Thursday, July 3, 2014 — Nine Texas health systems are joining forces to share clinical and administrative data to improve quality and efficiency, lower healthcare costs and accelerate medical innovation in patient care.
Texas Care Alliance (TCA) was founded by Baylor Scott & White Health (BSWH), the largest nonprofit Texas health system, and Trinity Mother Frances Hospitals and Clinics of Tyler in March 2013 to facilitate the coordination and delivery of healthcare services that are patient-centered and physician-driven to improve the overall health of a defined population. TCA also includes Community Hospital Corporation, Plano; Good Shepherd Health System, Longview; Hendrick Health System, Abilene; Medical Center Health System, Odessa; Midland Memorial Hospital, Midland; Shannon Medical Center, San Angelo; and United Regional Health Care System, Wichita Falls.
The systems’ service areas cover 193 Texas counties. TCA members have 20 percent of the state’s hospital beds with more than 6,800 employed or affiliated physicians.
“The triple aim of healthcare is to improve the quality of care delivered to our patients, improve their experience of that care, and reduce per capita costs,” said Robert Pryor, MD, MBA, chief medical officer and chief operating officer of BSWH and secretary/treasurer of the TCA board. “TCA will be the platform for physicians to adopt common metrics, measure performance, and share clinical and administrative best practices with its membership.”
Joel Allison, BSWH chief executive officer and TCA chairman of the board, said, “Now more than ever, it is critical for community-based healthcare providers to collaborate and accelerate change. The TCA exists to support providers who are stepping up to the challenges of healthcare now and in the future. We are going to demonstrate innovative, value-based methods for reducing costs and improving quality in a post-healthcare reform world.”
Value-based reimbursement is replacing fee-for-service at a rapid rate. According to a recent survey, payment models such as pay-for-performance, capitation and bundled payments will account for two-thirds of healthcare revenue in five years, compared with one-third today.
To qualify for payment based on value, providers are employing powerful analytical tools for population health and risk management. TCA will be using Explorys, a data platform that is a spinoff of the Cleveland Clinic. The Explorys network includes more than 310 hospitals and 220,000 practitioners. Explorys will facilitate data sharing between practitioners, payers and health systems. The data will allow healthcare providers to build a composite view of a population’s health to meet care needs, improve quality and assess risk of disease.
TCA will be able to harness data from tens of millions of patient encounters and compare to the TCA experience as a whole, as well as the individual hospital level and practitioner level, to minimize uncertainty and potential study bias as better care and improved health at a lower cost is achieved.
Contact: Kelly Love (469) 366-2136, *protected email*