Premier's Partnership for Care Transformation™ (PACT) Collaboratives

Care delivery is undergoing unprecedented change, and new, more coordinated models of care delivery are inevitable. These models will require a very different set of operating activities than those of today’s typical hospital system. Success will depend on the ability to improve care across all sites of care in a community. Addressing this larger scope of activity will be difficult even for the most advanced systems.

Effective models of care will be expected to connect groups of providers who are willing and able to take responsibility for improving the health status, efficiency and experience of care for a defined population. They will include:

• Patient-centered health homes that deliver primary care and coordinate with other providers.
• Aligned networks of specialists, ancillary providers and hospitals focused on outcomes.
• Explicit care integration and coordination mechanisms.
• Payor provider partnership relationships and reimbursement models identified under healthcare reform that facilitate and reward high value, not high volume, healthcare.
• Population health information infrastructure to enable community-wide care coordination.

Premier's PACT Collaboratives

An effective coordinated care delivery model will require a very different set of operating activities than those of today's typical hospital system. Success will depend on the ability to improve care across all sites of care in a community and will be broader in scope. This will be difficult even for the most advanced systems. To help members develop these capabilities, Premier's PACT Collaboratives will:

• Speed implementation and lower the risk of developing market-leading coordinated care delivery models, providing expert input needed to build key ACO operating activities such as health homes, bundled payment models, population data management and IT.
• Work with policy makers to design legislation and shape possible government projects.
• Create shared tool kits, best practices and contracting models to facilitate the goals of coordinated care delivery (i.e., lower costs, improved quality and increased patient satisfaction).
• Develop standard performance metrics to manage population health, identify improvement opportunities and enhance market position with payors, employers and government.
• Position Premier collaborative members as the national leaders in improving the value of our healthcare system.

Two collaborative tracks

To help members develop coordinated care delivery capabilities, Premier has created two collaboratives.

The PACT Implementation Collaborative will consist of members who can pursue accountability for a portion of their population today, evolving from fee-for-service to value-driven business models by modifying existing payor contracts. The collaborative formally convened for its first meeting and public launch at the kickoff meeting in Washington, DC in June 2010. See members of the PACT Implementation Collaborative.

The PACT Readiness Collaborative will work to develop the organization, skills, team, operational capability and tools necessary to develop an coordinated care delivery model and ultimately join the Implementation Collaborative. The Readiness Collaborative formally launched in June 2010 at Premier's annual Breakthroughs Conference. See members of the PACT Readiness Collaborative.

What others are saying

• "I think you are on the cutting edge of the most important part healthcare reform, and it is not discussed very much. It is sort of a stealth development. Basically it is all that goes into delivery system reform, and clearly, accountable care organizations are a large part of that."
  – Senator Max Baucus (D-MT), chairman of the Senate Finance Committee
• "I believe that this whole accountable care organization advanced by Premier is going to be very clinical in how best practices are identified. … What we are really saluting here is private sector leadership that inevitably will have a huge public policy context."
  – Representative Earl Pomeroy (D-ND), former member of the House Ways and Means Committee
• "I know Premier is going to continue to lead the way. I worked with Premier on the ground level in my capacity as a cardiac surgeon, and now as a member of the House Ways and Means Committee."
  – Representative Charles Boustany (R-LA), member of the House Ways and Means Committee
• "This collaborative will ensure we can test innovative models in time to share what works with policy makers so that when ACOs spread nationwide, we know they will be effective."
  – Michael Bryant, CEO of Methodist Health Services Corporation
• "We applaud innovations that take better care of patients and improve value, and the fact that Premier has a large organization that has embraced the [ACO] proposal is something that is very conducive to the types of changes in the delivery system that provide value to patients, lower costs and improve outcomes. I think it has a lot of promise."
  – Robert Kocher, a member of the National Economic Council and Special Advisor to President Barack Obama on healthcare

Thought leadership

As a pioneer in helping healthcare providers study and implement coordinated care delivery models, Premier's speakers offer unique insights and tangible solutions to the challenges facing hospitals, payors and providers. Premier's speakers can present real examples of accelerated performance improvement.

• Speaker: Danielle Lloyd, senior director, reimbursement and policy analysis
  Topics: Payer partnerships, ACOs and reimbursement, ACOs and regulatory policy, ACOs and healthcare reform
• Speaker: Richard Bankowitz, chief medical officer
  Topics: Health homes, ACO measurement, clinical quality improvement, physician alignment
• Speaker: Jeff Lemkin, chief counsel
  Topics: Legal issues, including Stark law and antitrust
• Speaker: Blair Childs, senior vice president, public affairs
  Topics: ACOs and regulatory policy, ACOs and healthcare reform, ACOs and legislative landscape
• Speaker: Keith Figlioli, senior vice president, healthcare informatics
  Topics: ACOs and IT enablement
• Speaker: Mark Hiller, vice president, innovative data solutions
  Topics: ACOs and integration, ACOs and provider networks

To arrange for Premier to present at your meeting, please contact Jeff Vawter.

Take action.
For more information about how to partner with Premier on developing your integrated/accountable care capabilities, please contact:

JoAnna Jaskolka
Director, Collaborative Operations
Premier healthcare alliance
joanna_jaskolka@premierinc.com 

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