by Nadia Adams, MHA, Chief Operating Officer, Center for Health Innovation and Implementation Science, Network Director, Great Lakes Practice Transformation Network, Indiana University School of Medicine and Catherine A. Alder, JD, MSW, Director of Business and Research Operations Center for Brain Care Innovation, Eskenazi Health
Over the last 60 years, the healthcare landscape in the United States has undergone substantial change. The incidence of chronic disease has risen rapidly creating new demands for prevention and health management versus episodic acute care. Healthcare costs have risen exponentially, but the increased spending has not resulted in better health outcomes.
As consumers and policy makers demand more and more information about health care costs and quality, changes in healthcare reimbursement are beginning to reward providers for quality rather than volume of care. To succeed in this new payment environment, providers must develop the skills and strategies necessary to transform their clinical practices from volume-based to more efficient quality-centered health care services. In 2015, the Center for Medicare & Medicaid Services (CMS) launched The Transforming Clinical Practice Initiative to assist clinicians in achieving this transformation.
The Great Lakes Practice Transformation Network (GLPTN) is one of 29 health care collaborative networks selected to participate in the Initiative. The GLPTN will receive up to $46.4 million to help equip 15,500 clinicians across Indiana, Illinois, Ohio, Kentucky and Michigan with the tools, information, and support needed to improve quality of care, increase patients’ access to information, and spend health care dollars more wisely.
Patient-centered, personalized population health management is a critical component of the toolkit provided by the GLPTN. Using the principles of population health management, the GLPTN team assists clinicians in collecting and utilizing data to provide user-friendly, actionable feedback loops that continuously measure and monitor quality and utilization outcomes over time. These feedback loops become the “transformation blood pressure cuff” for clinicians, acting as a signal to alert clinicians when their outcomes measures are moving in the wrong direction. The feedback loops are then coupled with GLPTN’s Quality Improvement Advisors (on-demand, boots-on-the-grounds support) to assist clinicians in redesigning the way care is delivered so they can successfully manage risk and excel in a value-based environment.
For more information on GLPTN and the Transforming Clinical Practice Initiative, visit: www.glptn.org and https://innovation.cms.gov/initiatives/Tranforming-Clinical-Practices/.
About the Contributors
Nadia Adams, MHA, is Chief Operating Officer for the Center for Health Innovation and Implementation Science at IU School of Medicine and Indiana Clinical and Translational Sciences Institute, and is the Network Director for the Great Lakes Practice Transformation Network, a $46.4M co-operative agreement awarded by the Centers for Medicare and Medicaid Innovations.
Catherine A. Alder, JD, MSW is Director of Business and Research Operations Center for Brain Care Innovation for Eskenazi Health. Trained as both a lawyer and a social worker, Catherine Alder brings a unique set of skills to population health. Since 2008, she has been part of the team responsible for the development and operations of the Aging Brain Care (ABC) Program, a clinical service within Eskenazi Health that began as a small pilot providing care to 200 older adults suffering from dementia and/or depression and their informal caregivers.