Integrated Care Partners
Expanded population management care coordination across our clinically integrated network of community providers, to assist practitioners in coordinating patient care.
Improved collaboration across the Hartford HealthCare system, for improved patient care experience.
Implemented weekly Lean for the Care Management team focused on improving patient outcomes.
Implemented clinical audit tools to ensure adherence to standard care management workflows.
Participated in and contributed to system congestive heart failure Kaizen to address standard work and reduce readmissions.
Implemented the PatientPING platform which identifies ICP patients for collaboration and coordinated care transitions to Hartford HealthCare sites from other hospitals, nursing facilities and home health agencies.
Implemented Crimson Medical Referrals (CMR) platform across 90+ practice sites to improve the bi-directional communication of patient care among primary and specialty care practitioners.
Expanded the HHC ACO participation and kicked off MIPS/MACRA education for calendar year 2017, which impacts payments in calendar year 2019.
In collaboration with the Orthopedic Council and key partners at Backus and MidState hospitals, kicked off the comprehensive care for joint replacement bundled payment program and defined governance structure.
Kicked-off the EPIC Healthy Planet Care Management platform training, for implementation in 2017.
More than 500 practitioners were credentialed through ICP to meet the NCQA regulations.
In collaboration with the Hartford HealthCare Behavioral Health Network, embedded behavioral health clinicians in more than a dozen Hartford HealthCare Medical Group and ICP affiliated primary care practices. In this patient cohort, increased access to behavioral healthcare resulted in improvements in patient health conditions, reduced Emergency Department utilization and inpatient admissions.