In a recent post, I explored the promising nature of clinically integrated networks (CINs) and outlined how this model differs from previous efforts to “fix” health care. Now let’s look more closely at the technological underpinnings critical to success for organizations participating in CINs. Data sharing criteria require HIT interoperability One key attribute of the current CIN model is a focus on information sharing among members—and an acknowledgement that success is highly dependent upon the use of interoperable health information technology (HIT). In other words, CINs require that members be able to share data, aggregate data and analyze data. Let’s look at what this means in practical terms: how interoperable technology is essential as a CIN focuses on reducing hospital readmissions. – When a patient is discharged, providers in the community must be informed about the treatment delivered in the […]

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CIN: A new and improved recipe for success

Over the past few decades, industry thought leaders have displayed a voracious appetite for new and improved ways to fix health care—and embraced an “alphabet soup” of  acronyms to describe them: HMO, IPA, PHO, VBC, ACO, PCMH, to name a few. And now they’re dishing up CINs: clinical integration networks (aka clinically integrated networks). The difference is that CINs build on what we’ve learned from predecessor models that were only partially successful and add elements that promise to help the industry achieve the goals of reform. 3 shortcomings characteristic of earlier models While well-intentioned, previous attempts to address the challenges facing health care met with only limited success for three primary reasons: 1) Incentives intended to motivate stakeholders were rarely aligned. Often, community-wide healthcare networks were driven by hospitals, looking to build loyalty among referring physicians. Local providers, however, were […]