08 Oct Principles to Transform Healthcare Organizations Worldwide
Gordon Norman, MD, MBA, Chief Medical Officer, xG Health Solutions, October 8, 2014
xG Health was created to bring Geisinger’s expertise in healthcare delivery transformation to healthcare organizations worldwide. Successful value-based models have many interdependent parts, and xG Health’s approach and thoughts on how to win with risk contracts require extensive optimization of care delivery across the entire continuum.
xG Health Solutions’ approach and views on care management and population health management are based on the proven Geisinger model based on its demonstrated outcomes at both Geisinger Health System and other environments with comparable results. This model has evolved over two decades to produce and enhance high-reliability, high-volume, and high-value care across the full continuum using several foundational design principles.
These principals include, but are not limited to
- Clinical enterprise organized by service lines and led by dyad teams of clinicians and administrative/operational staff at multiple levels in the organization with shared accountability
- Team-based care with all members functioning at the top of their license
- Advanced medical home as the fundamental organizing structure for all primary care and overall patient care coordination
- Linkage of medical homes to all other components of healthcare continuum in the medical neighborhood
- Use of financial incentives to focus attention on systems of care that drive desired clinician behavior
- Evidence-based clinical pathways to minimize unwarranted variation and assure high-reliability care
- Leveraging all available data to obtain the most complete view of the population and opportunities for health outcomes and efficiency improvements
- Performance assessed with Triple Aim + 2 metrics—clinical quality, total cost of care, patient experience, provider experience, and delivery system financial sustainability
- Care quality measured by patient-centric bundles of evidenced-based metrics using all-or-none scoring where credit requires each patient receiving 100% of bundle elements
- Constant drive to innovate and further refine earlier innovations to improve performance