6 Ways to Succeed in Value-Based Care

Philip Betbeze, July 27, 2017

The CEO of Atlantic Health System shares tips for delivering high-value performance.

Brian Gragnolati
Brian Gragnolati

Atlantic Health System CEO Brian Gragnolati began working out the metrics responsible for demonstrating value he was in charge of Johns Hopkins Medicine's Integrated Delivery and Financing System. Two years ago, he was appointed to lead the $2.6 billion (revenue) Morristown, NJ-based health system, and has implemented a measurement regime he believes will improve value.

Morristown, NJ-based AHS, with 1,000 employed physicians, rehab, home care, hospice and one of the largest ACOs in the nation (390,000 attributed lives) is ideally structured for value-based care, but that doesn't mean value will just happen. Gragnolati revealed six tips to delivering value in a recent conversation.

1. Avoid patient harm.

AHS seeks to measure patient harm at an elemental level.

"Our payment structures are set up to hit certain quality measures like readmissions, mortality and HAIs (healthcare associated infections)," says Gragnolati. The health system measures activity levels by area, looking at quality metrics, focusing on preventable harm, and the need, where appropriate, for pre-emptive intervention, such as precautions against falls, pressure ulcers, and line management.

"We discuss [on a daily basis] any patient who has a line or catheter, and make a deliberate effort to know when it's coming out," he says. "We also celebrate the days and months and in some cases, a year-plus that we haven't had a line infection."

Philip Betbeze

Philip Betbeze is the senior leadership editor at HealthLeaders Media.

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