Clinically Integrating to Provide the Best Care for Georgia's Kids

We know that children and teens do better when cared for by pediatric-trained providers in a system 100% dedicated to kids. To make sure kids in our community have access to the pediatric care they need, a team of primary care, specialists and advanced practitioners are working with Children's to develop a pediatrics-focused, clinically integrated network (CIN) to launch in 2014.

The formation of this network will better define, refine and demonstrate quality and outcome measures, and enhance communication across the care continuum—allowing us to provide comprehensive care management to Georgia's pediatric patients, both healthy and sick.

Watch the Webinar: The Future of a Pediatric Clinically Integrated Network

This webinar presentation is hosted by Dan Salinas, M.D., Chief Medical Officer for Children's, Robert Campbell, M.D., Director of Sibley Heart Center Cardiology and Bob Licata, M.D., community pediatrician and Chair of The Children's Health Network.

 

     
 
SteeringCommittee

    The following community pediatric care providers are leading the development of the Clinically Integrated Network:

    • Helena Bentley, M.D.
    • Rick Bonner, M.D.
    • Mike Busch, M.D.
    • Robert Campbell, M.D.
    • Jim Fortenberry, M.D.
    • Patrick Frias, M.D.
    • Chip Harbaugh, M.D.
    • Donna Hyland, CEO, Children's
    • Lonnie King, M.D.
    • Vivian Lennon, M.D.
    • Burt Lesnick, M.D.
    • Jeff Lewis, M.D.
    • Bob Licata, M.D.
    • Billy Meyers, M.D.
    • Rick Payne, M.D.
    • Dan Salinas, M.D.
    • Hal Scherz, M.D.
    • Anu Sheth, M.D.
    • Yasmin Tyler-Hill, M.D.
    • Brad Weselman, M.D.
    • Melinda Willingham, M.D.
    • Bob Wiskind, M.D.

    The Steering Committee has invited additional representatives from the pediatric community to participate in its sub-committees: IT Integration, Clinical Integration, Network Development and Communications, Finance and Contracting, and Legal and Governance

 
     

Frequently Asked Questions

  • What is a clinically integrated network?

      A clinically integrated network is a doctor-led and -driven business enterprise. It typically includes doctors and healthcare systems focusing on developing and implementing evidence-based quality and process improvements with the goal of improving outcomes, increasing efficiency and reducing costs. As a result of demonstrating clinical integration, the CIN will be able to jointly negotiate managed care contracts to align payments and incentives with the performance and quality of the care we deliver.

  • If the CIN is contracting on my behalf, what happens to my existing contracts?

      The initial focus of the CIN will be on “overlay” contracts for increased quality performance. You may have a base agreement that you would keep, and the CIN’s contract would be on top of that base agreement, with incentives or shared savings generated as a result of improvements in performance or quality. These contracts may evolve to encompass base agreements with existing payors and with new payors in the market.

  • What other benefits does a CIN provide?

      In addition to payor contracting, the CIN offers enhanced care coordination, communication, and data collection and reporting capabilities needed to be successful in the future value-based world. In addition, a CIN may offer additional value-added services, such as group purchasing, and a team evaluates what services would benefit CIN members. Your practice will benefit from being associated with the one of the largest and most comprehensive pediatric healthcare systems in the nation. 

  • What are the membership requirements and dues to participate in the CIN?

      A CIN requires that members share clinical data to improve coordination of care and measure performance against selected metrics. There are likely to be standards for certification and credentialing. Our CIN will bring together members of the Children’s professional staff who are focused on improving outcomes and advancing pediatric medicine. The CIN Steering Committee is working out the specific membership criteria and associated dues. 

  • How will the CIN improve my patients’ ability to access specialists?

      By developing care and referral protocols used across the continuum of care, pediatricians will be better equipped to manage more of their patients' care, allowing specialists to focus their efforts on those patients who truly need specialized care.

  • Do I need to have an electronic health record (EHR) to participate in the CIN, and if I have one, will it be able to interface with mine?

      You do not need an EHR to participate initially. A physician-led team is evaluating a variety of population health management technology tools that can serve practices on a variety of platforms, any of which will be expected to interface with EMR and practice management systems in common use.

  • If we are sharing data, how will you protect my practice’s financial and patient information?

      The CIN will not share practice-specific financial data. The focus of the CIN is to collect and report on quality data to demonstrate outcomes-based performance improvement. The CIN’s technology solution will be built to house PHI in a secure manner that complies with all HIPAA regulations. The CIN will develop a team that will oversee all permitted uses of the information collected. 

  • Is the CIN a non-profit?

      The CIN will be a taxable non-profit. This means that it is registered with the state as a non-profit entity so that it will not have shareholders. It will not, however, be a 501(c)(3) organization, which means that it will be subject to federal and state income taxes. We believe this structure will provide the CIN with maximum flexibility. The CIN will not be beholden to make money for its shareholders and will have all of the flexibility of a taxable organization. Because it will not be a 501(c)(3), the CIN will not be subject to the rules that restrict the activities of a tax-exempt organization.  

  • Have you considered making the CIN a joint venture?

      It was discussed, but, among other things, a joint venture would require that the physician owners capitalize the venture, which would be cost prohibitive. In addition, the CIN is designed to serve members and patients by distributing income to its physician participants based on the value they provide to the CIN, rather than to generate and distribute profits to its owners.

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