Making Changes to Give our Patients the Very Best Care
CHA is currently transforming its system to align with the Institute for Healthcare Improvement Triple Aim: improve the health of populations, enhance the patient experience of care, and reduce or control the costs of care. This work is important and meaningful, and will allow us to serve our patients today and in the future.
At the heart of this work is 1) the integration of our clinical services, academic programs, and public and community health functions to meet the needs of our patients and communities and 2) creating new competencies to adapt to industry changes.
Milestones in Our Journey
Some goals and recent accomplishments include:
• Spreading the Patient Centered Medical Home to all primary
care sites. By January 2013, six of our medical practices had been
named Level 3 Medical Homes by the NCQA, the highest national
• Creating new models to deliver behavioral health care in the primary
care setting. We are leveraging strengths in primary care and behavioral health to meet the needs of patients in our primary care clinics. We are also developing a new ‘mental health care home’ for
patients with intensive mental illness that features primary care
clinicians within a primary psychiatry site.
• A fully deployed Electronic Health Record. CHA clinicians are now using the electronic health record at all points of care.
• Developing competencies in care management to support the system’s
most complex patients, including those covered by Medicaid and
Commonwealth Care. CHA has a Care Management team and is also using the planned care team approach to manage chronic and intensive conditions, and
reduce low-acuity non-emergent emergency visits and readmissions.
• Building Accountable Care infrastructure to adapt to new financial models that use global payments. CHA has piloted a global payment initiative with Network Health for Medicaid managed care and Commonwealth Care shared members and is part of the Medicare Shared Savings Program (MSSP) for Medicare members.
• Leveraging the system’s strong community linkages to maintain access
to care, motivate healthy behaviors, and lead efforts to address complex
community health issues.