What We Do

Every action we take supports our efforts to reach the Triple Aim for Greater Cincinnati:
Healthier People, Better Care, Smarter Spending.

The scope of our work falls into the following categories:
MEMBER SERVICES
Dues-paying members of The Health Collaborative work together on health care improvement projects, share best practices, and gain exclusive access to comprehensive data and other member services.
Care Transitions

Shared Hospital Accountability

Cincinnati is one of the first communities in the country to bring together hospitals and post-acute providers to transform the health and care of individuals as they move through the health care system.

The Care Transitions Collaborative is leading the work towards our broad community goals:

  • Reduce readmissions
  • Support advanced care planning
  • Empower patients to manage medications
  • Increase patient safety
  • Reduce disparities in care
Studies, Surveys, and Clinical Data
We gather clinical data and conduct surveys and studies on health and health care to support and encourage improvement (the increased transparency is a powerful motivator) and to facilitate shared learning.

Our Data & Technology services provide members with statistics and information valuable in planning for future health care delivery and used for quality improvement, marketing, human resources and advocacy activities.

We have made summary data from some of these studies available to the community (see below). Consumers can access community health information, quality and performance scores, and more on our patient-focused website, YourHealthMatters.org.

Other reports are available to dues-paying members only. Members of the Health Collaborative, please use the request form below to let us know which one(s) you need.

  • Community Health Needs Assessment – Twenty hospitals came together in 2015 to conduct a collaborative Community Health Needs Assessment (CHNA), organized by The Health Collaborative. A highly-qualified team which included a consultant with prior CHNA experience and members of the graduate program of Xavier University’s Department of Health Services Administration was assembled. A Senior Vice President at The Health Collaborative provided executive oversight.
  • Clinical Utilization database (insight, REL analysis, ED usage)
  • Public Reports
    • 2014 Nursing Supply and Demand Study – Bi-annual, last published February 2015
    • Tristate Trauma Registry Annual Report – Published November 2014
    • Annual Vacancy/Work Force – Published May 2014
    • Semi-Annual Vacancy/Work Force – Published Sept. 2013
    • Hospital Performance Ratings at YourHealthMatters.org
    • 2012 Nursing Supply and Demand Study – Bi-annual, last published Feb. 2013
    • Community Health Needs Assessment for Southwest Ohio and Southeast Indiana – Published May 2012
  • The Economic Impact of Cincinnati Area Hospitals on Greater Cincinnati – A report done every three to five years, in partnership with the Cincinnati USA Regional Chamber. Last published in January 2014.
  • Members-only Reports (must be requested via form below)
    • Care Partners Compensation and Benefits Survey
    • Healthcare Worker Flu Immunization Report
    • Human Resources Studies
    • Monthly Utilization Study

Request member reports

Disaster, Emergency Preparedness, and Trauma
We work with our member health care providers to ensure that if a disaster strikes, we all have the resources and tools to respond.

Disaster and Emergency Preparedness

We provide a thorough battery of preparedness activities including regional exercises to test readiness and identify areas where hospitals and health systems need to enhance their response capabilities, coordinating federal grant dollars, representing our hospital and health system members in the region with other response partners such as EMA, Fire/EMS, Communications, Public Health, Homeland Security and others, and much more.

Trauma

The Health Collaborative collects and analyzes trauma and injury data contributed to the Regional Trauma Registry by participating hospitals in our region. The Trauma Committee is then able to use the information to make recommendations that help improve the overall trauma care throughout the region.

See our Events page to see and register for upcoming trauma education courses for area physicians and nurses.

Education and Training
The Health Collaborative offers a range of courses and sessions to help your organization improve quality, efficiency, and organizational effectiveness. The topics of these events range from navigating changes in Medicaid and Medicare to social media to continuing education courses for providers.

Regional Epic Services

Interconnectivity to improve hospital operations, patient care, and handoffs.

While not all members use Epic systems software for their electronic medical records, many do. By working together, we will uncover vast opportunities for savings and efficiency. The Health Collaborative has cultivated a regional relationship with Epic, pursuing opportunities to optimize the use of Epic as a region to drive cost savings (e.g. education and data exchange), and facilitating a regional Epic clinical/technical users group. Members using systems other than Epic will benefit from our work with HealthBridge focused on improving interoperability among different systems. Overall, we’re establishing a structure to help all members improve interconnectivity that is adaptable based on members’ current and future needs.

Group Purchasing
Members enjoy the combined buying power of  30+ hospitals/health systems and more than 100 post-acute, non-acute and other health care providers. Their high volume translates into substantial discounts for program members on purchases of products and services.

Cincinnati MD Jobs

Healthy Communities Need Great Doctors

The Health Collaborative has a ten year tradition of recruiting top physician talent to Greater Cincinnati through its enterprise, Cincinnati MD JobsCincinnati MD Jobs works for medical careers the way internet matchmaking works for relationships. Doctors, typically young residents or fellows, post their CVs and career objectives to our career matching engine. Our valued clients post their physician job openings. We also place physician assistants and nurse practitioners.

As a self-supporting enterprise of the Health Collaborative, Cincinnati MD Jobs is able to promote the region and its  progressive medical community  in a way no single hospital or practice can.  Our candidates discover the advantages of living and practicing medicine in a community that is a national leader in health care transformation.

Cincinnati MD Jobs is the only nonprofit physician recruiting agency in the country serving a major metropolitan area and is responsible for nearly 250 hires.

Special Projects
We undertake these based on member requests. To make a suggestion or request, please submit this form.

How to become a Member
We offer three types of memberships: Hospitals/Health System membership, Care Partner membership (post-acute, non-acute and other community care providers), and Business Partner membership for local businesses and organizations.

To get more information on how to become a member, please submit this form.

TECHNOLOGY BY HEALTHBRIDGE: HB/SUITE
The HealthBridge service line supports health information exchange (HIE) and technology adoption. We provide tools to help our clients prepare for payment reform, accountable care, patient engagement, and quality improvement.

What is a Health Information Exchange (HIE)?
HIE is the secure electronic movement of health-related information among organizations utilizing nationally recognized standards and policies.

Why is HIE important?
HIE is foundational to ensuring high quality patient care. As patients move from one healthcare setting to another, HIE ensures patient information is available at the point of care where and when it’s needed. Many healthcare quality and cost concerns – missed opportunities for preventive care, medical errors, redundant testing, readmissions, and so on – can be addressed through improved technology and information exchange.

hb/suite

The right information, in the right place, at the right time, for better care.

The Health Collaborative’s hb/suite of technology services connects all the pieces that healthcare providers, payers, and health systems need to ensure they have the right information in the right place, at the right time for better care, smarter spending, and healthier people. Click on a service below to learn more.

hb/360

hb/360

Imagine a 360-degree view of a patient’s clinical information, regardless of care location. hb/360 is the next generation in health data – putting the power of information into providers’ hands when and how they need it, giving them the capability to search for a patient and have the entire community-wide health record immediately at your fingertips.

hb/exchange
hb/results

hb/results services automatically deliver real-time lab, radiology and transcribed results from 40+ data sources to physicians in the most efficient method for that organization:

  • hb/Messaging – secure web-based method to view results and their content
  • hb/EHR – HL7 integration directly into an EHR
  • hb/fax – delivered to a fax machine

hb/public health helps healthcare providers electronically send important information (Immunizations, Electronic Lab Results and Syndromic Surveillance) to their state registries in Indiana, Ohio, and Kentucky to improve population health and meet regulatory requirements such as MACRA.

As value-based payment models continue to increase, deepening integration between providers and health plans is critical to ensuring your patients is managed at an efficient cost. hb/HEDIS analyzes your clinical data and submits it to health plans, which provides value by reducing manual process into an automated, electronic one, allowing your staff to focus on providing better care.

hb/analytics
hb/analytics

The hb/analytics platform allows for cost and clinical measure reporting. Standard measure sets such as PQRS, ACO, HEDIS and others are able to be reported for an individual, group or multi-group organization. Custom measures can also be reported allowing flexibility in identifying high risk or cost patients or providers as well as measures that match health plan value based payment models. hb/analytics provides a web based front end solution for all facets of the process:

  • Data Submission – wide variety of formats accepted
  • Data Quality Feedback Iterations – content and volume threshold based
  • Data Reporting – individual, group or aggregate

hb/encounters
CMS penalties for readmissions can be a significant impact to your organization’s revenue stream. With hb/encounters, we’re able to notify you of the specific readmissions that drive high costs. Layered with trending analysis, hb/encounters allows you to identify high risk patients. Care coordinators use this information to ensure patients are provided resources to reduce these readmissions and positively impact your bottom line.

hb/rads
CMS and other health plans are focusing on unnecessary duplicate testing to ensure patients are managed safely; however, providers often have no way of determining if a test has already occurred. With hb/rads, your hospital ED is notified in real-time of all radiology exams performed on a patient with a risk score to help identify patients at risk for over-radiation.

hb/meds
The opioid epidemic continues nationwide, with our region often on the front lines. hb/meds provides automated integration with the Ohio opioid databases. Upon patient registration, hb/meds automatically integrates a report directly into your EHR within minutes providing critical data to inform a prescribing decision.

hb/notify
hb/notify

hb/notify delivers real-time notifications to providers that a hospital encounter has occurred for one of their attributed patients. Using complex matching algorithms, hb/notify is able to monitor the hospital ecosystem for a patients’ activity. hb/notify puts valuable information into a provider’s hands quickly to ensure proper care coordination and proactive efforts can be made to reduce hospital admissions in the future.

hb/direct
hb/direct

A simple, secure and cost effective solution to communicate with other providers, hb/direct is a HIPAA-compliant secure email solution that can be accessed via the web, or integrated into your EHR to allow you to send transitions of care and other information to providers.

Interested in learning more about The Health Collaborative’s hb/suite and the HealthBridge service line?

Contact Sean Flynn, Senior Account Manager, at 513.247.5257 or sflynn@healthcollab.org

CONVENING & ENGAGEMENT
Gen-H (Collective Impact on Health)

Making Health a Value We Share

“Collective Impact” is a structured approach to developing coordinated solutions to complex social problems. The Collective Impact on Health in Greater Cincinnati, now known as Gen-H, is comprised of a diverse group of key leaders representing many sectors of our community. The Health Collaborative convened this team to achieve healthier people, better healthcare, and smarter spending, a three-part goal known as The Triple Aim.

This group has been working together to agree to a short list of improvement priorities for Greater Cincinnati and Northern Kentucky, and identify steps to reach them.

Payment Realignment / Comprehensive Primary Care (CPC)
Healthcare payers are now paying bonuses based on quality measures, so for the first time, not only is quality important to patient outcomes, but it also impacts the economics of the medical office.

We help healthcare systems, practices, and their staff learn how to improve the quality of care they provide by applying improvement techniques to the clinical setting.

National Health Care Reform

A key component of the national healthcare reform legislation entails testing various integrated care models (such as medical homes and accountable care organizations) and new payment mechanisms to improve patient quality and safety while cutting costs.

Some of these payment mechanisms enable systems of providers (for example, hospitals, primary care, and specialty) to share with government and private insurers the savings they generate if they meet certain quality and cost reduction targets. Other mechanisms are designed to provide a “per patient per month” payment to physician practices, such as Patient-Centered Medical Homes, to manage and coordinate care for a particular patient population.

A group of area hospital/health system leaders joined with The Health Collaborative, health plans, businesses, and safety net organizations at a symposium in 2011 to begin to develop a regional strategy to prepare for federal payment reform opportunities and explore the readiness and willingness of Greater Cincinnati to apply for federal payment initiatives.

Pay for Performance

In healthcare, just as anything else, you get what you pay for. Our doctors are paid to see sick people. Keeping people well doesn’t factor into their bottom line.

The Health Collaborative has been working on strategies to pay primary care doctors for keeping people well.  In 2010 we pioneered a pilot project with participating insurance plans to pay select practices a bonus for practicing a model of care called Patient-Centered Medical Home. This work helped set the foundation for a truly revolutionary development – the Comprehensive Primary Care Initiative, now known as “CPC Classic.” 

Now, in 2017, the program is being expanded to 562 practices across the State of Ohio and throughout Northern Kentucky, in an unprecedented payment transformation effort called Comprehensive Primary Care Plus, or CPC+.

Disaster, Emergency Preparedness, and Trauma
We work with our member healthcare providers to ensure that if a disaster strikes, we all have the resources and tools to respond.

Disaster and Emergency Preparedness 

We provide a thorough battery of preparedness activities including regional exercises to test readiness and identify areas where hospitals and health systems need to enhance their response capabilities, coordinating federal grant dollars, representing our hospital and health system members in the region with other response partners such as EMA, Fire/EMS, Communications, Public Health, Homeland Security and others, and much more.

Trauma

The Health Collaborative collects and analyzes trauma and injury data contributed to the Regional Trauma Registry by participating hospitals in our region. The Trauma Committee is then able to use the information to make recommendations that help improve the overall trauma care throughout the region.

See our Events page for upcoming trauma education courses for area physicians and nurses.

YourHealthMatters / Consumer Engagement

YourHealthMatters provides healthcare consumers in Greater Cincinnati with a neutral and trusted resource for objective information about the quality of care available from providers in our community. Our goal is to empower and equip individuals to manage their health and make informed decisions about their health and their providers.

YourHealthMatters.org  takes the guesswork out of finding quality healthcare by putting reliable information in the hands of consumers. Our quality ratings are based upon actual patient outcomes, not opinions. You will find quality reports for diabetes management, cardiovascular health, and colon cancer screening rates.  You can compare doctors, or use our digital directory to select a doctor who meets your needs. We also have a tool for locating Patient-Centered Medical Home practices.

Most doctors consider an informed and engaged patient to be their most valuable partner in quality care. YourHealthMatters provides tools patients can use to learn more about managing their condition and preparing for appointments.

Employer Council
At The Health Collaborative, we convene stakeholders to improve our community’s health and healthcare. In 2015, we launched a new platform to bring together the collective voice of the employer community. The members of the Employer Council represent businesses of all sizes that work to align their voice with community health and healthcare goals, and to maximize the effects of transformation activities across all platforms. If your company is interested in learning more about the Employer Council and how to join, click here to request information.
National Collaboration

Leading By Example

Cincinnati is recognized across the country for leading the way in collaborative health care improvement. Through our membership and leadership in a number of regional and national organizations all focused on the same mission – improved health, better care, lower cost – we are sharing what we’ve learned with other communities and working together to find new solutions to the challenges that remain.

US Chief Technology Officer Todd Park at TEDMED discusses the Greater Cincinnati story.

IMPROVING HEALTH & HEALTHCARE
Gen-H (Collective Impact on Health)

Making Health a Value We Share

“Collective Impact” is a structured approach to developing coordinated solutions to complex social problems. The Collective Impact on Health in Greater Cincinnati, now known as Gen-H, is comprised of a diverse group of key leaders representing many sectors of our community. The Health Collaborative convened this team to achieve better health, better health care, and a lower overall cost of care, a three-part goal known as The Triple Aim.

This group has been working together to agree to a short list of improvement priorities for Greater Cincinnati and Northern Kentucky, and identify steps to reach them.

Care Transitions

Shared Hospital Accountability

Cincinnati is one of the first communities in the country to bring together hospitals and post-acute providers to transform the health and care of individuals as they move through the health care system.

The Care Transitions Collaborative is leading the work towards our broad community goals:

  • Reduce readmissions
  • Support advanced care planning
  • Empower patients to manage medications
  • Increase patient safety
  • Reduce disparities in care
Comprehensive Primary Care

The Right Care at the Right Time

Today, we are putting tremendous focus on quality in healthcare. Healthcare payers are now paying bonuses based on quality measures, so for the first time, not only is quality important to patient outcomes, but it also impacts the economics of the medical office.

It isn’t enough to expand the focus. We must help healthcare systems, practices, and their staff learn how to improve the quality of care they provide by applying improvement techniques to the clinical setting.

That’s the work of the Comprehensive Primary Care Plus (CPC+) initiative.

Studies, Surveys, and Clinical Data
We gather clinical data and conduct surveys and studies on health and health care to support and encourage improvement (the increased transparency is a powerful motivator) and to facilitate shared learning.

Our Data and Technology services provide members with statistics and information valuable in planning for future health care delivery and used for quality improvement, marketing, human resources and advocacy activities.

We have made summary data from some of these studies available to the community (see below). Consumers can access community health information, quality and performance scores, and more on our patient-focused website, YourHealthMatters.org.

Other reports are available to dues-paying members only. Members of The Health Collaborative, please use the form below to request the one/s you need.

  • Community Health Needs Assessment – Twenty hospitals came together in 2015 to conduct a collaborative Community Health Needs Assessment (CHNA), organized by The Health Collaborative. A highly-qualified team which included a consultant with prior CHNA experience and members of the graduate program of Xavier University’s Department of Health Services Administration was assembled. A Senior Vice President at The Health Collaborative provided executive oversight.
  • Public Reports – Click on a report below to download and view report:
  • Public Reports Available by Request Only (must be requested via form below):
    • Clinical Utilization database (aggregate community utilization usage)
  • Members-only Reports (must be requested via form below)
    • Annual Care Partners Compensation and Benefits Survey
    • Annual or Semi-Annual Greater Cincinnati Healthcare Workforce Report
    • Annual or Semi-Annual Hospital Benefits Survey
    • Annual or Semi-Annual Hospital Compensation Survey
    • Annual or Semi-Annual Hospital Employee Diversity Survey
    • Annual Influenza Survey
    • Clinical Utilization Database (hospital-specific utilization usage)
    • Monthly Hospital Utilization Study

Request member reports

Disaster, Emergency Readiness, and Trauma
We work with our member health care providers to ensure that if a disaster strikes, we all have the resources and tools to respond.

Disaster and Emergency Preparedness

We provide a thorough battery of preparedness activities including regional exercises to test readiness and identify areas where hospitals and health systems need to enhance their response capabilities, coordinating federal grant dollars, representing our hospital and health system members in the region with other response partners such as EMA, Fire/EMS, Communications, Public Health, Homeland Security and others, and much more.

Trauma

The Health Collaborative collects and analyzes trauma and injury data contributed to the Regional Trauma Registry by participating hospitals in our region. The Trauma Committee is then able to use the information to make recommendations that help improve the overall trauma care throughout the region.

See our Events page to see and register for upcoming trauma education courses for area physicians and nurses.

YourHealthMatters / Transparency
Dues-paying members publicly report data and make it available to you on YourHealthMatters.org. Thanks to the increased transparency and mutual learning facilitated by this site, participating hospitals have succeeded in vastly improving their community core measure performance for targeted health conditions over the last five years.

You Can’t Improve What You Don’t Measure

With the initial support of Aligning Forces for Quality (AF4Q), an initiative of the Robert Wood Johnson Foundation, healthcare stakeholders have trusted the Health Collaborative to collect, analyze and report health care data.

While the AF4Q program has now sunsetted, the public report collects and analyzes patient records for diabetes control, cardiovascular health, and colon cancer screening. Nearly 500 area physicians voluntarily provide their patient data to the Health Collaborative for analysis. It is the only all-voluntary public report of its kind in the country.

The data comes from electronic medical records, paper charts, or a combination of both. Once organized, a community average is generated for each measured condition and a score given for each physician practice.  The scores are reported to the public on our patient-focused website: YourHealthMatters.org.

Doctors can use the report to see how they rank when compared to their peers.  Patients can use the report to help identify high performing practices.  Perhaps most importantly, the community score has been improving each year, which is an indication that transparency and public reporting contributes to quality improvement.

Claims Data

In 2011 Anthem, UnitedHealthcare, Humana, Healthspan and Aetna all agreed to the unprecedented step of providing their claims data to create a community scorecard.  The result was a first ever look at how the people of our community use their health care resources. This benchmark allows us to identify areas to target to improve care delivery or reduce waste. It also allows us to measure the impact of our improvement efforts.  While the report is currently protected by strict Use Agreements, the analysis is showing important progress is being made.

Qualified Entity Project: Comparison Reporting of Primary Care Practices

The Greater Cincinnati region is one of only fifteen regions in the United States to have been selected by the U.S. Centers for Medicare & Medicaid Services (CMS) to receive standardized extracts of Medicare claims data under parts A, B, and D, per section 10332, subsection (e), of the Affordable Care Act’s amendment of section 1874 of the Social Security Act. Those recipients, better known as Qualified Entities (QEs), may use the information obtained under section 1874(e) of the Social Security Act, in conjunction with claims data from sources other than Medicare, for the purpose of generating reports to evaluate the performance of their regions’ providers and suppliers.

The QE public report includes data provided by CMS through the QE Certification Program, Ohio Medicaid, and seven commercial insurance plans that have agreed to support more than 70 participating primary care practices representing more than 250 physicians. Participating practices are located across 12 counties in southwest Ohio and northern Kentucky.

We thank and acknowledge these physicians and health systems for their willingness to take this next step in providing data by which consumers can ultimately evaluate their performance. Comparing performance across practices and counties is complicated. The general health of the population in the county, the availability of resources, the expertise of the physicians and their willingness/capability to care for sicker patients all contribute to possible reasons why some practices perform better than others. While we adjust the data for some of these factors, the methods we use cannot adjust for all contingencies. It is important to recognize this effort as a first step to provide preliminary data by which:

  • Physician practices can improve their performance,
  • Payers can increase their understanding of provider performance,
  • Consumers can begin to learn how to best use this new information,
  • While we all continue to adjust the data to better account for variations in practice demographics toward a better reflection of true performance.

To guide their efforts in creating a critical resource for evaluating the overall effectiveness, The Health Collaborative has partnered with Onpoint Health Data, a health data management and analytics firm with expertise in data integration and claims-based reporting, to build a “Shared Data Platform.” This multi-payer claims database begins with data collection and aggregation followed by enhancement, performance measurement, analysis, and reporting.

The analysis and reporting, which is provided and explained in greater detail in the following pages, have been developed to help achieve CMS’s objective of improving quality and reducing costs in Medicare and The Health Collaborative’s goal of building a regional culture of team-based care coordination and payment transformation. Please see Appendix I at the end of the report for additional detail about The Health Collaborative QE project’s reporting methodology.

Cincinnati MD Jobs

Healthy Communities Need Great Doctors

The Health Collaborative has a ten year tradition of recruiting top physician talent to Greater Cincinnati through its enterprise, Cincinnati MD JobsCincinnati MD Jobs works for medical careers the way internet matchmaking works for relationships. Doctors, typically young residents or fellows, post their CVs and career objectives to our career matching engine. Our valued clients post their physician job openings. We also place physician assistants and nurse practitioners.

As a self-supporting enterprise of the Health Collaborative, Cincinnati MD Jobs is able to promote the region and its  progressive medical community  in a way no single hospital or practice can.  Our candidates discover the advantages of living and practicing medicine in a community that is a national leader in health care transformation.

Cincinnati MD Jobs is the only nonprofit physician recruiting agency in the country serving a major metropolitan area, and is responsible for nearly 250 hires.

National Collaboration

Leading By Example

Cincinnati is recognized across the country for leading the way in collaborative health care improvement. Through our membership and leadership in a number of regional and national organizations all focused on the same mission – improved health, better care, lower cost – we are sharing what we’ve learned with other communities and working together to find new solutions to the challenges that remain.

US Chief Technology Officer Todd Park at TEDMED discusses the Greater Cincinnati story.