You may also have access to Preventure condition management nurse coaches through the CHI Healthy Spirit Wellness Program. The Preventure condition management nurse coaches are experienced in helping you set goals and overcome barriers in order to live a healthier lifestyle and provide support in managing your chronic conditions.
- Primary care providers may have an office health coach to help coordinate your care. They may review charts, work with patients and families, and may be involved in health improvement activities. For example, the coach may help you find the resources you need to better manage your condition (such as asthma).
- A hospital health coach may be assigned if you are a patient at a hospital within AHN. The hospital coach may help you transition to outpatient care until you are able to see the coach in your patient-centered medical home office. In addition, if your hospital stay is with a AHN hospital, your primary care provider will have comprehensive information about your hospital stay, treatment plan, current health status, and a listing of all prescriptions, etc.
AHN health coaches are different than the lifestyle coaches available through the CHI Healthy Spirit Wellness Program. AHN health coaches are employed through AHN and focused on your individualized diagnosis and the appropriate follow-up associated with your care plan. The lifestyle coaches available through the CHI Healthy Spirit Wellness Program are focused on diet, exercise and other wellness activities that can help you change behaviors to achieve goals that will help enhance your overall health.
The collaboration that occurs within AHN, makes it possible for primary care providers to become patient-centered medical homes. If you seek care from a primary care provider within AHN, you should ask if they are a patient-centered medical home.
Arkansas Health Network (AHN) and Arkansas Children’s Care Network (ACCN) are both provider-led, health system sponsored, Clinically Integrated Networks (CINs) based in Arkansas. Together, they have a combined network of over 1400 providers across the state of Arkansas, representing comprehensive primary and specialty care for both adult and pediatric patients. The network also consists of several major hospital facilities in Arkansas – CHI St. Vincent Infirmary, CHI St. Vincent Hot Springs, CHI St. Vincent North, CHI St. Vincent Morrilton, Arkansas Children’s Hospital, Arkansas Children’s Northwest, and Conway Regional Medical Center.
Arkansas Health Network was established by CHI St. Vincent in 2013. Arkansas Children’s Care Network (ACCN) was established by Arkansas Children’s in 2017.
- Better collaboration among your health care providers and facilities;
- Opportunities to be more active in your health care decisions, including more time to ask questions of your provider;
- The amount you pay for services received within AHN may be lower when you choose providers and facilities within AHN;
- If you have access to a patient-centered medical home within AHN, then you may notice additional communications, such as reminders of appointments, timely screenings or AHN team members reaching out to you more frequently
- If available, a local health coach may be available to help you manage your wellness efforts or chronic conditions. For example, you might get a reminder that you’re due for an appointment or that it’s time to have your blood sugar checked.
A Clinically Integrated Network (CIN) is a selective partnership of physicians collaborating with hospitals to deliver evidence-based care, improve quality, efficiency, coordinate care for patients, and demonstrate value to the market including employers, insurance companies, and government regulators.
In addition, health coaches and care coordinators may be available to help you and your provider with a more proactive approach toward your care, such as reminding you of preventive care check-ups.
AHN and ACCN have a shared vision to create the first provider-led, population health coordinated care delivery model offering for health plans in the Arkansas market. They determined there is a need among self-insured employers in the market to implement new, innovative models of care in order to improve the quality and cost efficiency of their health plans.
AHN and ACCN together bring a portfolio of expertise and capabilities perfectly suited to help employers achieve these desired results. These core competencies include: a high-performing provider-led network, multidisciplinary care management team, advanced data and analytics, and innovative benefit plan designs. Together, AHN and ACCN can provide comprehensive coordinated care to the whole family through their focused expertise on adult and pediatric care, respectively.
These outcomes are based on potential health problems being identified and addressed when they are easily treatable and avoiding more costly care later, as well as duplication of services.
No, AHN and ACCN have not formed an insurance company. They remain two independent Clinically Integrated Networks and are not offering a complete health plan to employers. AHN and ACCN have formed a health plan offering which allows self-insured employers to take advantage of their combined strengths and resources. Employers will have access to their combined network of providers across the state, adult focused care management team (through AHN), and a pediatric focused care management team (through ACCN). AHN and ACCN will work together to achieve maximum results for employers using their respective resources based upon the specific needs of the population.
- A structure that promotes improving their patients’ health versus focusing solely on sick care.
- Increased opportunity to collaborate with other health care providers and focus on best practices.
- The ability to earn incentives for optimal performance based on quality metrics.
- Greater efficiency in health care delivery.
- Improved compliance with evidence-based medicine guidelines.
- Streamlined physician payer contracting.
- Increased access to health information on their patients to increase efficiencies of clinical care
A CIN shifts the way all of us – patients and providers – will interact with each other.
During the discovery process, AHN and ACCN will work with the employer and TPA to figure out the best way to make this roster available to employers and their health plan members. Typically the roster will be posted either on a TPA, employer, or the AHN/ACCN website.
This will depend on the employer’s benefit plan design, which is flexible when working with AHN and ACCN. The recommended, innovative model for benefit design creates three network tiers. Tier 1 includes AHN and ACCN participating providers and facilities. Tier 2 includes other providers credentialed by the chosen TPA. Tier 3 is out-of-network providers. Employees would have an option to see providers in any of the three tiers at any time, but will have fewest out of pocket costs when accessing Tier 1 providers in the AHN and ACCN’s high performing networks.
As health care continuously evolves, we must look at new ways to provide better quality and coordinated care. CINs shift the delivery of health care from traditional, reactive sick care to proactive well care, focusing on improving the patient’s health. CINs directly support our Mission to improve the health of the people and communities we serve.
The key benefits to an organization’s employees include:
Improved patient access to healthcare services
Strengthened preventive care, disease management, and lifestyle techniques
Reduced out-of-pocket costs
Enhanced health outcomes
Employers reap benefits as well, including cost management through the integration of nurse care managers and improved case management protocols, tailored plan specifications to meet the company’s unique needs, and promotion of a healthier workforce.
Arkansas Health Network (AHN) is the CIN in Arkansas for CHI – providing the right care at the right time and at the right place of service.
- Better care results
- Maintaining a complete patient medical record
- Reduced patient mortality
- Eliminating duplication of testing and services
- Increased patient involvement in their own care
- Improved care and overall wellness
- Fewer hospital admissions for patients with chronic diseases
- Patients are able to maintain their health at home more often through self-care plans
- Lower costs for patients and physicians