The Physician Network’s clinical programs continue to evolve over time as we adopt and report quality measures. The FTC establishes that clinical integration networks should include mechanisms to monitor and control utilization of clinical services. These mechanisms are designed to control costs and assure quality of care. We develop and launch data-driven quality programs that seek to improve clinical outcomes, patient satisfaction and prevention efforts.
The Quality Committee develops and defines clinical programs to address the needs of specific populations we serve. These are designed to improve outcomes for patients with diabetes, cardiovascular disease, asthma, cancer and other conditions. We support programs that focus on disease prevention and health promotion, such as cancer screening and immunization efforts, as well as programs that seek to reduce unnecessary utilization and reduce readmissions.
UC San Diego Health and our Physician Network affiliates are committed to patient satisfaction, and recognize that patient satisfaction is a critical measure of quality. Data on this important measure is also requested by payers. Partner practices can leverage UC San Diego Health’s patient satisfaction survey tool in order for the Physician Network to provide standardized outcomes data on patient satisfaction to payer partners.
Protocols, Pathways and Population Health Management
We develop clinical pathways that define our standards of care, using evidence-based guidelines to inform treatment decisions. Protocols are shared across our network and updated as new evidence indicates better care processes. We embrace data-driven process improvement, collecting and disseminating information across our network to proactively manage populations of patients we serve. These network components are critical to the success of the network’s payer partnerships, including Shared Savings Plans.