Marina Salud is a private company managing the health of the population within the Marina Alta area of Spain. The area is home to approximately 200,000 year-round inhabitants, many of whom are retirees making the effective management of chronic conditions a high priority. Marina Salud has a network of 34 primary care facilities, 2 ambulatory centers and a 206 bed hospital. With a mission focused on providing quality and accessible public health to the Marina Alta area, Marina Salud operates under a 15 year contract that covers 150,000 people on a per-capita basis of 660€ (approximately $890) per person.
Since the implementation of an EHR in 2008, Marina Salud has seen significant improvements in productivity, efficiency, and quality of care across the continuum. Faced with a per capita payment model , improving clinical care and the resulting cost avoidance are critical components to remaining financially sound. Using a Using a comprehensive EHR-enabled quality improvement strategy focused on adherence to best practice protocols and technology-enabled patient engagement strategies, Marina Salud drove hospitalization rates for patients with CHF down by 33 percent. Readmission rates for patients with CHF were reduced by 35 percent. Hospitalization and readmission rates for patients with COPD were reduced by 21 percent and 15 percent respectively. Lowering readmission and hospitalization rates, along with improvements in acute care that significantly reduced length of stay, has resulted in over 22 million euros in savings since implementation of an EHR in 2010.