Akron Children's Hospital

Akron Children's is the largest pediatric provider in Northeastern Ohio and one of the fastest-growing children's hospitals in the U.S.

CHALLENGE

While transitioning from a fee-for-service to a value-based care model, it was essential for Akron to maintain revenue and reimbursement levels. The organization became an early adopter of Ohio’s Patient-Centered Medical Home (PCMH) program, a team-based care delivery model that supports and encourages PCMH activities through per member, per month payments and rewards for total cost-of-care savings. To meet the requirements of this program, Akron set out to achieve NCQA PCMH recognition for its 28 primary care offices, which required significant organizational transformation. They also had to combat frontline skepticism, including the potential for overburdening staff with extra administrative tasks and, most importantly, infringing on the physician-patient relationship.

SOLUTION

CTG’s initial assessments revealed four key focus areas to support the transformation and achieve the desired outcomes: Operations, IT and Reporting, Population Health Management, and Quality. CTG and Akron worked together to implement effective population health management and team-based care best practices in each area, as well as make a cultural shift. As a result, all sites achieved PCMH recognition and met the requirement of Ohio’s program, providing Akron with regular revenue stream. The PCMH team-centered approach has improved everything from scheduling to patient outreach to coordinated care. Custom Epic integration provided a wealth of reporting and metrics capabilities, including a system of proactive outreach to parents and other providers to ensure children are getting the care they need. Akron’s new patient-centered, data-driven model is a solid foundation as they continue to transition to value-based care, which will benefit providers, patients, and payers alike.

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