Care management redesign for improved population health at AMITA Health
An innovative and cross-continuum approach to care management redesign
They had engaged other consulting firms but those initiatives had not achieved the cultural shift needed. AMITA Health challenged Philips to transform their system – as well as their own mindset - to provide strong, patient-centric population health management aligned with their vision of delivering efficient, high-quality, faith-based care. Philips collaborated with AMITA Health to deliver a new Care Management platform supporting improved communication and coordination of care for high risk patients across the AMITA Health continuum.
AMITA Health, one of the largest health systems in the Midwest, was looking to redesign its Care Management program in preparation for their transition to value-based care.
Hear from AMITA Health management and clinical staff on their experience with Philips.
A strategic framework
We believe the pillars of quality Care Management are:
Our consultants recommended a phased process of vision building, rapid prototyping, and implementation support to provide a smooth transition to a sustainable, value-based care delivery model.
A collaborative and innovative process
Specific attention was given to the human and cultural factors in setting out to redesign AMITA Health’s Care Management program. Frontline staff, system leadership, and other stakeholders across the organization were engaged to help develop a common vision and create and implement new care management processes.
Visioning Visioning Visioning
An enterprise-wide assessment was completed to review associated functions and processes. Insights from data analysis and stakeholder interviews, workshops, and site observations helped develop an understanding of existing practices and identify opportunities for improvement. Cultural changes were implemented through empathic design focusing on the needs of eight unique population cohorts in the community. A vision was developed and agreed via collaboration of multidisciplinary AMITA Health teams and Philips consultants.
Prototyping and planning A practical program was built and tested in an “innovation sandbox” - a live operational environment with limited scale for rapid learning and improvement. Our consultants provided rapid rounds of on-site support and huddle calls and evolved the program through facilitated learning, sharing, and program adjustment during the testing period. During a final co-create workshop, the team reviewed lessons learned, finalized program design, and identified key considerations for systematic enterprise expansion.
A co-create workshop was held to identify key care management processes: Identification, Intervention, Coordination, and Engagement. Detailed workflows, tools, process, and key performance indicators (KPIs) were identified with staff and leadership input.
Enterprise expansion
Philips helped AMITA Health embed the new program into daily operations and enable the cultural and operational changes with leadership and frontline staff. A train-the-trainer approach helped educate frontline staff, support internal capabilities, and sustain program ownership of the operational leaders.
Sustainable results
Philips and AMITA Health will continue to leverage the high level of engagement from staff and stakeholders to expand the program across the entire AMITA Health continuum.
Through strong stakeholder engagement and human-centric design, Philips helped AMITA Health redesign their Care Management program prototype that improved communication and coordination of care for high risk patients across the AMITA Health continuum.
Results of this engagement included:
Meet our team
Mel Allen, JD, MBA, FACHE Principal and Practice Operations Lead
Mel has decades of experience in healthcare management with expertise in oncology, radiology, cardiology, hospital performance improvement, and health law. He holds a Juris Doctorate from Concord Law School, an MBA from Oklahoma City University, and a bachelor’s degree in radiologic science from the University of Oklahoma.
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Rick J. McCraw, MBA, MHA, RN, CEN, FACHE Principal and Assessments Lead
Rick has over 30 years of emergency, trauma, and physician practice leadership experience. He led a Level 1 trauma center ED and has reduced door to provider times, the decision-to-admit to inpatient bed times, implemented point-of-care testing in the ED, and streamlined nursing workflow and the ED discharge process. Rick is a certified nurse specializing in emergency nursing.
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