical service provided is billed and reimbursed. Some common phrases dropped in the health care community today include social determinants of health, community wellness, and functional medicine, which reveal that today's health care concerns are directed at something much more holistic than treating a sick patient's symptoms after a 15-minute medical evaluation. JanuHealth care in the United States is in the midst of a slow but accelerating evolution as health care systems and providers shift their focus from treating sickness to supporting wellness.
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