Creating focused metrics that measure progress against accountable care goals is a significant challenge. While healthcare organizations must manage technical issues such as data quality, source availability, design, creation and execution, addressing organizational issues of provider engagement and accountability is equally critical to population health success.
Emory Healthcare Network (EHN), a clinically integrated network established in 2011, has successfully navigated these challenges to deliver focused, specialty-oriented quality metrics that measure progress against its population health goals. Comprised of six local healthcare networks serving specific regions within the greater Atlanta, Georgia area, EHN includes six hospitals, more than 200 provider locations and 1,800 participating physicians in numerous specialties. Lack of insight needed to optimize shared savings and risk contracts motivated EHN to identify and create meaningful performance metrics across 35 specialties using paid claims as the sole data source.
For this complex physician-driven network, quality and cost are intrinsically linked. Read this case study, Specialty physicians drive population health journey at Emory Health Network, to learn how EHN has improved care management of patients with chronic conditions in order to more effectively manage commercial risk contracts.