What is Clinical Integration?
Clinical integration is defined as "an active and ongoing program to evaluate and modifythe practice patterns of a physician network’s participants in order to create a high degree of interdependence and cooperation among the physician members."1 The overarching goal of clinical integration is to continuously improve the quality of care provided to patients while simultaneously controlling the cost of the healthcare services provided. In other words, the Gulf South Quality Network’s (GSQN) clinical integration program is a proactive, physician run and physician lead effort to develop a unique, high value healthcare product for patients, employers, and health plans throughout the Gulf South region of the United States.
- Continuously identifying and adopting clinical measures to assess the value of care provided in the inpatient, outpatient, and physician office settings;
- Using an information technology system to track and report physician compliance with these measures;
- Holding each other accountable for their performance in regards to these measures; and
- Collaborating with employers and health plans to develop physician-directed contractual and incentive payment arrangements to ensure for the ongoing availability of this new, high value healthcare product.
1Department of Justice and Federal Trade Commission (1996) Statement 8: Enforcement Policy on Physician Network Joint Ventures. Statement of Antitrust Enforcement Policy in Healthcare,/i>.