Intermountain Healthcare is a not-for-profit health system serving 24 hospitals and 215 clinics across Idaho, Utah and Nevada. When facing the transition from volume-based to value-based care, the organization knew it was time to reimagine their primary care so they could deliver high-quality outcomes and sustain costs in accordance with the new model of care. They also needed to address the displacement of patients from one provider to another—a common occurrence in shifting to new care models—and support them with appropriate clinical and financial resources.
The health system needed to implement and lead all of these changes for thousands of providers across hundreds of clinics as quickly and efficiently as possible. As eager as they were to get started, Intermountain Healthcare knew it was paramount to synchronize the transition across all levels of staff. Every facet needed to be carefully planned and deployed to avoid potential risk.
To meet these challenges, the organization conceived and designed a novel practice model, Reimagined Primary Care (RPC), to drive the transition. This model would ultimately help pave the way for their transformation and define their success once the transition was complete.
Intermountain Healthcare convened a team consisting of executive leadership, the enterprise initiative office and internal medicine leaders to design the RPC. Important features included creating meaningful alignment around value, building teams to drive the transition and implementing supportive workflows and technological innovations.
The team focused on the following primary development areas:
Following the implementation, Intermountain Healthcare:
The program was initiated in mid-2018 with eight providers and 5,000 patients in four clinics. By the end of 2019, RPC included 45 physicians and advance practice providers in 25 clinics across the region, including both urban and rural settings, caring for approximately 50,000 patients in a fully value-aligned practice model.
The biggest takeaway for the organization was that thoughtfully and rapidly shifting to value-based care is possible in a legacy health system if there is dedication within the system and alignment with payer partners—and most importantly, when everyone involved is committed to full transformation.
HIMSS is pleased to recognize Intermountain Healthcare for their HIMSS Adoption Model for Analytics Maturity (AMAM) Stage 7 validation.
“Intermountain Healthcare started their analytics journey in the 1950s, long before most organizations, and has been a leader in analyzing data to implement strategies to improve patient outcomes,” said James E. Gaston, FHIMSS, MBA, senior director, Healthcare Advisory Services Group, Analytics, HIMSS. “A prime example is the Intermountain Operating Model that aligns enterprise strategy with tactical daily action, which is driven by multiple tiers of KPIs and passionate desire for data-enabled insight."
“Intermountain Healthcare’s mission is to help people live the healthiest lives possible,” said Marc Harrison, MD, president and CEO, Intermountain Healthcare. “This commitment is the same no matter where, when or with whom people get care.”
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