Sixty-five Medical Groups Named as Standards of Excellence Elite Honorees
(San Diego, CA) – At the launch of its annual conference of healthcare experts, CAPG today released the results of its Standards of Excellence™ (SOE™) member survey, which rates how well positioned physician groups view themselves in improving patient experience, population health, and overall affordability.
The Standards of Excellence survey is a voluntary, critical self-assessment for CAPG’s approximately 190 medical group members in 38 states, the District of Columbia, and Puerto Rico. Since 2013, CAPG has collaborated with the National Committee for Quality Assurance (NCQA) on the application, analysis, scoring, and reporting of the survey.
Ninety-eight medical groups participated in the assessment, covering 11.3 million people in the commercial line of business, including Medicare Advantage, along with an additional estimated 2.5 million individuals in state government-managed care programs.
“Our CAPG survey has become the industry standard for assessing what many of the nation’s healthcare systems need to deliver accountable and value-based care in the physician practice setting,” said Donald Crane, CAPG President and CEOand CEO.
“The industry validation is a testament to the Standards of Excellence’s value in helping physician practices improve the coordination of patient care under health reform,” said Crane. “The real-world benefits of the survey is underscored through the partnership we maintain with the National Committee for Quality Assurance on the analysis and scoring of the survey and the RAND Corporation’s use of the SOE scoring in its reporting to the National Institutes of Health on the highest yield structures for cost efficiency,” added Crane.
“Through the results of this latest survey, physician organizations have made their voice heard that they are fully engaged in changing how patients receive care for the better,” said Amy Nguyen Howell, MD, CAPG’s Chief Medical Officer. “They’re committed to making the patient-centered medical neighborhood a reality across the entire spectrum of healthcare practices nationwide.”
The following categories represent the 2015 Standards of Excellence, with Domains 1-5 to be publicly reported:
- Domain 1—Care Management Practices: Clinical system supports for quality and efficiency on a population scale.
- Domain 2—Information Technology: Funnel for accurate, actionable information to support clinical decisions and coordinate team care.
- Domain 3—Accountability and Transparency: Response to the public demand for objective information regarding performance, patient service, and regulatory compliance.
- Domain 4—Patient-Centered Care: Critical components of access, convenience, cultural responsiveness, and customized individual care.
- Domain 5—Group Support of Advanced Primary Care: Patient-centered Medical Home model and how it’s used to revitalize the discipline of primary care.
- Domain 6—Administrative and Financial Capability: Management of complex relationships, diverse revenue streams, innovative payment alignment, and risk-based payments
2015 Survey Highlights:
- Sixty-five physician organizations achieved the coveted Elite honor in 2015—an increase from 45 groups in 2014, despite an increased threshold of difficulty.
- Fifteen first-time SOE participants received the Elite recognition. Elite honorees ranged from small IPAs to medium integrated groups to large foundation model organizations, illustrating SOE’s use as an industry standard.
- Thirty-eight new physician groups took part for the first time in 2015.
- Participation is voluntary for CAPG members. Organizations electing not to participate are also listed at www.capg.org.
Survey results and additional information can be found at capg.org/soe.
CAPG is the leading U.S. association for and the voice of physician organizations practicing capitated, coordinated care. The organization comprises approximately 190 multi-specialty medical groups and independent practice associations (IPAs) in 38 states, the District of Columbia, and Puerto Rico. CAPG members provide comprehensive healthcare through patient-centered, coordinated, and accountable physician group practices. We strongly believe this model—which CAPG members have successfully utilized for more than two decades—offers the highest quality, the most efficient delivery mechanism, and the greatest value for patients. For more information, please visit www.capg.org.