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Case for clinical-integration accreditation

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This FierceHealthcare piece looks at the case for earning clinical-integration accreditation, taking Phoenix Children’s Hospital and its Phoenix Children’s Care Network (PCCN) as a case study.

PCCN  became the first  U.S. pediatric network  to earn URAC accreditation as a clinically integrated network. URAC is a nonprofit organization that develops evidence-based measures and standards through inclusive engagement.  This  PCCN accreditation signifies a commitment to better care, processes and patient outcomes as well as  cost savings for patients, their families and the  wider community.

The  Fierce piece reports:

“PCCN’s first order of business was to develop one of the nation’s first pediatric-dedicated clinically integrated organizations (CIO). The PCCN pediatric CIO is rooted in the development of a robust quality-improvement program with accountability among independent physicians and the connected health system. It rewards and integrates physician members around a common commitment to quality measures based on scientific evidence and cost improvement.”

“In just a few short years, the PCCN model has grown to be Arizona’s largest children’s care coordination network and one of the nation’s premier pediatric CIOs.”

URAC’s basic clinical-integration accreditation standards are, as paraphrased by Fierce, are:

  • “A governing structure that provides compliance and oversight.
  • “Top-down organizational alignment that ensures business arrangements are patient-centric and structured around improving outcomes, quality and costs.
  • “Care coordination built around a population health mindset.
  • “An integrated IT infrastructure that enables information exchange and data aggregation.

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