NETWORK FOR REGIONAL HEALTHCARE IMPROVEMENT
PO BOX 1017, PORTLAND, ME 04104 www.nrhi.org

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Organizations Filed Purposes: NRHI'S MISSION IS TO ACTIVATE AND SUPPORT REGIONAL HEALTH IMPROVEMENT COLLABORATIVES BY INCREASING COLLABORATION AND SHARED LEARNING WITHIN AND ACROSS COMMUNITIES; PROVIDING THOUGHT LEADERSHIP AND TECHNICAL EXPERTISE ON COMMUNITY-LEVEL IMPROVEMENT; AND, DELIVERING SOLUTIONS THAT HELP COMMUNITIES SUCCEED. WE ENVISION A WORLD WHERE LOCAL LEADERS WORK EFFECTIVELY TOGETHER TO IMPROVE THE PATIENT EXPERIENCE OF CARE, IMPROVE THE HEALTH OF POPULATIONS, AND REDUCE THE COST TREND IN THECOMMUNITIES WE SERVE.

GETTING TO AFFORDABILITY NRHI AND ITS MEMBERS LONG RECOGNIZED THE NEED FOR HIGH-QUALITY, COMPARATIVE DATA ON HEALTHCARE SPENDING. WORKING COLLABORATIVELY AND WITH THE SUPPORT OF THE ROBERT WOOD JOHNSON FOUNDATION, THEY BEGAN TO PRODUCE IT AND CONTINUE TO SPREAD THEIR EXPERTISE AND APPROACH TO INCREASING PRICE TRANSPARENCY. BEGINNING IN 2013, NRHI INTENSIFIED ITS FOCUS ON MAKING HEALTHCARE MORE AFFORDABLE THROUGH AN INITIATIVE NOW KNOWN AS GETTING TO AFFORDABILITY (G2A). SUPPORTING SIX OF ITS MEMBERS IN MEASURING AND REPORTING ON DIFFERENCES IN TOTAL COST OF CARE AND THE IMPACT OF PRICE AND RESOURCE USE HAS BEEN A CORE PART OF NRHI'S WORK. IN ADDITION TO PRODUCING THREE ROUNDS OF NATIONAL TOTAL COST OF CARE BENCHMARKS, REGIONS HAVE MEASURED AND REPORTED THREE YEARS OF HEALTHCARE COST INFORMATION ON OVER 5 MILLION PATIENTS ATTRIBUTED TO APPROXIMATELY 20,000 INDIVIDUAL PHYSICIANS. THIS COMPARATIVE COST DATA INFORMS STATE LEGISLATURES AND STATE AGENCY LEADERS TO DEVELOP POLICIES TO SUPPORT MORE AFFORDABLE HEALTHCARE. PRIMARY CARE PRACTICES USE THE INFORMATION TO IDENTIFY AREAS AND STRATEGIES FOR IMPROVING HEALTH AND REDUCING COSTS. HEALTH PLANS CAN USE THE INFORMATION TO DRIVE IMPROVEMENT AND CREATE BENEFIT DESIGNS THAT ENCOURAGE USE OF COST EFFICIENT PRACTICES. DOZENS OF LEADING NATIONAL AND LOCAL EMPLOYERS ARE MORE AWARE OF THE VARIATION IN COST ACROSS PROVIDERS AND USE THE INFORMATION TO MAKE SURE THEY ARE GETTING VALUE FOR THEIR HEALTHCARE DOLLARS. SOME REGIONS PRODUCE CONSUMER FACING ON-LINE TOOLS TO BETTER INFORM PATIENT CHOICE OF PROVIDERS. OVER A FIVE-YEAR PERIOD A TOTAL OF 19 REGIONS PARTICIPATED IN THE PROJECT IN VARYING CAPACITIES ALL WITH THE GOAL OF ADVANCING COST TRANSPARENCY IN THEIR REGION TO ENABLE ALL STAKEHOLDERS TO MAKE MORE INFORMED DECISIONS ABOUT THEIR HEALTHCARE SELECTION. THIS INFORMATION IS ESSENTIAL TO INFORM STRATEGY, SHAPE POLICY AND ENABLE INTERVENTIONS TO IMPROVE HEALTH AND REDUCE COST VARIATION.

SUPPORT AND ALIGNMENT NETWORK (SAN)NRHI WAS DESIGNATED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) AS A SUPPORT AND ALIGNMENT NETWORK (SAN) UNDER THE TRANSFORMING CLINICAL PRACTICE INITIATIVE (TCPI) AND COMPLETED ITS FOURTH YEAR OF THIS COOPERATIVE AGREEMENT IN 2019. UNDER NRHI'S LEADERSHIP AND COORDINATION, EIGHT NRHI MEMBERS HAVE SERVED AS FACULTY PROVIDING TECHNICAL ASSISTANCE TO 26 OF 29 OF THE PRACTICE TRANSFORMATION NETWORKS (PTNS) ACROSS THE COUNTRY. SAN PROGRAMMING INCLUDES TOPICS THAT ASSIST THE PTNS, WHICH ARE MADE UP OF HEALTHCARE PRACTICES IN A GIVEN REGION, IN MAKING THE TRANSITION FROM VOLUME TO VALUE-BASED PAYMENT MODELS MANDATED UNDER THE MACRA (MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015). NRHI'S SAN HOSTED 41 LEARNING PROGRAMS OVER 25 TOPICS AND HAVE DELIVERED 63 LEARNING LABS WHICH PROVIDE DIRECT DEEP DIVE SUPPORT IN AN AREA OF PARTICULAR INTEREST TO AN INDIVIDUAL PTN. PROGRAMS HAVE YIELDED STRONG EVALUATION RESULTS WITH OVER 90% OF ATTENDEES REPORTING PLANS TO SHARE PROGRAM INFORMATION WITH OTHERS INCLUDING PRACTICES THAT THEY ARE WORKING WITH. PROGRAMMING RESULTED IN A 59% IMPROVEMENT IN NAVIGATING PAYMENT REFORM MILESTONES WITH PRIMARY CARE PROVIDERS, A 26% IMPROVEMENT IN QI MILESTONES WITH SPECIALTY CARE PROVIDERS, AND A 34% IMPROVEMENT IN REDUCING UNNECESSARY TESTING MILESTONES WITH PRIMARY AND SPECIALTY CARE PROVIDERS. COLLECTIVE EFFORTS LINKED TO NRHI MEMBER PRACTICE TRANSFORMATION SUCCESSES AND NRHI SAN PTN ENGAGEMENTS HAVE PRODUCED ESTIMATED SAVINGS OF $825 MILLION.

NRHI MEMBERSHIP BENEFITSNRHI OFFERS THE FOLLOWING BENEFITS TO ITS MEMBERS TO FACILITATE COLLABORATION WITH EACH OTHER IN ORDER TO IMPROVE THEIR ABILITY TO TRANSFORM HEALTHCARE IN THEIR COMMUNITIES MORE EFFICIENTLY AND EFFECTIVELY. OPPORTUNITIES TO NETWORK WITH AND LEARN FROM MORE THAN 30 MEMBERS THROUGH SOCIAL AND WORKING EVENTS. EXPOSURE AND PROMOTION OF THE WORK OF REGIONAL MULTI-STAKEHOLDER COLLABORATIVES AND THEIR PRIORITIES AT NATIONAL MEETINGS AND CONFERENCES.REPRESENTATION OF MEMBER COLLABORATIVES' POLICY PRIORITIES WITH FEDERAL POLICY MAKERS.REGULAR, CENTRALIZED UPDATES FROM NATIONAL POLICY EXPERTS ON ISSUES IMPACTING MEMBERS. ACCESS TO IN-PERSON AND VIRTUAL MEMBER EVENTS - APPROXIMATELY 50 MEETINGS AND ORGANIZED DISCUSSIONS EACH YEAR AVERAGING FOUR PER MONTH. MEMBER DIRECTORY COMPRISING NRHI'S MEMBERS - WHO THEY ARE, AREAS OF EXPERTISE, PROGRAMS AND CONTACT INFORMATION.NRHI SENIOR LEADERSHIP PARTICIPATION IN REGIONAL MEETINGS TO BRING NATIONAL PERSPECTIVE TO LOCAL STAKEHOLDERS.MONTHLY NRHI MEMBER NEWSLETTER FOCUSED ON HEALTH AND HEALTHCARE IMPROVEMENT SOLUTIONS NATIONALLY AND REGIONALLY.MONTHLY EVENTS BULLETIN PROVIDES DETAILS AND REGISTRATION LINKS FOR VIRTUAL AND IN PERSON NRHI, MEMBER AND NATIONAL EVENTS.COMMUNICATIONS SUPPORT AND DISSEMINATION OF MEMBER NEWS AND EVENTS THROUGH NRHI'S COMMUNICATIONS CHANNELS INCLUDING SOCIAL MEDIA SUPPORT.MULTI-REGION INNOVATION PILOTS PROVIDE MEMBERS WITH FUNDING FOR NRHI LED INITIATIVES TO COLLABORATE ACROSS REGIONS ON A PARTICULAR FOCUS AREA (E.G. COST TRANSPARENCY, POPULATION HEALTH, QUALITY IMPROVEMENT)BI-DIRECTIONAL ADVOCACY SUPPORT TO COMMUNICATE REGIONAL NEEDS AND IMPACTS TO INFORM NATIONAL POLICY AND BRING NATIONAL POLICY INTELLIGENCE TO COMMUNITIES.DISCOUNTED ACCESS TO TECHNOLOGY SOLUTIONS TO IMPROVE COMMUNICATIONS AND STAKEHOLDER ENGAGEMENT, CONNECT AND COLLABORATE WITH OTHER HEALTH AND HEALTHCARE IMPROVEMENT ORGANIZATIONS AND ANALYTIC SOFTWARE.

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