Integrated Delivery System of Spokane, LLC Joins Forces with xG Health Solutions™ to Support Its Provider-Led Care Strategy

xG Health brings proven care management, multipayer data analytics services to Washington state market.

 

Spokane, WA and Columbia, MD – March 21, 2014 – Patients cared for by providers who are part of Integrated Delivery System of Spokane, LLC (IDSS) will soon benefit from innovative collaboration between the Spokane provider organization and xG Health Solutions™. The IDSS is a joint venture formed in August 2012 between Group Health Cooperative (GHC) and Providence Health Care that brings together more than 550 providers throughout the Spokane region who have committed to manage care for patients across the region with a more coordinated, seamless and affordable approach to care.

The Spokane provider organization has engaged xG Health Solutions, a company born from nationally recognized Geisinger Health System, to provide population health data analytics and care management services for its providers. The goal of this collaboration is two-fold:  1) give the Spokane providers the information they need to enhance the quality of patient care they deliver, thereby reducing costs, and 2) help them succeed in shifting from a fee-for-service to a value-based payment system. IDSS plans to use xG Health’s services to better manage care for all patients, regardless of insurer.

“Today, providers are getting various kinds of data from multiple payers, which are intended to be used to inform providers’ care plans for patients. However, it’s unsustainable for our providers to effectively analyze and use this data since each payer has its own set of rules, reports and varying degrees of complexity. As a result, we see a clear need for a neutral and objective intermediary, like xG Health Solutions, to help aggregate and analyze the data in order to effectively act on it for better patient care,” said Kelly Stanford, president of IDSS.

xG Health is a provider-centric organization with deep experience in population health data analytics and delivery of high-quality coordinated care by independent or employed physicians. With roots in the Geisinger Health System, a national leader in care delivery redesign and innovation, xG Health focuses on supporting providers with actionable analytics and provider-led care management solutions.

A key element of this partnership will be xG Health’s multipayer analytics services provided by xG Health’s Integrator Services Organization (ISO). Providers have long been inundated with patient information and performance metrics from many payers in incompatible formats. xG Health’s approach collects and analyzes data from different payers, Electronic Medical Records and other sources and creates one unified view for all patients, regardless of their insurer. This unified view will provide insights into how the delivery system performs for patients and opportunities to improve quality and affordability.

“We are impressed by Integrated Delivery System of Spokane’s progressive approach in supporting its providers,” said Dr. Earl Steinberg, CEO of xG Health. “Provider-driven population health is what the healthcare delivery system needs to improve quality and reduce costs. We hope other insurers in Washington state will join in this collaboration.”

Benefits of proven care management, multipayer data analytics services

Dr. Kirk Rowbotham, chief medical officer for Providence Medical Group, a provider group in IDSS, stressed the importance of consistent data that will result from the partnership with xG Health.

“It is challenging for doctors and other providers to work with data that comes from different insurance payers,” he said. “Being able to have one view into the whole population we’re caring for will make it easier for us to focus on delivering high-quality care to our patients. Additionally, we will be leveraging xG Health’s clinically trained analysts to interpret the data and identify trends that will assist us in making more informed clinical decisions.”

Marking an important milestone for this relationship, Group Health is the first payer to sign on with xG Health to support the work of the IDSS. As both a health insurance carrier and the largest medical group in Washington state, Group Health has repeatedly proved the power of combining its claims data and care delivery system for identifying and initiating outreach that leads to better quality care and healthier members.

For payers and providers who wish to be a part of IDSS, xG will provide an independent view of the data — aggregating thousands of data points on where patients are getting care, how much that care costs, and where gaps exist and translating this data into actionable insights for providers to proactively reach out to the patient to facilitate and coordinate the best care.

“We envision that as more payers join us in the Integrated Delivery System of Spokane and other collaborative efforts, we’ll see an important and dramatic shift in paying providers for outcomes and value, rather than the amount of care provided,” said Bob O’Brien, executive vice president of Group Health’s Health Plan Division. “For truly meaningful health reform to occur, this shift must be embraced and applied to the way we pay for care.”

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About Integrated Delivery System of Spokane, LLC

Integrated Delivery System of Spokane, LLC is an integrated physician organization that includes healthcare providers from Group Health Physicians, Providence Medical Group (PMG) and Columbia Medical Associates (CMA). At the center of the physician group are 132 primary care physicians who serve as the medical home for patients throughout the region. These primary care physicians coordinate patient care among specialists, urgent care centers and hospitals, including Providence Sacred Heart Medical Center & Children’s Hospital and Providence Holy Family Hospital. Altogether, the organization is the largest coordinated delivery system in the Spokane region, with access to more than 550 physicians and advanced practitioners caring for nearly 200,000 patients throughout the Spokane region. The organization works with other health insurance companies and healthcare purchasers to manage care for patients across the region with more coordinated, seamless and affordable care.

About xG Health Solutions

xG Health Solutions’ mission is to help health systems and others committed to high-quality, value-based care succeed under risk-based payment arrangements. Our volume-to-value roadmap, care design and delivery, population health analytics, and financial optimization services are powered by Geisinger Health System’s methods proven to achieve best-in-class outcomes. xG Health is the primary provider of Geisinger’s Healthcare Performance Improvement Intellectual Property. xG Health also provides experienced professionals to partner in developing and implementing strategies focused on improving quality and reducing cost of care over the long haul. For more information, visit www.xghealth.com, or follow the latest xG Health news and more on LinkedIn or Twitter.

About Group Health

Group Health is one of the nation’s leading nonprofit health systems, recognized for its consumer-governed cooperative origins and innovative solutions for improving care. Established in 1947, Group Health Cooperative, with its subsidiaries Group Health Options, Inc. and KPS Health Plans, provides health coverage to more than 617,000 residents of Washington state and North Idaho. More than 394,000 members receive care from Group Health Physicians medical group at Group Health Medical Center locations across the Puget Sound region and Spokane. Group Health advances health in the community through its medical education, charitable foundation, and nationally recognized research institute. For more information about Group Health, visit www.ghc.org.



Rocky Edmondson RN, BSN, MBA, CCRN
Senior Director, Bundled Payments, Care Redesign and Management Advisors, xG Health Solutions

Rocky Edmondson is the Senior Director of Bundled Payments for Care Redesign and Management Advisors at xG Health Solutions. Rocky has been involved in workflow redesign, program implementation, and analytic evaluation of Bundled Payment Programs across the country, and he coaches Hospitals, Health Systems, Post-Acute Providers, and Physician Groups on how to successfully implement care redesign in the Bundled Payment for Care Improvement (BPCI) and CJR Programs.

Rocky’s passion is helping people to understand the intricacies of Bundled Payment Programs. He has a talent for teaching people how to cut through all the noise and just do the things that matter to be successful in these programs.

Rocky holds an Associate’s Degree in Nursing from the University of Hawaii Maui, and a Bachelor’s Degree in Nursing and a Master’s Degree in Business Administration (MBA) from Boise State University.

Prior to joining xG Health Solutions, Rocky was the Southeast Region Director of Clinical Operations for Remedy Partners, overseeing program design, implementation and analytic evaluations for Bundled Payment Programs. Prior to embarking on a career in Bundled Payments, Rocky was a Registered Nurse for 18 years, working in a number of positions within Critical Care. Before becoming a Nurse, Rocky was an Institutional Broker at Merrill Lynch and advised a number of healthcare systems and large corporations on cash management strategies. In addition, Rocky has started several businesses and provided consulting for small business startups. Rocky served in the U.S. Marine Corps as a Recon Marine.

Janet Comrey RN, BSN, MHSA
Director, Population Health Solutions, Geisinger Health System

Janet Comrey, RN, BSN, MHSA has over 30 years of diversified nursing and leadership experience at Geisinger Health system and currently serves as Director of a small department embedded within Population Health. One of her key roles is managing the Bundle Payment for Care Improvement (BPCI) program since January 2014 earning an overall positive net payment reconciliation to date. Janet also serves as the coordinator for Project Achieve at Geisinger which is a national PCORI funded study related to patient’s perceptions of transitions of care.

Janet received her nursing education through Geisinger’s diploma program, her BSN through Bloomsburg University, and later earned her graduate degree from Marywood University. During her tenure at Geisinger she taught quality improvement methodology and facilitated improvement teams the Geisinger Quality Institute. She is currently enrolled in the Institute for Healthcare Improvement Advisory program.

Professional memberships include Sigma Theta Tau, Phi Kappa Phi, American Society for Quality.

Andrew Blackmon, MBA, MHS
Chief Sales and Business Development Officer

Chief Sales and Business Development Officer Andrew Blackmon, MBA, MHS, has more than 18 years of experience in healthcare product sales, marketing, and strategy.

Before joining xG Health, Andrew was vice president of sales for population health and risk management solutions at McKesson. He came to McKesson through acquisition of MedVentive, an early population health vendor. Before MedVentive, he served as vice president of enterprise solutions development at MedAssets. He is a past president of the Georgia chapter of HIMSS, and he has held strategy and planning positions at PricewaterhouseCoopers and Orlando Health.

Andrew has an MBA and a Master’s of Health Science from the University of Florida Warrington, College of Business, and a Bachelor of Arts degree in Psychology from Rollins College.

Holly Barbella, RN, MBA

Risk Coordinator, Geisinger Health System

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Earl P. Steinberg, MD, MPP
Chief Executive Officer

Earl P. Steinberg, MD, MPP, is a nationally recognized expert in healthcare quality improvement and serves as xG Health’s chief executive officer. Earl also is an adjunct professor of Medicine and of Health Policy and Management at Johns Hopkins University and a member of Blue Cross/Blue Shield Association’s National Medical Advisory Panel.

Before joining xG Health, Earl was executive vice president of Innovation & Dissemination, and chief, Healthcare Solutions Enterprise at Geisinger Health System.

Before joining Geisinger, he was senior vice president for Clinical Strategy, Quality & Outcomes at WellPoint, Inc., the largest commercial health insurer by membership in the US, and president and CEO of Resolution Health Inc. (RHI), a leading healthcare data analysis company that provides innovative quality improvement and cost reduction services to health plans, employers, pharmacy benefit managers, and disease management companies.

Before joining RHI, Earl spent six years as vice president of Covance Health Economics and Outcomes Services Inc., director of its Quality Assessment and Improvement Systems Division, and co-director of its Outcomes Studies Group. He also spent 12 years on the full-time faculty at Johns Hopkins University, where he was professor of Medicine and of Health Policy and Management and director of the Johns Hopkins Program for Medical Technology and Practice Assessment, and four years on the Federal Physician Payment Review Commission. He co-chaired the Institute of Medicine’s panel on Standards for Development of Trustworthy Practice Guidelines.

Earl has received many awards, including the Henry J. Kaiser Family Foundation Faculty Scholar Award in General Internal Medicine (1984), the “Outstanding Young Investigator” Award from the Association for Health Services Research (1988), and a Special Presidential Visionary Award from the National Kidney Foundation (NFK) (2004) for his work as the scientific director of the NKF’s landmark Kidney Disease Outcomes and Quality Initiative, which produced more than 250 clinical practice guidelines for management of patients with end-stage renal disease. He also is a fellow of both the American College of Physicians and AcademyHealth, and he has published more than 125 articles in peer-reviewed journals.

Earl received his AB from Harvard College (summa cum laude), his medical degree from Harvard Medical School, and a Master of Public Policy from the Kennedy School of Government. He performed his residency training in internal medicine at Massachusetts General Hospital.