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Compliance
ER
U ƟlizaƟon
Hospital
Admissions
John D. Sprandio, Consultants in Medical Oncology & Hematology
The Big 3 for Achieving Substantial Savings
THE PRACTICAL GUIDE TO BUILDING PRACTICE VALUE: PREPARE
YOUR PRACTICE FOR THE FUTURE OF ONCOLOGY AND HEALTH CARE
6 Core Principles:
Standardize
ग़ Streamline processes of
care to reduce variaƟon
Simplify
ग़ Payment and
administraƟ ve systems
Make Clinically Relevant
ग़ Allow physicians to
focus on complex
medical decisions for
paƟ ents
EngagePatients
ग़ Place paƟent
educaƟ on, needs and
preferences at the
center of your care
Fix Accountability
ग़ RedeĮ ne care team job
responsibilŝƟes with
physicians bearing
uůƟmate accountability
Process Improvement
ग़ Commit to ongoing,
data-driven conƟnuous
process improvement
Medical Homes, ACOs, new physician-hospital relaƟ onships and new payment methodologies: it is hard to know
how to prepare for the uncertainty. Regardless of what speciĮcally happens in your market, improving your pracƟce
quality and eĸciency is always good business.
ION SoluƟ ons and Oncology Management Services (OMS)
have partnered to develop a soluƟ on that will help you to
prepare your praĐƟĐ e for whatever the future has in
store. The PraĐƟĐĂů Guide to Building PracƟ ce Value is
designed to prepare you to obtain NCQA PaƟĞŶƚ -Centered
Specialty PraĐƟĐ e (PCSP) recognŝƟon, but is Ňexible
enough to Įƚ any quality focused model.
Health care costs are spiraling out of control and
approaching 20% of the GDP. An aging Medicare populaƟon, narrower provider networks based on cost and quality
and government budgets are just some of the issues we face on a daily basis. In order to survive we must embrace
change, understand our market, uƟůŝnjĞ our data, focus on the popula Ɵon and manage risk.
The oncology medical home model is a physician-driven, paƟ ent-focused value proposŝƟon that can really make a
diīerence for paƟ ents, oncologists and the cost of health care. Recent studies show it demonstrates a reduĐƟon of
the cancer spend by 7-13% with the biggest Įnancial impact coming from uƟůŝnjŝng evidence-based, cost eīeĐƟve
pathways, reducing emergency room visits and hospital admissions and a thoughƞul approach to end of life care.
The model facilitates physician accountability, encourages clinical inƚĞŐƌĂƟon, enhances communŝĐĂƟŽn for ACO
and PCMH and maintains focus on paƟent and evidence-based care.
The struggle is balancing the current volume based reimbursement while
preparing for a shiŌ to value based models without a period of revenue
loss. Delaying this process will force you to make the transition on the ŇLJ ,
guaranteeing a struggle to manage the risk and reward of value based
contracts. The PracƟcal Guide allows you to choose which modules you
want to do when and to focus on the ones that will have an immediate
posŝƟve impact on your praĐƟĐe.
Content courtesy of: Fox, John V., Sprandio, John D., Barkley, Ronald.
“Understanding and Surviving the Transi Ɵon to Value Based Oncology”.
Practical Guide to
Building Practice
Value
Oncology Quality
Management
Programs
OncologyQuality
anage ent
Programs