Map of AltaMed’s Accountable Care Network
Los Angeles and Orange Counties

AltaMed has made great strides in patient-centric care. It was recently recognized by the Joint Commission as the first organization to be certified as a Primary Care Medical Home. Through a caring team of healthcare professionals, AltaMed aims to reduce healthcare disparities and avoid unnecessary trips to emergency rooms or other more costly forms of care. To achieve the triple aim goals while transforming the organization from volume-based to value-based delivery care models, the organization selected the Health Access Solutions Coordinated Care Platform. The partnership will help drive all facilities to operate as a cohesive network, sharing digital information across the care continuum in a coordinated, secure environment.

In 2011, as a result of its care coordination efforts, AltaMed was awarded a $1 million grant from Blue Shield of California designed to help its providers more effectively participate in an ACO. AltaMed operates within a unique model of patient-centric care underpinned by the high level of information sharing and provider collaboration achieved through its use of health information technology.

The Health Access Solutions platform will assist AltaMed in its efforts to expand its integrated medical management and care management capabilities. In addition, the technology is poised to provide bi-directional member and provider portal services for enhanced communication and care coordination across its diverse community network. “We are delighted with the extensive functionality that the Health Access Solutions platform offers,” says Martin Serota, MD, VP and CMO of AltaMed. “It will help us to create a clinically integrated organization, supporting our efforts to improve clinical workflows and clinical decision making.”

Santa Clara County

SCCIPA has long been an innovator in using technology to enhance patient care. In 2000, as a means to most efficiently handle the case and utilization management needs of its managed care patient base, the organization began using Access Express™, a component of the Health Access Solutions Coordinated Care Platform™. After reaping the benefits of Access Express – increased collaboration among case managers and patients, and streamlined claims and referrals processes – SCCIPA realized that, to move to the next level, it also required a clinical care management system. In 2010, the IPA implemented the full Coordinated Care Platform to encourage collaboration among complex care teams and enable patient-centric care.

With this technology, SCCIPA’s providers now have access to patient continuity of care documents, gaps-in-care alerts, medication and care plan adherence notifications and real-time quality dashboards. “The Health Access Solutions Coordinated Care Platform has been instrumental in helping us achieve the goal of providing collaborative care,” says J. Kersten Kraft, MD, a practicing urologist and president of SCCIPA. “The technology allows us to continue to refine our coordinated care model to better deliver a quality member experience.”

The Coordinated Care Platform helped SCCIPA achieve stellar results in the 2011 California Association of Physician Groups (CAPG) Standards of Excellence Program, which assesses provider groups’ accomplishments in care management, healthcare IT, accountability and transparency and patient-centered care. Also in 2011, as a true testament to SCCIPA’s care coordination efforts, Anthem Blue Cross selected the organization as a healthcare delivery partner in Northern California’s first accountable care organization (ACO), which will serve 25,000 Anthem preferred provider organization (PPO) members.