Chapter Champions Meet their Mark

Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. In February 2018, WellStar Health System engaged WellStar Clinical Partners to work through our chapters to achieve improvements in quality and safety in the inpatient setting. The Hospital Quality and […]

Network Spotlight: Charles Craton, M.D.

Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. Charles Craton, M.D. has been a leading voice in the pursuit of clinical integration since before the inception of WellStar Clinical Partners. He was an original member of the WCP […]

A Care Team Journey to Service Excellence

The Fall 2018 medical staff leadership retreat was an inspiring opportunity to share best practices and future plans. The twice-yearly gathering permits WellStar physicians to learn from one another and collaborate on ways to improve performance and address challenges. The weekend event was held at the Westin Hotel in Buckhead and was well attended and supported by members of WellStar Clinical Partners.

WHN Extends Current Performance Year

WellStar Health Network’s current Medicare Shared Savings Program Agreement was set to expire December 31, 2018. CMS’s proposed “Pathways to Success” outlined its intent to increase savings for the Medicare Trust Fund by requiring ACOs to transition to two-sided risk models (up and downside risk). To give ACOs more time to evaluate the new program, CMS provided the opportunity for ACOs like WHN, whose existing contract expired December 31, 2018, to extend the current contract terms and conditions for six months until June 30, 2019.

Promoting Interoperability Hardship Application

With the emphasis on flexibility and ease of data exchange, the Centers for Medicare and Medicaid Services (CMS) renamed the Advancing Care Information (ACI) to Promoting Interoperability (PI). WHN practices have raised concerns over challenges in reporting this category. The score of each practice affects the score for the ACO. A low score or failure to submit will lower the overall score for WHN and all participants.

Cigna: Physician Effort Yields Promising Results

WellStar has been participating in the Cigna Collaborative Care initiative for approximately six months and there are some key important factors to report. The program’s goals are tied to better managing patients who are complex and chronically ill, engaging in proactive preventative health screening, closing critical gaps in care and addressing over-utilizing patterns.