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STQN FAQ
about us
Frequently Asked Questions
Answers to frequently asked questions about St. Tammany Quality Network.
- Clinical integration refers to coordination of patient care across conditions, providers, hospitals and care settings to achieve care that is safe, timely, effective, efficient and patient-focused.
- Factors in achieving clinical integration include:
- Promotion of changes in provider culture.
- Redesign of payment methods and incentives.
- Incorporation of technical care support tools to aid providers.
- Focusing on chronic disease management.
- Measuring clinical outcomes.
- The focus of STQN is on creating a clinical integrated delivery network with an eye toward improving the health outcomes of patients within communities.
- Establish a burning platform for change.
- Physicians must lead the care coordination initiatives.
- Identify programs for care coordination and quality tracking.
- Establish a system that rewards providers based on performance.
- STQN is a physician-led organization that:
- Contracts with insurance companies.
- Provides infrastructure and support to member physicians.
- Creates market-responsive program.
- Rewards physician performance.
- It was formed with significant start-up investment from St. Tammany Health System.
- As the clinically integrated network begins to develop, it will negotiate value-based contracts with payers.
- “Incentive-only” contracts vs. “full” contracts, which include base FFS rates
- Group contract
- Shared savings vs. performance.
- Base rates – Physicians continue to bill and collect from insurance company under group contract rates and terms.
- Incentives are paid to the clinically integrated entity, then distributed per program measures, weighting and physician performance.
- It positions you and your practice well as payment reforms occur.
- The population health approach creates opportunity to impact community health status.
- Provides better care to patients within your community.
- Offers an opportunity to join with others to prepare for coming “value-based” market changes.
- Minimizes insurance company intrusiveness.
- Offers opportunities to take advantage of value-based incentive programs such a PQRS assistance.
- Strong strategic commitment by St. Tammany Health System and St. Tammany Quality Network.