Recent Achievements:
Established two-tiered Chronic and Chronic-Complex patient registry. Using Pediatric Medical Complexity Algorithm (PCMA), over 18,000 patients were identified.
Established disease specific patient registry for chronic conditions, including Asthma and Primary Recurrent Headaches.
Using Healthbridge through The Health Collaborative, implemented regional utilization alert system which provides daily alerts to member practices of ED visits, Hospital admissions, and urgent care visits for over 200,000 patients.
Assisted 24 member practices (42 sites) in becoming recognized by NCQA as a Patient-Centered Medical Home covering 217,000 lives. Also, supported 2 specialty practices in becoming recognized as Patient Centered Specialty Practices.
PHO Member Benfits
Tri-State Child Health Services, Inc. offers many benefits to its members.
Practice Benefits
Structured quality improvement initiatives
Quarterly metrics on patients in each practice
Data management
Collaboration between practices and Cincinnati Children’s Specialty Divisions
Evidence-based and analytic decision support tools to enable practitioners to deliver value to their patients and families
Commercial payor contracting
Delegated credentialing physicians, APRNs, and Physician Assistants through Cincinnati Children’s Medical Staff Services for contracted plans
Monitoring and addressing payor trends/issues
Physician Benefits
Opportunity to belong to a unified group of healthcare practitioners with a shared mission of patient centered care.
Opportunity to influence how care is delivered with the community by participating on physician-led boards and committees focused on quality and integration of care.
Participation in quality improvement activities whose outcomes focus on your patients’ functional status and quality of life.
Collaboration between primary care providers and specialists to design the course of care of management of diseases to ensure that patients receive the right care in the right setting by the right provider.
Opportunities for CME and MOC credit