Health Systems Transformation

A variety of forces are inciting a transformation of our health care system at a fundamental level, federal health care reform, the introduction of payment reform initiatives, and drive for increased patient-centeredness throughout our delivery systems. To be successful in this new era, health care organizations must transform their operations to provide better care and produce better health at lower costs. JSI guides health care providers though this essential transformation.

Accountable Care Organization (ACO)
ACOs represent efficiently integrated care delivery entities that can reduce health care costs while obtaining better health care outcomes. A large number of the newly insured will opt into ACOs or other integrated delivery networks that promise to provide patient-centered and coordinated care. As health care delivery moves toward ACOs and integrated delivery system structures, safety-net providers are increasingly confronting questions about participating in such efforts as a way to maintain financial viability and continue to deliver high-quality, culturally sensitive health care to low-income and vulnerable populations.

JSI has assisted safety-net providers to respond to market changes and effectively serve low-income, vulnerable populations. Affordable Care Act implementation will have profound effects on health care markets acrossthe U.S. and safety-net providers must respond quickly and strategically.

JSI has the experience and expertise to assist safety-net providers to successfully navigate this new world of ACOs, including to:
  • Strategically evaluate market conditions and decisions on forming or joining an ACO
  • Advocate for safety-net providers to be a critical part of ACOs
  • Establish or critically evaluate proposed performance accountability, including patient attribution, global payment, distribution of shared savings, and reporting
  • Develop tools for tracking performance and costs
  • Achieve health care delivery transformation to achieve high-value health care, including
  • care coordination, patient engagement, and process redesign
  • Obtain NCQA ACO recognition
  • Evaluate and establish effective and acceptable governance models

Primary Care Providers (Patient-Centered Medical Home, Advanced Primary Care Practice, Health Home)
Working collaboratively, JSI helps federally qualified health centers (FQHCs), rural health centers (RHCs), and other primary care providers transform their practices into patient-centered medical homes, advanced primary care practices and health homes and to obtain NCQA, AAAHC or Joint Commission certification/accreditation. Transformation can include changes in health care delivery model, workflow redesign, population based management and health information technology improvements.

Partnership/Collaborative Arrangements
JSI assists local and state public health systems in creating broad-based public health partnerships. The aim is to strengthen the coordination and service delivery capacity of the public health systems.

Health Policy Analysis
JSI works in collaboration with policy makers at all levels of government in a broad range of health service delivery and public health areas. JSI’s policy recommendations are rooted in real-world evidence while accounting for the complexity of the health care systems or organizations to which they apply.
 

Highlights

PROJECT
View details: New Hampshire Adolescent SBIRT: Screen and Intervene

New Hampshire Adolescent SBIRT: Screen and Intervene

JSI is helping to expand SBIRT protocols sooner, so that substance misuse among 12-22 yrs old can be identified earlier and addressed effectively.

PROJECT
View details: Development and Implementation of the Central New York Care Collaborative (CNYCC) – A New York State DSRIP Performing Provider System (PPS)

Development and Implementation of the Central New York Care Collaborative (CNYCC) – A New York State DSRIP Performing Provider System (PPS)

From a groundbreaking waiver allowing NY to reinvest billions in federal savings, JSI will support the Central NY Care Collaborative in implementing the waiver dollars - addressing critical issues throughout the state and encouraging comprehensive reform.

PROJECT
View details: Improving Effectiveness of Programs Serving Children with Special Health Needs

Improving Effectiveness of Programs Serving Children with Special Health Needs

JSI is working to strengthen states’ capacity to monitor and improve child health program outcomes for the HRSA Division of Services for Children with Special Health Care Needs by institutionalizing continuous quality improvement initiatives.

PROJECT
View details: Evaluating The 12 Cities Project

Evaluating The 12 Cities Project

The 12 Cities Project asked the dozen cities in the US with the highest AIDS prevalence improve collaboration and integration of federal funding for HIV prevention, care and treatment. JSI then assessed whether the project accomplished its goals.

PROJECT
View details: Colorado Center on Law and Policy Health Insurance Exchange Consumer Focus Groups

Colorado Center on Law and Policy Health Insurance Exchange Consumer Focus Groups

To ensure that the Colorado Health Benefit Exchange increases access to affordable, high quality health insurance, JSI conducted focus groups to gather consumer perceptions, wants, and needs to guide design and implementation of the Exchange.

PROJECT
View details: Maine Health Access Foundation – Cross-Site Evaluation of Integrated Primary Care/Behavioral Health

Maine Health Access Foundation – Cross-Site Evaluation of Integrated Primary Care/Behavioral Health

Learn about our work with the Maine Health Access Foundation, evaluating clinical implementation of primary care and behavioral health integration.

PROJECT
View details: Patient-Centered Medical Home and Chronic Care Model

Patient-Centered Medical Home and Chronic Care Model

JSI helped Potomac Street Health Center, a clinic serving older adults facing barriers to health care, develop a patient-centered medical home model of care to ensure these patients’ needs were met.

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