An Integrated Approach to Primary Health Care Challenges
In today’s evolving health care environment, health plans are assuming responsibility for much more medically complicated and fragile patients. As a result, they are looking for partners that are focused on quality improvements and can provide real-time quality interventions designed to address the needs of their most vulnerable patients.
Integrated Health Partners operates a centralized model that cultivates relationships and process improvement between payers and our member health centers, which offer culturally diverse care in San Diego and Riverside Counties. IHP, having a “no wrong door” policy, aggregates member health center clinical data into unilateral patient records for more than 350,000 patients. This population health management approach allows the network to focus on:
- Addressing gaps in care.
- Building risk stratification models that improve patient quality outcomes.
- Reporting quality metrics and operational measures.
- Feeding information to our payer partners to ensure transparency of patient engagement.
- Advocating for patients and providers utilizing aggregated data.
By leveraging data aggregation and utilizing world-class medical benchmarking best practices, IHP provides extensive data analysis that enables our members to meet rigorous clinical standards while driving continuous quality improvement in the delivery of their health care services. In doing so, everyone benefits.
Member Health Centers
Using the network teams and aggregated data, our members can:
- Utilize network resources to effectively analyze population health statistics.
- Align with network goals of HEDIS metrics to align incentives and measure performance improvement.
- Collaborate with other health centers on patient care planning.
- Risk stratify patient populations to ensure proper care planning and sites of care.
- Utilize network resources as an extension of their teams to support their workforce.
- Access managed care resources to support strategies and address operational challenges.
- Take advantage of an advocate in healthcare reform focused on community health center needs.
Providers
Using the network teams and aggregated data, our providers can:
- Access unilateral patient records in the population health management tool.
- Engage with specialists within the network for patient care planning.
- Focus on adequate provider patient empanelment, utilizing network teams and tools.
- Align incentives of provider groups for the right care in the right setting, focusing on value-based care models.
- Partner with health centers on clinical models that improve patient access and quality while empowering primary care physicians.
Payers
Using the network teams and aggregated data, our payers can:
- Develop more accurate assessments of their patients’ health conditions and the services they receive.
- Achieve higher quality scores through the sharing of supplemental data as well as focused quality and performance improvement efforts.
- Consolidate communication for all member health centers through the network support teams.
- Maintain a central contract for all member health centers to ensure contract compliance and return on contract.
Patients
Because all IHP clinics are NCQA Patient-Centered Medical Home (PCMH) certified, patients receive access to:
- Expert health care organizations, physicians, and allied health professionals who employ best-practice primary care standards and protocols.
- An integrated network of health centers that provides coordinated care throughout San Diego County.
- Health care services comparable to those of large healthcare systems throughout the state of California.
Working together with our members, providers, and payers to develop sustainable economies of scale, IHP strives to increase patient satisfaction and improve the health of populations served while reducing the per-capita cost of health care.
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