URAC’s Proposed Clinical Integration Standards Emphasize Collaboration, Care Coordination

URAC, a leading healthcare accreditation, education, and measurement organization, is seeking public comment on proposed initial standards for clinically integrated networks.

These initial standards will become part of the organization’s Clinically Integrated Network accreditation program, and will support a set of key principles, among them improving efficiency and value to those who purchase care by establishing best practices across the network in clinical and care management, care coordination and patient engagement. Developed by an expert industry advisory committee comprised of stakeholders from provider organizations, health plans, healthcare consultants and consumer groups, the proposed standards outline operational, clinical, health information technology and reporting structures needed to maximize collaboration and communication across a network of providers.

Key areas of focus for the accreditation are:

  • Operations and structure;
  • Clinical management;
  • Health information technology;
  • Population health;
  • Patient centeredness;
  • Care coordination; and
  • Measures and reporting.

As elements of the ACA are implemented, physician practice organizations and other providers are advancing new care delivery models to provide better care for individuals and populations while reining in costs. Clinically integrated delivery networks are organized to monitor and deliver cost-effective, quality care across a network of providers by emphasizing collaboration, care coordination, and clinical and financial integration.

URAC is seeking comments specifically from multi-specialty provider groups, independent delivery systems, independent physicians associations, physician-hospital organizations, consumer groups and health plans with an interest in clinically integrated networks and ACOs. To review the draft standards and submit comments, click here. Comments must be submitted by Dec. 28.

Source: URAC, November 13, 2012

Case Study in Clinical Integration: The Advocate Physician Partners Experience

Case Study in Clinical Integration: The Advocate Physician Partners Experience This primer is 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.

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