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The Emory Healthcare Network, one of the largest clinically integrated networks in Georgia, connects physicians at its academic medical center, Emory University Hospital, with outside physicians in private practice.
All physicians must participate in the network’s health information exchange so that everyone knows what’s going on, in real time, with their patients. All 327 primary care physicians are working on a single set of quality measures and goals, and the network keeps tabs on them.
Care coordinators scan claims and clinical data to see if anything is being missed. If the data suggest, for example, that a patient has diabetes but has not had a recent eye or foot exam, that patient’s physician will be alerted to get on the job. When a primary care physician refers a complex patient for a scan or a specialist visit, a care coordinator makes sure that nobody drops the ball.