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Health IT & QI Workforce Development Resource Set
Successful Practices in Accountable Care: El Rio Community Health Center
NACHC
/ Categories: Value Based Payment, Engaging in Value Based Payment Models

Successful Practices in Accountable Care: El Rio Community Health Center

Best Practices Series #1

El Rio Community Health Center, in Tucson, Arizona, leveraged and enhanced their relationship with local payers, including United Health Care, to support the health center’s population health efforts. El Rio uses complex data analytics provided by United and other payers to help manage existing patients and to stratify new patients by their risk levels and intervene to direct patients to appropriate services in a timely manner and ultimately enhance the patient experience. United Health Care also incentives quality care at El Rio using Health Effectiveness Data and Information Set (HEDIS) and utilization measures such as Emergency Room visits and hospital readmissions.

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Tags: Payers data Population Health accountable care patient stratification patient centered medical home incentive

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Acknowledgements

This resource collection was compiled by the HITEQ staff with portions contributed by Chris Espersen, HITEQ Advisory Committee member and Independent Contractor and Past President of Midwest Clinicians Network; Shane McBride, Independent Contractor and Past Vice President of Quality and Clinical Systems at South End Community Health Center.; Chris Grasso, Associate Director for Informatics & Data Services- The Fenway Institute; and Ed Phippen, Principal - Phippen Consulting, LLC.

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