Sutter Medical Network Physician Groups Honored for Quality Health Care

Posted on Sep 24, 2013 in Quality

The Integrated Healthcare Association (IHA), a renowned industry leadership group in California, today recognized six physician organizations connected to Sutter Health as leaders in medical care quality.

 Nearly 200 physician groups, representing approximately 35,000 physicians who provide care for about 10 million patients, participate in the IHA statewide Pay for Performance (P4P) program. In addition to celebrating top performers, IHA honored physician organizations that demonstrated the most quality improvement from 2011 to 2012. Sutter Medical Network members honored include:

 Sacramento/Central Valley Region

San Francisco/Oakland Bay Area

“We’ve been focused for several years on transforming how we deliver medical care; integrating doctors and hospitals and proactively managing the unique health needs of patients, not just when they need medical attention but before they get sick,” said Jeff Burnich, M.D. senior vice president and executive officer for the Sutter Medical Network. “IHA’s P4P awards help us evaluate and recognize our progress on this long-term goal.”

About the IHA Awards

The California P4P program is the largest non-governmental physician incentive program in the United States. Founded in 2001, it is managed by the Integrated Healthcare Association (IHA) on behalf of eight health plans representing 10 million insured persons. IHA is responsible for collecting data, deploying a common measure set, and reporting results. This program represents the longest running U.S. example of data aggregation and standardized results reporting across diverse regions and multiple health plans. California consumers benefit from the availability of standardized performance results from a common measure set, which are available to the public through the State of California, Office of the Patient Advocate.

The IHA P4P common measure set is designed to include measures that are evidence-based and relevant to California consumers. The measure set is dynamic, with new measures added each year and an increasing focus on outcome measures. For measurement year 2012, IHA examined performance in clinical quality, patient experience, meaningful use of health IT and appropriate resource use.

Top Performing award winners are identified by calculating composite scores in each of the P4P quality measurement domains, which are then weighted according to the recommended P4P payment weightings to compute an overall composite score. Any physician organization whose overall composite score meets a comprehensive threshold based on the top 25 percent score for each measure included in P4P is designated a top performer.

Most Improved winners are determined by calculating the relative improvement for each physician group on the overall performance composite score for this year compared to the overall performance composite score for last year. In order to be eligible, a group must have improved performance in all P4P quality measurement domains. The physician group in each of the eight P4P regions that has the highest improvement score for overall performance is recognized as the most improved group in that region.

Posted by on Sep 24, 2013 in Quality | Comments Off