CMS launches $840M trans­for­ma­tion ini­tia­tive

Modern Healthcare - - NEWS - By Melanie Evans

The fed­eral gov­ern­ment is of­fer­ing new fund­ing to help health­care providers that are less far along in the care trans­for­ma­tion process catch up.

Last week, the CMS In­no­va­tion Cen­ter an­nounced it will spend $840 mil­lion over four years to help doc­tors and hos­pi­tals do more to teach each other how to im­prove qual­ity and cut waste­ful prac­tices. The four-year ef­fort, called the Trans­form­ing Clin­i­cal Prac­tices Ini­tia­tive, is ex­pected to in­clude 150,000 clin­i­cians work­ing in net­works where they will swap ideas, trade in­for­ma­tion and learn from oth­ers’ mis­takes and suc­cesses. The in­vest­ment is a bet that shar­ing care-im­prove­ment ex­pe­ri­ences among med­i­cal groups, health sys­tems and oth­ers will push the in­dus­try more rapidly to­ward more ef­fi­cient mod­els of care.

Dr. Pa­trick Con­way, di­rec­tor of the in­no­va­tion cen­ter, said the ef­fort is pro­jected to save $1 bil­lion to $5 bil­lion over four years and could pre­vent 5 mil­lion avoid­able hos­pi­tal­iza­tions. Net­works of providers, as­so­ci­a­tions, agen­cies and oth­ers will draw on and dis­sem­i­nate suc­cess­ful strate­gies to de­liver less costly, more ef­fec­tive care and en­able oth­ers to learn from those suc­cesses. “We will take good ideas and best prac­tices from any­where we can find them,” he said.

The new pro­gram was con­ceived to com­ple­ment on­go­ing fed­eral ef­forts that es­tab­lish new in­cen­tives for qual­ity and ef­fi­ciency, and bol­ster the use of in­for­ma­tion tech­nol­ogy to in­crease clin­i­cians’ and pa­tients’ timely ac­cess to med­i­cal records and other data. “This is part of a larger strat­egy for health sys­tem trans­for­ma­tion,” Con­way said.

Net­works will fall into two cat­e­gories: Prac­tice Trans­for­ma­tion Net­works, which will pair providers who have had prior suc­cess with qual­ity im­prove­ment and cost con­tain­ment with those who need help; and Support and Align­ment Net­works, which will in­clude as­so­ci­a­tions and other or­ga­ni­za­tions with the abil­ity to broadly com­mu­ni­cate and ed­u­cate providers.

Prac­tice Trans­for­ma­tion Net­works will re­ceive the bulk of the CMS fund­ing, up to $670 mil­lion. The in­no­va­tion cen­ter es­ti­mates it will award 35 grants rang­ing from $2 mil­lion to $50 mil­lion. Health IT can­not ac­count for more than 10% of the to­tal award. The Support and Align­ment Net­work pro­gram will dis­trib­ute another $30 mil­lion to as many as 30 net­works. The amounts are ex­pected to range from $1 mil­lion to $3 mil­lion. Ap­pli­cants for the Support and Align­ment Net­works will in­clude med­i­cal and spe­cialty as­so­ci­a­tions, and pa­tient safety and qual­ity im­prove­ment or­ga­ni­za­tions. Another $100 mil­lion will fi­nance im­ple­men­ta­tion, and qual­ity im­prove­ment or­ga­ni­za­tions will re­ceive the re­main­ing $40 mil­lion to im­prove re­cruit­ment and as­sess­ment.

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.