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Engage Stakeholders Through Aligned Incentives

In its Accountable Community Development (ACD) work, Integrated Mechanical Care supports the health industry’s “Triple Aim” of providing (1) better care for individuals, (2) better health for populations, and (3) lower costs.

To improve enhance the care experience, improve population health, and reduce per capita costs in orthopedic domains, IMC helps health industry stakeholders collaborate. Leveraging the societally aligned interests and purchasing power of self-insured employers (SIEs), IMC ensures these powerful agents of health industry transformation:

  • Define orthopedic value as the cost-effective delivery of economic, clinical, and humanistic outcomes—especially those directly related to employees’ productive capacities, productivity, and earnings contributions.
  • Modify group health, workers’ compensation, and short-term/long-term disability benefits to create outcomes-accountability.™
  • Achieve practice level transformation through stakeholder education, incentives, and performance measurement.

Measure Using National Quality Forum and Triple Aim Methods

IMC selects performance measures on the basis of their importance, scientific legitimacy, applicability, and feasibility.

Key principles adapted from the National Quality Forum and Triple Aim include:

  1. defining the served population as individuals with musculoskeletal disorders (MSDs) or a propensity for them;
  2. monitoring the cost, incidence, and prevalence of MSDs over time;
  3. distinguishing between process measures and outcomes measures;
  4. distinguishing among project measures, program measures, and population measures; and
  5. standardizing measures to support benchmarking and data comparisons.

Outcomes associated with population health include life expectancy, health, and functional status (as well as disease burden, psychosocial and behavioral considerations, and physiological factors).

Outcomes associated with the care experience include patient-reported perceptions and satisfaction rates, as well as care safety, effectiveness, timeliness, patient-centricity, equitability, and efficiency.

Outcomes associated with per capita expenditures include health insurance premiums, purchasers’ self-funded costs, consumers’ out-of-pocket costs, public health expenditures, and indirect costs (e.g., absenteeism, presenteeism); as well as healthcare overhead, cost of goods sold (COGs), and margins.

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