- Mary Washington Healthcare’s clinically integrated network (CIN) uses a physician scorecard to promote effective population health management.
- The scorecard rates physicians on activity-based metrics that encourage them to provide enhanced access and care to patients of the CIN.
- The CIN plans to eventually use the scorecard to guide referrals to high-value specialists in the network.
Mary Washington Healthcare has prioritized population health throughout the seven-year tenure of Travis Turner, chief population health officer of the health system and COO of the organization’s health plan.
In recent years, a physician scorecard has been one of the Fredericksburg, Va.-based organization’s key tools in its population health ventures. The scorecard shows physicians in the health system’s clinically integrated network, Mary Washington Health Alliance (MWHA), how they are performing in measures of cost and quality.
The plan is to eventually use the scorecard as a means for primary care physicians (PCPs) to assess the value of care provided by specialists in the network, allowing them to make referrals accordingly.
“It’s great to have the population health initiatives that you hope to qualify for, but you need to also have a strategy and plan in place to execute on,” Turner said. “You can’t strategize around hope.”
“You’ve got to create value, you’ve got to change behavior, you’ve got to have accountability,” he added, to succeed in initiatives such as those sponsored by CMS (see the box at the bottom of this article).
In separate interviews, Turner and Rick Lewis, MD, medical director of MWHA, provided details on the scorecard and how it helps drive behaviors that promote high-value care.
Q: Describe the scorecards for the employed and independent physicians who are part of Mary Washington Health Alliance.
Travis Turner: We feel transparency is extremely important in order to change behavior. [The scorecard gives] a comparison of provider to provider within the same specialty. And then it's a provider to their individual practice. And then it's that provider to the network.
We also partner with a vendor that provides national data because it's great to say we want to compare ourselves to ourselves and improve, but we don't know if we're starting from a good point or a bad point unless we look at the national benchmark.