The Drivers of FACS Success
The serial success of FACS Medicare and commercial ACOs can be attributed to the following factors:
A Comprehensive Provider Network
- 1A comprehensive network of over 600 independent primary care providers dedicated to the preservation of their independence and satisfaction of the FACS mission.
- 2A Network of over 1,000 Independent Specialists that provide clinically integrated services to Medicare and commercial patients aligned with FACS ACOs.
The Guardian HIE Platform
Contractual Agreement between FACS and Guardian Health Services (GHS) providing access to and use of a robust HIE IT platform (referred to as Guardian) that goes beyond meaningful use and the all too common silo restrictions of independent EHRs, and reflects the "holy grail" of clinical integration. The Guardian HIE architecture provides the capability for:
- 1Moving clinical information among and between disparate providers and information systems, while maintaining the meaning of the information being exchanged
- 2Building a complete and fluid real-time view of a patient (Patient Master Chart), through longitudinal integration of patient health data/information at points of care
- 3Accessing the right information at the right time for clinical decision-making, and avoiding duplication of services and reducing medication and medical errors
- 4Optimizing compliant and audit-proof medical risk adjustment
- 5Monitoring and comparing performance relative to outcome parameters across the network
- 6Engaging the patient through portal access to their own personal medical data
- 7Fully satisfying the technology requirements of MIPS and APMs
Targeted Evidence-Based Programs
Targeted evidence-based programs provided by GHS and driven by the Guardian HIE architecture directed at:
- 1Ensuring timely and effective transitions of care
- 2Analytic modeling and stratification of high risk patients with corresponding opportunities for engagement with formal complex care management services
- 3On-going identification and closure of quality performance measure gaps
- 4Effective referral management to ensure timely and cost-efficient coordination of care
- 5Systematic monitoring of medical risk adjustment and HCC coding and documentation
- 6Diversion of patients from inappropriate use of ERs
- 7A comprehensive telemedicine program
- 8Systematic monitoring of patient experiences and satisfaction with care on the practice/provider level
Innovative Community-Based Service Delivery Platforms
Innovative community-based service delivery platforms that serve as high quality and cost-efficient alternatives to hospital sponsored and driven platforms. A sampling of these platforms include:
- 1A Radiology Benefit Manager (RBM) program dedicated to integrating independent radiology centers and services and reduce unnecessary and costly imaging
- 2A hospitalist platform dedicated to providing timely, comprehensive, cost-effective, and appropriate evidence-based inpatient medical care to network patients and reduce leakage
- 3A post-acute care platform dedicated to penetrating the hospital to SNF revolving door and significantly reducing costs
- 4A network of services/settings (e.g., radiation oncology, cath labs, outpatient surgery centers) dedicated to providing high quality and cost-efficient alternatives to services provided in hospital settings
600+
Independent Primary Care Providers
1,000+
Independent Specialists
13
Florida Counties Served