Danielle Casanova, MBA
(703) 838-0033 ext. 347

26 September 2013

AMGA Presents 2013 AMGA Acclaim Award to The Permanente Medical Group
Two Additional Groups Honored for Progress toward Achieving IOM Aims and Becoming High-Performing Health Systems

ALEXANDRIA, VA-The American Medical Group Association (AMGA) today presented the 2013 AMGA Acclaim Awardto The Permanente Medical Group (TPMG) for "Transforming Health Care through Leadership and Technology," an innovative initiative that achieves superior performance through physician leadership, advanced information technology, and a mission-driven culture of collaboration. The award, granted through AMGA's philanthropic arm, the American Medical Group Foundation (AMGF), honors organizations that are meeting the Institute of Medicine (IOM) Aims for Improvement and are taking the necessary steps to become a high-performing health system as defined by AMGA. It was presented at AMGA's Institute for Quality Leadership Annual Conference, being held September 25-27, 2013 at The Phoenician in Scottsdale, Arizona.

This award honors TPMG's commitment to quality and service excellence and its demonstrated success in meeting the six IOM aims. Through these achievements, TPMG has transformed care delivery, making the patient experience both "high tech and high touch." As a result, the physicians of TPMG have

  • Reduced patients' cardiovascular mortality 30% below the surrounding community;
  • Achieved nation-leading success in hypertension control;
  • Decreased colon cancer mortality through effective screening; and
  • Earned the trust and confidence of their patients by providing rapid access to care in person, by phone, or through advanced information technology tools.

As a result of these and other initiatives, hospital mortality has declined dramatically and member satisfaction in the TPMG health plan is the highest in Northern California. In addition, TPMG is viewed as a highly desirable place to practice medicine, as evidenced by the fact that the number of new physician applicants for positions in TPMG is now ten times the number of available positions. Despite these gains, the 8,000 physicians of TPMG recognize that their journey is not complete. They are committed to accelerating the organization's pace of change in their quest to achieve high-quality, affordable care for all and to being a model for patient-centered care in the nation.

Two additional groups were presented awards as Acclaim Award Honorees:

Mid-Atlantic Permanente Medical Group set ambitious goals to address all areas of the Triple Aim. The organization's vision is simple: to deliver more value to their patients than any other health system and become the national model for healthcare quality, service, and efficiency. To pursue this vision, they established audacious goals to be #1 in those areas. They created new leadership roles with clear responsibilities and developed a tactical operating plan with distinct accountabilities and firm deadlines. Investments and improvements were made in three main areas of infrastructure: people, data and technology, and facilities. As a result of these efforts, the organization currently is:

  • Ranked 1st in its region and 15th in the nation per National Committee for Quality Assurance (NCQA) Health Insurance Plan Rankings;
  • Rated by NCQA as #1 in the nation for Breast Cancer Screening, Childhood Immunizations Hepatitis A, Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis, and Comprehensive Diabetes Care: Nephropathy Screening;
  • Outpacing all local competitors by having 44 HEDIS Effectives of Care measures in the 90th percentile;
  • The highest performing organization in its region on Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey questions such as "Personal Doctor Rating" and "Specialist Rating"; and
  • At a 1.5% medical services cost trend, down nearly 80% from 2008.

Wilmington Health, PLLC's drive to become a high-performing health system can best be described as a complete transformation. Starting with specific goal- and objective-setting by the organizations leadership, Wilmington Health has engaged every team member in the effort to evaluate and improve all processes that impact the quality of care delivered, the cost for that care, and the patient experience. The change realized to date has come from creating a culture focused on providing the best possible health care to patients and becoming an example for others to follow, both internally and externally. Wilmington Health intends to vigilantly follow the data to continually provide assessment of current strategies and direction for future improvements. Some of their improvements include:

  • Improvement in efficiencies in total cost per Medicare beneficiary of 12% compared to their ACO cohorts;
  • 23% reduction in hospitalizations, admits per 1,000;
  • 12% reduction in 30-day readmissions;
  • 27% reduction in COPD admissions; and
  • 32% reductions in CHF admissions.

"These organizations led efforts to improve their ability to provide patients the health care they need, want, and deserve," said Donald W. Fisher, Ph.D., AMGA's president and chief executive officer and AMGF secretary/treasurer. "We salute the dedication of the organizations' leadership and healthcare providers in improving patient outcomes, efficiency, coordination, and organizational and clinical integration. Their ongoing efforts will ensure that their patients will receive quality, value-based care throughout their lives."

"The groups honored with this award exemplify the best quality health care in the United States, and the efforts of multispecialty medical groups and other organized systems of care to provide the right care at the right time in the most efficient manner," continued Fisher. "Coordinated, value-based care has been the hallmark of AMGA member groups, and programs like the Acclaim Award help these groups continue their innovative work and communicate their successes to the healthcare community to better serve their patients. It is our hope that medical groups throughout the country will learn about the work of these innovators and be inspired to implement similar programs in their medical groups."

About the Acclaim Award
AMGA's prestigious Acclaim Award honors organizations that are meeting the IOM Aims for Improvement and are taking the necessary steps to become a high-performing health system as defined by the AMGA. The award highlights the continued research and investigation toward finding the finest models of medical management, coordination of care delivery, and a systemic approach to improving the patient experience. The recipient of the award receives a Steuben-designed Crystal, produced specifically for the award, as well as national recognition. Honorees also are recognized and receive crystal awards.

The Acclaim Award's mission is to honor the nation's premier healthcare delivery organizations that are high performing and are bring their organization closer to the ideal medical group and health system by:

  • Measurably improving the quality and value of care
  • Improving patient experience and outcomes
  • Continuously learning and innovating
  • Improving population health

Applicant criteria, structured around the six IOM Aims for Improvement and AMGA's high-performing health system attributes, place a heavy emphasis on leadership involvement. Applicants are asked to measurably demonstrate progress toward achieving the six aims, becoming a high-performing health system, and transforming their organizations to provide health care that is consistent with those attributes. AMGA looks for medical groups that have made and documented system-wide changes to improve medical care for large numbers of the patients they serve, and, through the process, consistently improve organizational performance. Applicants are evaluated in a blinded review process conducted by nationally recognized leaders in healthcare quality.

About AMGF
The American Medical Group Foundation is the philanthropic arm of the AMGA. As a nonprofit 501(C)(3) organization, its mission is to foster quality improvement in group practice through education and research programs in clinical quality, patient safety, service, operational efficiency, and innovation. In addition to research and demonstration projects, the Foundation helps support learning collaboratives and presents educational grants and awards to medical groups that demonstrate improvements in practice, quality, and patient care.

About AMGA
The American Medical Group Association (AMGA) represents some of the nation's largest, most prestigious medical practices, independent practice associations, accountable care organizations, and integrated healthcare delivery systems. AMGA's mission is to support its members in enhancing population health and care for patients through integrated systems of care. More than 130,000 physicians practice in AMGA member organizations, providing healthcare services for 120 million patients (approximately one in three Americans). Headquartered in Alexandria, Virginia, AMGA is the strategic partner for these organizations, providing a comprehensive package of benefits, including political advocacy, educational and networking programs, publications, benchmarking data services, and financial and operations assistance.