VIable
HLCCompendium
HLCCompendium
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
NDHI<br />
NAT IONAL DIALOGUE FOR<br />
Healthcare Innovation<br />
Chronic Disease Medical<br />
Home Collaborative<br />
Organization Overview<br />
• Vizient is the nation’s largest member-owned health<br />
care services company<br />
• Vizient aims to improve its members’ clinical, operational,<br />
and supply chain performance, empowering<br />
them to deliver high-quality and cost-effective care<br />
Background<br />
The Vizient Research Institute determined that 10% of<br />
the population accounts for nearly 65% of health care<br />
spend in a given year. This spend is often related to<br />
chronic disease or complex episodes of care.<br />
Vizient developed the Chronic Disease Medical Home<br />
collaborative to help members tackle the biggest problems<br />
in delivering care to patients with chronic illness.<br />
This program drives members to incorporate program<br />
elements that improve patient access, increase coordination<br />
or otherwise enhance care quality, such as:<br />
• A multidisciplinary care team<br />
• 24/7 patient access to the team<br />
• Real-time access to all medical record information<br />
• Relationships with community physicians and<br />
support services<br />
• Process that spans all care settings including acute,<br />
post-acute, outpatient, and home<br />
• Process to address patients’ psychosocial needs<br />
as well as their medical needs<br />
• Mechanisms to engage the patient and family/<br />
caregivers in self-management<br />
Program Details<br />
The objectives of the Chronic Disease Medical Home<br />
program are to:<br />
• Help member organizations develop programs to<br />
support and manage seriously ill patient populations<br />
• Identify the necessary steps to build a new care<br />
model for chronically ill patients<br />
• Share experiences and best practices with the<br />
Vizient member community<br />
To participate, member organizations must submit a<br />
Chronic Disease Medical Home team charter, including<br />
an executive sponsor, physician sponsors, and a project<br />
liaison, among other roles. Vizient does not provide<br />
specific goals or a target therapy area. Rather, member<br />
organizations prioritize the biggest unmet chronic care<br />
needs in their own health systems, develop a model to<br />
meet these needs, and create goals and performance<br />
improvement measures to track progress.<br />
During the collaborative, participating health systems:<br />
• Receive a playbook of resources to improve chronic<br />
disease management, including:<br />
––<br />
Gap analysis and brainstorming tools<br />
––<br />
Implementation plans<br />
––<br />
Case studies about successful Chronic Disease<br />
Medical Homes<br />
An Initiative of the<br />
41 |<br />
Chronic Disease Medical Home Collaborative