Mayo Clinic Presents Value-Based Community Healthcare Model
Presentation at AMGA IQL conference highlights Mayo program, which stresses integrated care management, data analysis tools, and incentive alignment as keys to successful implementation.
Source Newsroom: American Medical Group Association (AMGA)
Newswise — Alexandria, VA – October 22, 2013 – Experts from Mayo Clinic’s Office of Population Heath Management (OPHM) discussed their model for value-based community healthcare in a peer-to-peer breakout session at the American Medical Group Association’s Institute of Quality Leadership Conference (AMGA IQL) in Scottsdale, Arizona on Thursday, September 26.
Kari Bunkers, MD, Mayo Clinic Health System CMIO and Medical Director for Mayo’s recently formed Office of Population Health Management, Robert Stroebel, MD, Medical Director, Midwest OPHM, and James Yolch, OPHM Administrator, detailed their 10-point, value-based Framework for Population Health, a foundation for success in today’s rapidly changing healthcare landscape.
OPHM was formed in 2012 by the Mayo Clinic to develop a framework for transforming their regional and community practices to a value-based care model. They believe the keys to success include a focus on team-based continuity of care, analytics-driven care management systems to identify and deliver on prioritized opportunities to achieve value, and alignment of incentives and financial models.
According to the OPHM, economic drivers and social realities are driving the U.S. healthcare system to prepare now for a model that will reimburse healthcare systems for outcomes and efficiency – for value, not volume. Current models, with waste pegged as high as one-third of our total healthcare expenditure by some estimates, are simply not sustainable.
To support their transition, Mayo recognized the need to better understand their patient populations and chose Humedica’s MinedShare® platform and joined the AMGA Anceta Collaborative to analyze data from a variety of clinical and administrative sources. Converting these data into actionable insights helped OPHM develop their comprehensive program with the components of prevention, community engagement, wellness, team-based care, patient engagement, access, care coordination, care transitions, chronic condition management, and palliative care.
“Business as usual is unacceptable in the age of healthcare reform,” said Dr. Bunkers. “We not only demonstrated why change is needed, but we presented tactical plans that health systems can use to prepare for the seismic changes that are about to occur.”
The American Medical Group Association (AMGA) represents some of the nation's largest, most prestigious medical practices, independent practice associations, accountable care organizations, and integrated healthcare delivery systems. More than 130,000 physicians practice in AMGA member organizations, providing healthcare services for 120 million patients (approximately one in three Americans). Headquartered in Alexandria, Virginia, AMGA is the strategic partner for these organizations, providing a comprehensive package of benefits, including political advocacy, educational and networking programs, publications, benchmarking data services, and financial and operations assistance.
AMGA’s Anceta collaborative extends the tradition of shared learning among AMGA member organizations. Using Humedica’s unique clinical analytics platform, Anceta facilitates data-driven collaboration to enhance value in population health. Anceta and Humedica illuminate the relationships between care process, patient outcomes, and cost—all the elements of the value equation.
The American Medical Group Association’s Institute for Quality Leadership conference is devoted to improving the quality of care delivered in the U.S. healthcare system through advancement of knowledge and education of healthcare professionals. This year’s IQL focused on finding real-world solutions to the growing challenge of managing the total cost of care.
Humedica, an Optum company, is the foremost clinical intelligence company that provides private, cloud-based solutions to the healthcare industry. Humedica’s sophisticated analytics platform transforms clinical data from disparate sources into actionable, real world insights. Powered by the nation’s largest and most comprehensive clinical database, Humedica solutions offer a more complete, longitudinal view of the health of patients and populations. Through its award-winning solutions, Humedica, which is headquartered in Boston, empowers its partners and customers to make confident, value-based decisions about patient care in a rapidly changing health care market. For more information, visit http://www.humedica.com.
ABOUT Mayo Clinic
Mayo Clinic is a nonprofit worldwide leader in medical care, research and education for people from all walks of life. For more information, visit http://www.mayoclinic.org/about and www.mayoclinic.org/news.