Triple Aim Delivery
To deliver on the Triple Aim, the HealthPartners approach to health care delivery is based on: reliability, customization, access, and coordination of care
Reliable processes deliver consistent care
- Care is based on best evidence which is incorporated into decision support in the electronic health record.
- Processes are standardized to reduce unwarranted variation.
- Every member of the care team contributes to their maximum potential.
- Waste and rework that add unnecessary cost are eliminated through Lean and other process redesign techniques.
For example, HealthPartners is improving outcomes for patients with chronic diseases such as diabetes, reducing hospital acquired infections, and reducing the use of unnecessary high-tech diagnostic imaging. Tools are built into the electronic health record to help the care team make decisions that are right for patients and to systematically deliver care based on scientifically established best practices. HealthPartners is a leader in expanding and working with patients and the health care community to make it possible to provide access to health records across the community and give patients access to their records online, including same-day lab test results.
HealthPartners has created an environment where physicians and staff can thrive and feel supported in achieving Triple Aim results for patients. Physicians focused on team-based care create a more reliable system of care. The partnership agreement between the physician and the organization is designed to support a practice that works for both patients and doctors.
Designing reliable processes has also been a method to tightly manage expenses, a strategy we have used to moderate price increases. The unit price of services is a major component of total cost of care.
Care is customized to meet individual needs and values
Once reliable care processes reduce variation, care can be customized, and the health care professional is able to respond to individual patient’s needs and choices.
For example, the use of high-tech diagnostic imaging exams has increased dramatically in the last decade, yet there have not been enough studies to correlate this increase with a corresponding improvement in patient outcomes. In fact, the potential overuse of HTDI exams exposes patients to unnecessary radiation and contributes to escalating health care costs. HealthPartners has embedded decision support tools in the EHR so the physician can order the most appropriate diagnostic imaging exam while with the patient in their office.
In another example, where some women may be reluctant to get breast cancer screening, HealthPartners has reduced a gap in the mammography screening rate for women of color by having physicians give extra encouragement to patients and the option to have the test right away. HealthPartners now conducts an average of 150 same-day mammograms each month and decreased the gap from 12.4 percent in 2007 to 5.4 percent in the second quarter of 2010.
Access to care, information and knowledge for patients
HealthPartners uses technology to improve patient access, convenience and knowledge. For example, patients can schedule appointments online, receive same day test results, get medication and immunization information, have an e-visit with their doctor, schedule same day appointments, and access a nurse by phone 24 hours a day. A new online service, virtuwell, where consumers can get treatment for 30 of the most common conditions online anytime has been added. And, HealthPartners is offering a health and wellness assessment at clinic visits and health coaching on healthy lifestyles with links to online and phone based resources.
Care is coordinated across sites, specialties, conditions and time
Care doesn’t just happen at the clinic or the hospital. Our integrated system, electronic records, and claims system information allow us to assess risks, gaps, predict the need for health intervention, and reach out to patients and members. Coordinated care across our integrated system ensures that patients and members are connected from primary to specialty or hospital to home.
HealthPartners is the first large, multi-specialty medical group in the nation to be recognized by the National Committee for Quality Assurance as a patient-centered medical home. Using our standardized approach to care (Care Model Process©), patients receive care and support when they need it and how they want it, including on-going care team support and follow-up, online services such as doctor visits, and links with specialty care.