Fostering innovations in delivery system transformation.
HMA’s Healthcare Transformation Institute is a group of highly experienced healthcare professionals with extensive on-the-ground experience with healthcare delivery system reform, and with expertise across a wide spectrum of disciplines, including clinical services, behavioral health, health system finance, operations, workforce development, IT, public health, policy, community strategies, and health plan-provider collaborations.
HMA’s Healthcare Transformation Institute was developed based on the need to support HMA colleagues in their efforts to improve the delivery system, whether at the community, system or practice levels. HTI efforts support the implementation of models of care that promote accountability for ensuring access to needed services, total cost of care, and community health status and outcomes. The HTI functions as a learning collaborative, supporting innovation and excellence in the transformation of care through the development and dissemination of innovative approaches (tools, resources, models, organizational structures, financing mechanisms, and clinical practices) that facilitate health system restructuring initiatives.
In addition, the HTI supports research and educational activities that enable HMA colleagues to help healthcare providers make the transition to a value-based environment. These activities include:
- Exploring new connections with payers (plans and states) to develop financial incentives for integrated care;
- Developing innovative technology solutions to promote effective delivery;
- Assisting states, counties and municipalities to determine the best paths to value-based delivery;
- Promoting new practice models linking physical and behavioral health; and
- Creating models that foster the connections with other impacts on the delivery system including, but not limited to, social determinants of health and ongoing long-term services and supports.
The HTI has fostered the development of some of the tools and resources listed below:
- HTI Roadmap – a set of documents and tools that providers can use to ready themselves to integrate care and take on financial risk for populations that have the most difficulty accessing care and adhering to health care recommendations (some of these tools are highlighted individually below).
- Value-based Payment Assessment Tool – a web-based tool for providers, allowing them to evaluate readiness to succeed in value-based payment.
- Care Management Training Curriculum – HMA conducts comprehensive needs assessments and gap analysis, creates a step-by-step action plan for Care Management, and offers training for care managers and PC teams.
- Risk-Ready Primary Care Model – This model, developed by HMA, creates a clear path for primary care practices to optimize pay-for-performance revenue and succeed in attracting and retaining patients.
- Community Health Needs Assessment Tool and Geo-Mapping – The CHNA tool allows organizations to instantly assess the demographics and health status of a service area, utilizing federal-approved extrapolation techniques. Utilizing geo-mapping software, HMA prepares detailed maps to communicate key needs assessment findings at a glance.
- Integrated Delivery Systems Readiness Assessment Tool – A tool for hospitals or health systems which helps determine if they are ready for leading or participating in an integrated delivery system.
- Addressing Social Determinants of Health Under a Managed Care Framework — a training curriculum for health plans and providers to address the social determinants of health in their practices.
- Accountable Care IT Framework – This methodology and toolset aids organizations in building up their IT infrastructure, to meet accountable care objectives.
- Total Cost of Care – Framework, tools and methodology that assess total cost of care and also identify key population health and health service utilization drivers of the total cost of care.
- Relationship-centered Care Evaluation Tool – Relationship-centered care can not only improve patient satisfaction but also improve health outcomes and lower costs. HTI has developed a multifaceted rubric to assess readiness and effectiveness of primary care providers in developing critical healthcare relationships.
- Achieving NCQA PCMH Recognition – A toolkit to assist practices interested in applying for NCQA PCMH recognition
- MLTSS Health Plan Business Appraisal and Advisory Services – This toolkit provides health plans with a behind-the-scenes review of its MLTSS operations to internalize, disseminate and sustain critical activities that drive success in several domains (e.g., care coordination, provider network access and management, staff and provider training, quality improvement, and compliance and program integrity).
- PCMH 2017 Readiness Assessment Tool – Primary care practices can use this tool as a self-assessment or use it in conjunction with an HMA PCMH expert.
Contact Meghan Kirkpatrick to learn how your organization can use and benefit from the above tools.