LCHM Spring 2017 - 27

L C M E D S O C .O R G

We're one of the safest hospitals in
Lehigh County and the nation!

Information from the Centers for Medicare and Medicaid
Services (CMS), the Commonwealth of Pennsylvania, and
commercial payers indicates this value shift will account for
a significant portion of physician reimbursement within just
a few short years.
As payment models quickly change, employers and payers are
demanding greater accountability. Physicians are in a unique
position to work together to co-create meaningful solutions
that result in the highest quality of patient care available and
the appropriate rewards for its delivery.
As a result, many physicians are joining together to seek
opportunities for higher levels of success amid these changes. By
participating in an aggregated, larger network while maintaining
practice autonomy, physicians are given every opportunity to
succeed in the new value-based world.

One way physicians
can succeed in
value-based care
is through CINs.

Sobia Naeem, MD
Steven J. Schweon, RN, CIC
Infection Prevention
Gina Hausman, RN
Rona Welch, RN
Patient Care Director
Patient Care Director

When it comes to patient safety see
why smaller can be better!
Our doctors, nurses and staff work
hard to keep patients free from harm.
At Sacred Heart Hospital patient safety
is our top priority which is why we are
so proud that we earned an "A" from
the Leapfrog Hospital Safety Grade for
being one of the safest hospitals in the

To lead this effort and help Pennsylvania physicians survive
and thrive in this new health care landscape, the Pennsylvania
Medical Society's 2016 House of Delegates (HOD) passed a
landmark initiative on Oct. 23, 2016. This historic initiative
- called the Practice Options Initiative - will create clinically
integrated networks (CINs) as well as a Management Services
Organization (MSO) to help Pennsylvania physicians succeed
in value-based care, while maintaining leadership roles and
clinical autonomy.
The MSO will eventually provide services within the general
categories of insurance services, revenue cycle, practice operations,
and finance and business operations. It will include services such
as front-end management as well as back-end management of the
practice, staff payroll, reimbursement, charge capture, appeals,
coding, practice management, etc., as well as Medicare Access
and CHIP Reauthorization Act of 2015 (MACRA) readiness
and Merit-Based Incentive Payment System (MIPS) reporting.
These services will be available to any physician practicing in
Pennsylvania or elsewhere.
The Leapfrog Hospital Safety Grade is an elite distinction from
the Leapfrog Group, a national, independent watchdog that sets
the highest standards for patient safety in the United States.

Continued on page 28
SPRING 2017 | Lehigh County Health & Medicine 27


Table of Contents for the Digital Edition of LCHM Spring 2017

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