Inside an ACO-Like Partnership
IBC claims this three-way partnership is one of the first of its kind, and Chaet says the reporting function Lumeris will deliver sets Abington Health apart.
"Historically, the big data gap in our industry is that physicians didn't have access to the claims data or hospital EMR. This pulls it all together for them and arms them with more information than they typically ever had, and it really is painting such a broad picture," says Chaet.
Abington will start using the aggregated reports in May. Sweigard says the system has been building the infrastructure to move toward a more coordinate care approach by hiring care managers and scheduling advocates for its outpatient clinics. Sweigard also says its designing a new workflow that is team oriented and includes the physicians, medical assistants, schedulers, and care managers.
These aggregated data reports are expected to show Abington's physicians where there are opportunities for catching what Sweigard calls the "unworried sick." He says the reports will assign a risk score to patient populations who are the most vulnerable to complications or hospitalizations.
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