• 2635 North 7th Street, Grand Junction, Colorado 81501
  • 970-298-CARE (2273) / 1-800-458-3888

Hospital and physician group announce exploration of new network formation

June 18, 2014


For Immediate Release: June 17, 2014

For more information call:
Kim Williams, St. Mary’s, 970-298-1975
Larry Jokerst, Primary Care Partners, 970-254-2638

<p>Leadership of St. Mary&rsquo;s Hospital &amp; Regional Medical Center and physician group Primary Care Partners announced their intention to form a new type of healthcare network that will provide integrated care and focus on quality, efficiency and cost effectiveness.</p>
<p>Called a Clinically Integrated Network (CIN), the structure brings together a hospital, physicians and other healthcare providers enabling them to care for patients collaboratively while remaining separate business entities. Rising healthcare costs, consumer demand for improved quality and the need for care coordination have led to the development of CINs in communities across the country. The Federal Trade Commission defines a CIN as a network of providers willing to demonstrate a high degree of interdependence and cooperation through initiatives to control costs and ensure high quality.</p>
<p>&ldquo;The Mesa County healthcare community is nationally known for working collaboratively to the benefit of our patients, and the formation of a CIN is another example of this,&rdquo; says Mike McBride, St. Mary&rsquo;s president and CEO. &ldquo;Because a CIN can include independent physicians, hospital-employed physicians, ambulatory centers and a hospital, it offers businesses and their employees more choice with a wide, inclusive network rather than an exclusive network.&rdquo;</p>
<p>The building blocks for a CIN include computer connectivity and data analysis, care quality and performance measures, care coordination programs, financial underwriting, and contracting services. When fully developed, a CIN can contract with commercial payers, such as insurance companies and health plans, and employers who provide self-funded benefits to their employees.</p>
<p>&ldquo;In a CIN structure, the basis of cost savings is providers working together on a patient&rsquo;s care, sharing information, best practices, helping those with chronic conditions manage their health so they can stay out of the emergency department and out of the hospital,&rdquo; says Michael Pramenko, MD, executive director of Primary Care Partners. &ldquo;It&rsquo;s based on providing cost-effective care rather than restrictive access to care that some other network models use to lower costs.&rdquo;</p>
<p>The initial phase of work, estimated to take approximately six months, will focus on completing the necessary legal and organizational work to design the CIN arrangement. This will include creating a leadership structure, developing the operational components of the network of providers, and identifying other participating partners. Navigant Consulting, Inc., an international healthcare consulting firm based in Chicago, has been retained to guide the CIN development.</p>
<p>St. Mary&rsquo;s Hospital and Regional Medical Center is a not-for-profit hospital founded in 1896 by the Sisters of Charity of Leavenworth that serves Grand Junction, western Colorado and eastern Utah. It is the largest medical center between Denver and Salt Lake City, with over 350 beds, 2,000 staff and 300 active physicians across 50 specialties.</p>
<p>Primary Care Partners is the largest physician group in Mesa County with more than 54 providers in five practices, providing family, pediatric, obstetrical, well-baby, sports medicine, and after-hours urgent care.</p>