Oncologist Blazes Trail Toward Bundling
Another key factor to reducing variability was getting physicians to complete their documentation more quickly. The EHR and custom software overlay solved some of barriers to increasing turnaround time, which Sprandio says is now down to a day and a half. That's down considerably from 2006 when he says it was taking 20+ days to get doctors to turnaround their documentation on a patient.
But, Sprandio is quick to say that his organization's model of care is not an easy path to the question of how to transition into a reimbursement model that isn't fee-for-service. He believes strongly in the PCMH standards. While CMOH was the first oncology practice to achieve PCHM Level 3 certification, Sprandio says his practice is now working toward a NCQA certification developed in 2013 for specialty practices, Patient-Centered Specialty Practice Recognition.
Sprandio is also part of a consortium of healthcare leaders examining a national approach to bundling cancer care. He's already participating in an alternative payment method with one insurer, and hopes more insurers decide to offer the same.
"We [CMOH] have what we call an oncology PCMH with Aetna and there's a shared savings component," says Sprandio. "I would maintain that oncology bundling of any kind really requires the foundation or insertion of PCMH standards as a safety net to make sure that patients are advised in the right way."
Jacqueline Fellows is an editor for HealthLeaders Media.
- CEO Exchange: Preparing for Population Health
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Better HCAHPS Scores Protect Revenue
- Narrow Networks Cut Costs, Not Quality, Economists Say
- 3 Strategies for Retaining Millennial Employees
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- Hospital mergers may lead to higher prices
- Healthcare data of 1 million NJ patients compromised since 2009
- CEO Exchange: Pressure is On to Partner, Drive Quality