Healthcare Intelligence Network
Accountable Care Organizations
Best Sellers
Behavioral Healthcare
Bundled Payment
Care Coordination
Care Transitions
Case Management
Chronic Care Management
Coming Soon
Community Health
Cultural Diversity
Data Analytics
Diabetes Management
Disease Management
Dual Eligibles
Emergency Medicine
Health Literacy
Health Risk Assessments
Health Risk Stratification
Healthcare Reform
Healthcare Trends
HIN Benchmark Reports
HIN Case Studies
Home Health
Home Visits
Hospital Readmissions
Infection Control
Information Technology
Long-Term Care
Managed Care
Medical Home
Medical Neighborhood
Medical Practice
Medical Records
Medication Adherence
Nurse Management
Palliative Care
Patient Engagement
Patient Experience
Patient Registry
Pay for Performance
Physician Practice Transformation
Physician Organizations
Physician Quality Reporting Initiative
Population Health Management
Post-Acute Care
Predictive Modeling
Quality Improvement
Remote Patient Monitoring
Revenue Cycle Management
Social Health Determinants
Training DVDs
Value-Based Reimbursement
What's New
Subscribe to the Free
'Healthcare Business Weekly Update' e-Newsletter and receive the latest trends, news and analysis in healthcare.

Click here to view this week's issue

Case Study in Clinical Integration: The Advocate Physician Partners Experience
Case Study in Clinical Integration: The Advocate Physician Partners Experience
Be the first to review this item
Your Price:
Choose Format and Quantity
Format Recommended: Print and Instant PDF
Instant PDF Download
Enterprise PDF Site License
Save on Multi-User PDFs*
Quantity Price Per Copy
2-5 $31.85
6-10 $26.95
11-25 $12.25
Contact us for multiple print pricing or to order 25+ copies.
Add to Wish List

Like the convenience of an instant PDF download but still want a hard copy? Order both versions and save 35 percent!

Although not a new concept, clinical integration (CI) is considered essential to the framework of an accountable care organization (ACO) because of its ability to generate physician trust, commitment, and acceptance of performance monitoring to achieve goals.

Case Study in Clinical Integration: The Advocate Physician Partners Experience is a primer for organizations wishing to duplicate the experience of Advocate Physician Partners (APP), whose CI program encompasses 3,800 physicians and has resulted in improvements in patient outcomes and significant cost savings, according to its 2011 Value Report.

In this 20-page report, Mark Shields, MD, MBA, senior medical director for Advocate Physician Partners (APP) and vice president of medical management for Advocate Health Care, details the CI program APP developed for its 3,800 physicians — from the structure of the CI group to funding, incentives, mechanisms and technology that support CI.

Dr. Shields shares the key strategies of this IPA to improve physician performance and why a successful CI program can provide the framework for an ACO.

PLUS: Get an update on 2011 expansion of the APP Clinical Integration initiative — the new measures, tools and staff added this year.

The FTC first defined clinical integration in 1996, and some physician organizations have considered themselves clinically integrated for decades. However, there's renewed interest in CI and the clout it can contribute to payor-provider negotiations, especially in light of the CMS rollout of ACOs for Medicare beneficiaries via its Shared Savings Program.

Because clinical integration gets physicians working in a more united way to ensure that that patient is getting optimal and efficient care, CI is also a recommended prerequisite for a move toward bundled payments and other alternative reimbursement methodologies.

"We need more providers out there becoming clinically integrated not only for the acute care episode, but for post-acute care services, so that we can survive and thrive under bundled payment for CMS," says Jim Reilly, managing partner of TRG Healthcare Solutions.

Case Study in Clinical Integration: The Advocate Physician Partners Experience, the latest in HIN's continuing series of Case Studies, provides details on the following:

  • How to design clinical integration with independent doctors;
  • How clinical integration leads to an ACO;
  • The key ingredients to improve physician performance; and
  • Legal and regulatory hurdles for clinical integration and ACOs.

Table of Contents

  • Clinical Integration of Independent Physicians
    • Advocate's Vision of CI
    • Components of CI
    • Pay for Performance Incentives
    • Performance Improvement Tools
    • Lessons Learned
    • Key Success Factors
    • CI as ACO Chassis
  • 2011 Update: APP Embeds Case Managers in Select Practices
  • Q&A: Ask the Expert
    • Why Payors Should Partner in an ACO
    • Quality and Performance Measures
    • Focusing on Efficiency Measures
    • Exclusive Versus Non-Exclusive Programs
    • Responsibility for Tracking Care
    • Overcoming Physician Resistance
    • Post-Acute Network
    • Convincing Payors to Collaborate
    • Future Contracting Plans
  • Glossary
  • For More Information
  • About the Speaker
Publication Date: November 2011
Number of Pages: 20
ISBN 10: 1-937229-33-5 (Print version); 1-937229-34-3 (PDF version)
ISBN 13: 978-1-937229-33-7 (Print version); 978-1-937229-34-4 (PDF version)
Frequently Bought Together
2011 Performance Benchmarks in Telehealth & Telemedicine
2011 Performance Benchmarks in Telehealth & Telemedicine
Your Price: $117.00
New Horizons in Healthcare Case Management: Benchmarks, Metrics and Models
New Horizons in Healthcare Case Management: Benchmarks, Metrics and Models
Your Price: $299.00
On sale: $224.25
38 Disease Management Metrics: Population Health Benchmarks to Drive Accountable Care
38 Disease Management Metrics: Population Health Benchmarks to Drive Accountable Care
Your Price: $89.00

Copyright Healthcare Intelligence Network. All Rights Reserved. eCommerce Software by 3dcart.