All CIN members must formally commit to following clinical guidelines and working on performance improvement activities. Performance improvement covers all aspects and the overall approach to procurement, including processing quality, accuracy, efficiency, timeliness, outcome and satisfaction. A sound approach to clinical integration should provide independent physicians and health systems with the tools to better care for patients. The creation of a CIN to achieve this is different from the simple creation of a CIN which is the model of the Federal Trade Commission. A CIN that bends the cost curve while improving patient outcomes could be different from its competitors, resulting in value as described below. The goal of clinical integration is simply to bring hospitals and physicians across the continuum of care together to support the Institute for Healthcare Improvement`s triple aim goals, improve the patient experience of care, and improve the health of the population. and reducing the per capita cost of health care. The shift to value-based reimbursement in the healthcare sector is creating opportunities and turmoil for healthcare systems, doctors and payers. Of all the interactions these stakeholders have, the relationship between physicians and health systems remains the most critical for clinical quality and efficiency as well as for the competitive success of each actor. Clinically integrated networks (CIN) are now in fashion.
In theory, CIN can create a “fair” relationship between physicians and health systems, as they allow for joint financial accountability for clinical improvements, provide a legal structure to combine several different entities, and have the potential to set up a more oriented delivery system. At present, this theory is pervasive among suppliers, and so the industry has experienced an explosion of CIN across the country. Health systems are also likely to benefit from physician orientation outside of CIN contracts. Clinical integration between doctors and hospitals leads to familiarity and the ability to better coordinate the care of all patients, not just those with CIN contracts. Therefore, it is likely that the systems will increase their share of the life of the entire patient panel of a coordinated physician. However, the exchange of health information is becoming increasingly popular and could become robust enough to support clinically integrated initiatives. An EHR is a medical record for a patient in a doctor`s office, hospital, assistive care facility or ambulatory care facility. . . .