News Release: Lumeris unveils Accountable Primary Care Model to speed adoption of value-based care and meet the “triple aim plus one”

Nine C’sSM framework offers primary care providers workflows and behavioral strategies to transform from volume- to value-based care delivery

ST. LOUIS — APRIL 15, 2013 Today, Lumeris released its Accountable Primary CareSM Model – called the Nine C’s – that re-architects the way care is delivered at the practice level.

When adopted by primary care providers and their care teams, the Nine C’s offer the best hope of meeting the goals of the Triple Aim Plus One: better health outcomes, lower costs and improved patient plus physician satisfaction. For patients, the model delivers better access, more time with their doctor, more personalized care, and less risk of unnecessary procedures. The model, based on proven workflows and best practices, improves the health care experience of both physicians and patients.

The Nine C’s will be introduced by Lumeris’ Director of Innovation Research Dr. Tom Doerr and Chief Medical Officer Dr. Debbie Zimmerman during a free webinar, “Nine C’s of Successful Accountable Primary Care Delivery” on April 18 at 2 p.m. EDT.

Zimmerman, a board-certified internist, said, “We can’t expect primary care providers and their care teams to go from a fee-for-service, volume-driven health care system to a value-based model without giving them the tools for success.”

Lumeris is offering the Nine C’s to “speed adoption of accountable care workflows and behavioral strategies necessary to achieve the Triple Aim Plus One, while helping physicians become effective population health managers and practice medicine the way they intended,” Zimmerman added.

Doerr, who is also board-certified in internal medicine, said that work on the Nine C’s builds on the Starfield model. Doerr says that, “Physicians cannot practice accountable medicine without embracing the Accountable Primary Care Model. Good efforts at health care reform are under way, but they don’t go far enough to help practitioners deliver better quality and cost outcomes.

The Nine C’s for accountable primary care provide a roadmap for physicians to follow when shifting from volume- to value-based care delivery:

C1:   First contact: Serving as the “first stop” for their patient’s acute and chronic care needs, which can lower costs significantly.

C2:   Comprehensive care: Meeting most of their patients’ health care needs, and often lengthening the time spent with patients, while referring to specialists for unusual problems.

C3:   Continuous, longitudinal, person-focused care: Working with patients to reach mutual decisions on care, engaging families, assessing emotional, and physical wellbeing and developing personalized care plans which lead to better health outcomes and lower costs.

C4:   Coordinated care: Coordinating care across the health system on behalf of patients, and managing transitions of care to specialists and back, including reconciling medications while including home health specialists and social workers in the health care plan.

C5:   Credibility and trust: Earning patients’ trust through specific behaviors and communication that is engaging, includes their perspective and recognizes that how physicians interact with patients builds  trust.

C6:   Collaborative learning: Dedication to continual learning, improvement and collaboration, using technology both to share data across institutional roles and organizational boundaries and to monitor for safety, quality, process, cost, and outcomes.

C7:   Cost-effectiveness: Finding efficiencies while maintaining high clinical quality to ensure delivery of the right care at the right place and time.

C8:   Capacity expansion: Re-designing care delivery through physicians, nurse practitioners, care managers, social workers, and other professionals practicing at the top of their training, as well as across channels including email and telephone.

C9:   Career satisfaction: Restructuring incentives and culture to improve physician satisfaction, the foundation for patient satisfaction, by reducing paperwork while preserving control, autonomy and order.

Doerr added, “For accountable care physicians to be successful they have to be responsible for clinical and financial outcomes. In order to do this, they have to be supported by the right business models and incentives and the right technology tools and practice workflows. With the Nine C’s training and support, Lumeris is making the transition to value-based care easier for its clients.”

The Accountable Primary Care Model is based on Lumeris’ decade of experience operating its own 4.5 Star-rated health plan and virtual accountable delivery system. The company is offering the Nine C’s framework, workflow and behavior training to the thousands of physicians who are using the Accountable Delivery System Platform (ADSP)® across the country.

For more information on the Nine C’s, download Lumeris’ point of view: http://www.lumeris.com/NineCs

ABOUT LUMERIS

Lumeris is an accountable care delivery innovation company offering health systems, payers and providers operational support, technology and consulting services. Our technology-enabled solutions and services help health care organizations design, build, operate, measure and optimize any accountable care model to accomplish the Triple Aim Plus One: better health outcomes, lower costs and improved patient plus physician satisfaction. The depth and breadth of Lumeris’ solutions—combined with its near decade of experience in accountable care—make the company an ideal partner for any health care organization seeking the benefits of a better connected, aligned and informed accountable delivery system. For more information, 1.888.586.3747 or Lumeris.com.