Baptist Health South Florida, a not-for-profit healthcare organisation, has selected Lumeris as its operations, technology and consulting partner for value-based care.
Initially, the hospital will incorporate Lumeris’ Accountable Delivery System Platform (ADSP) to integrate data from seven different EMRs, two claims systems, and lab and pharmacy systems to provide actionable information to effectively manage patient health.
Under the terms of the agreement, the Lumeris platform will provide a comprehensive view of 27,000 patients who are part of Baptist Health South Florida’s self-insured population.
Meanwhile, a second joint initiative will add commercial and Medicare lives to the ADSP to help greater numbers of Baptist Health South Florida physicians to meet future quality, cost and utilisation metrics in their multi-payer, value-based care contracts.
Baptist Health South Florida executive vice president and chief financial officer Ralph E. Lawson said that as the largest, not-for-profit health care organisation in South Florida, Baptist Health South Florida has a responsibility to provide the highest quality care at the lowest possible cost.
"This initiative will enable Baptist Health South Florida to support the health and wellness of our employees, while assuming greater risk for managing our commercial and Medicare population as health care moves to value-based models of care," Lawson added.
Additionally, Lumeris will provide the hospital with technology-enabled solutions and consulting to provide safe, high-quality and cost-effective care for its patients.
Lumeris will help Baptist Health South Florida to uncover and execute against opportunities with its qualitative and quantitative analysis in order to improve quality and reduce cost throughout the health system.
Opportunities for creating value include care management programmes for specific diseases; generic drug alternatives for certain drug classes; care pathways for complex care management; ways to improve access to care and reduce the use of the emergency department for ambulatory conditions; methods for shifting utilisation to more cost-effective levels of care or places of service; and enhanced care coordination to reduce waste and duplicative testing.
Lumeris chairman and CEO W. Michael Long said the company is excited to be working with a forward-thinking health system like Baptist Health South Florida.
"Lumeris was built to improve clinical outcomes while driving out avoidable inefficiencies in the US health care system," Long added.
"With Lumeris’ cutting-edge technologies, transformative services and powerful, proven value model, that Baptist Health South Florida recognised as transformative and critical to their care delivery and business success, together, we are going to redefine health care delivery in the region, enhance the patient experience, improve health outcomes, lower costs, and empower physicians to practise medicine in ways they’ve only imagined possible."
Baptist Health includes Baptist Hospital, Baptist Children’s Hospital, South Miami Hospital, Doctors Hospital, Homestead Hospital, West Kendall Baptist Hospital, Mariners Hospital, Baptist Cardiac & Vascular Institute, Baptist Health Medical Group and Baptist Outpatient Services.
Image: Baptist Health Urgent Care located in Sawgrass. Photo courtesy of Baptist Health South Florida.