SRQCN: The Facts

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SRQCN is managed by

  • Physician-led committees and a physician-dominated board of managers.
  • Organizational development funds provided by the hospitals.

Physicians should join because

  • Proven method to improve the quality and reduce the cost of health care.
  • Provides a support system for private practice physicians facing health care reform challenges.
  • Enables physicians to engage in joint contracting with fee-for-service payers for commercial patients, with financial incentives based on achievement of quality benchmarks.
  • Access to business intelligence information technology.
  • Data visibility across the full continuum of care.

To participate, physicians must

  • Sign a physician participation agreement.
  • Agree to the quality initiatives selected and defined by physicians.
  • Share quality data with SRQCN via the technology provided by the program.
  • Be accountable for compliance with SRQCN policies and procedures.
  • Comply with SRQCN technology requirements.

The cost for physician enrollment is

  • Nothing. No enrollment fee. No ongoing participation fee.

SRQCN IS

  • A program led and managed by physicians on the medical staffs of St. Rose Dominican - Rose DeLima, St. Rose Dominican - San Martin and St. Rose Dominican - Sienna.
  • A network of physicians opting to collaborate with the hospitals to utilize evidence-based, quality initiatives to improve quality and efficiency of care.
  • A network of physicians who will collectively negotiate with health plans and local self-insured employers for improvement in reimbursement, based on its ability to achieve quality benchmarks.

SRQCN IS NOT

  • Capitation.
  • A program led by hospitals.
  • Physician employment.
  • Costly to physicians.
  • An agreement that will put individual physician fees at risk.

What’s in it for you?

  • Opportunity to collectively negotiate with commercial payers and local self-insured employers for improvement in reimbursement, based on our ability to achieve quality benchmarks.
  • Access to a robust, effective care management team to help you identify and manage your high-risk and rising-risk patients.
  • Free, no risk training ground to help you collaborate with other physicians to learn to effectively manage patients in the new fee-for-value healthcare environment.
  • Collaborate with other physicians who are committed to improve quality care and patient outcomes, as well as the efficiency and cost of care provided.

Did you know?

  • Membership in the St. Rose Quality Care Network (SRQCN) is non-exclusive and does not limit a physician’s ability to contract with health plans independently or through another clinical integration program, accountable care organization (ACO), independent practice association (IPA), physician organization (PO) or physician hospital organization (PHO).
  • SRQCN will focus on new and innovative payer agreements available only through SRQCN.
  • Each potential payer agreement with SRQCN is carefully reviewed by the physician Board to ensure it presents a real or potential economic benefit to physicians.
  • You can terminate your participation at any time, for any reason, upon a 60 day notice.
  • All quality initiatives and physician participation criteria are developed by SRQCN physicians.
  • Quality performance is measured across your entire patient population, not just that of a single insurance company. You have access to a web-based tool with the ability to compare yourself against local, regional and national quality benchmarks.
  • Any information you share with SRQCN is confidential. It is used to measure performance and identify opportunities for improvement, to assist you in improving your quality scores and for demonstrating the overall performance of SRQCN to the community.
  • Physicians compose a significant majority of the SRQCN Board of Managers.