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How AMITA Health shifted its culture to deliver value-based care
Implementing a new model of care management for value-based care initiatives
AMITA Health (AMITA), a nine-hospital health system created through a joint operating agreement between Adventist Midwest Health and Alexian Brothers Health system, was looking to redesign its care management program in preparation for their transition to value-based care. As a faith-based system, AMITA planned to develop a care management program centering on human needs and providing a holistic approach to integrated care coordination. The future program aimed to optimize staff and system resources, streamline transitions of care and facilitate uninterrupted patient information flow.*
Results
Through strong stakeholder engagement, Philips helped AMITA build a common Vision of Care Coordination across its diverse care settings supported by all levels of the organization. Based on this vision, our consultants engaged the frontline staff and physicians in designing and testing a human-centric care management program prototype that improved communication and coordination of care for high-risk patients across the AMITA continuum. Engagement results included:
Built a common vision supported by all levels of the new AMITA team.
Designed and tested a human-centric care management program prototype that engaged the frontline staff and physicians to improve communication and coordination of care for high-risk patients.
Our approach
A phased process of vision building, rapid prototyping and support for enterprise implementation helps healthcare systems like AMITA transition to sustainable, value-based care delivery models. We believe the pillars of quality care management are:
Governance: Focused on clinical/quality and financial objectives.
People and processes: Starting with proactive identification of patients through risk stratification by data and clinical judgement; intervention to address specific unmet needs; coordination across an interdisciplinary team and diverse care settings, including close engagement with patients, care givers and physicians.
Measurements: Providing relevant and timely feedback on the interim progress and the overall program outcomes.
Technology: Enabling efficiency and effectiveness of the new care management program through automation and data analytics.
Our methodology
Visioning Conduct an enterprise-wide assessment to thoroughly review AMITA’s care network and care management functions.
Prototyping and planning Take the general ideas prioritized during the Visioning phase to build a practical program and test it in an “innovation sandbox”—a live operational environment with limited scale for rapid learning and improvement.
Enterprise expansion Embed the new program into daily operations and enable the cultural and operational changes with leadership and frontline staff to sustain the transformation.
Customer story
ED throughput: Reducing walk-out rates by 85.3% at St. Mary Medical Center*
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*Results are specific to the institution where they were obtained and may not reflect the results achievable at other institutions.
