What does clinically integrated mean?

What does clinically integrated mean?

The American Medical Association (AMA) describes clinical integration as “the means to facilitate the coordination of patient care across conditions, providers, settings, and time in order to achieve care that is safe, timely, effective, efficient, equitable, and patient-focused.”

What is the difference between a clinically integrated network and an ACO?

While an ACO is a contract-based term with payment tied to outcomes, a CIN is the organizing body that can support multiple contracts. Another way to view a CIN is the platform upon which providers can form an ACO.

Why are clinically integrated networks important?

Clinically integrated networks (CINs) serve an important role in achieving the “triple aim” of healthcare: better patient experience, improved population health, and lower healthcare costs.

What does a clinically integrated network CIN mean to you?

A Clinically Integrated Network (CIN) is a selective partnership of physicians collaborating with hospitals to deliver evidence-based care, improve quality, efficiency, and coordination of care, and demonstrate value to the market.

What are the three basic forms of clinical integration?

In order to work legally as a care network, member providers and organizations must form into one of three types of groups: a physician-hospital organization (PHO), independent practice association (IPA), or a health system subsidiary (HSS).

What is a clinical integration program?

A clinical integration program allows hospitals and physicians to align incentives and management, giving them the capability to shift care to lower cost settings, increase communication across the care continuum, and limit supply costs.

How are clinically integrated networks funded?

Funds are distributed based on meeting performance objectives and performance can be defined in a variety of ways. For example, some CI networks reward simply for global network compliance of the CI agreement while other CI networks reward based on site (multiple hospital systems), specialty and individual performance.

What is a IDN in healthcare?

An IDN is an organization or group of healthcare providers, which, through ownership or formal agreements, aligns local healthcare facilities and man- ages them with one governing board. They share a vision and mission of im- proving the quality of care and patient satisfaction.

What is an IPA in healthcare?

An independent physician association (IPA) is a business entity organized and owned by a network of independent physician practices for the purpose of reducing overhead or pursuing business ventures such as contracts with employers, accountable care organizations (ACO) and/or managed care organizations (MCOs).

How does a clinically integrated network work?

A Clinically Integrated Network is an arrangement in which like-minded hospitals and/or independent providers share performance improvement, quality, value, and efficiency goals that result in improved quality and coordinated care at a lower cost.

How do you get a CIN?

According to the U.S. Department of Justice, CINs all share four defining characteristics….In order to operate legally as a CIN, a network must:

  1. Have physicians play a key leadership role.
  2. Commit to comply with clinical guidelines.
  3. Strategically use data and technology.
  4. Demonstrate its value.

What is a clinical integration specialist?

The Clinical Integration Specialist independently coordinates project tasks, manages internal and external communications related to the client implementation, including timelines, and established project milestones.

What does clinically integrated networks offer physicians?

Overview. The clinically integrated network (CIN) is an increasingly preferred alignment option. First, it allows employed and independent physicians to develop and implement a full range of coordinated approaches. Second, it allows combinations into larger groups-for example, one health system’s CIN can work with another system’s CIN, or with a larger independent CIN-creating a still larger group that will be more cost effective in achieving population health management.

What is a clinical integration network?

A clinically integrated network is a collection of hospitals, providers and health care organizations that collaborate in the development of clinical initiatives to improve the quality of care and control costs for a defined patient population. As part of a clinically integrated network,…

What is integrated health network?

Executive Summary. An Integrated Delivery Network (IDN) is a formal system of providers and sites of care that provides both health care services and a health insurance plan to patients in a defined geographic area.

How do clinically integrated networks (CIN)?

Gather interested stakeholders. The process starts by deciding if the network will be regional,statewide or only encompass a few counties,Ms.

  • Create a value proposition. A strong value proposition forms the foundation upon which the CIN’s governance is established.
  • Develop governance and participation agreements.
  • Select quality measures.
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