This is the accessible text file for GAO report number GAO-11-49 
entitled 'Health Care Delivery: Features of Integrated Systems Support 
Patient Care Strategies and Access to Care, but Systems Face 
Challenges' which was released on November 16, 2010. 

This text file was formatted by the U.S. Government Accountability 
Office (GAO) to be accessible to users with visual impairments, as 
part of a longer term project to improve GAO products' accessibility. 
Every attempt has been made to maintain the structural and data 
integrity of the original printed product. Accessibility features, 
such as text descriptions of tables, consecutively numbered footnotes 
placed at the end of the file, and the text of agency comment letters, 
are provided but may not exactly duplicate the presentation or format 
of the printed version. The portable document format (PDF) file is an 
exact electronic replica of the printed version. We welcome your 
feedback. Please E-mail your comments regarding the contents or 
accessibility features of this document to Webmaster@gao.gov. 

This is a work of the U.S. government and is not subject to copyright 
protection in the United States. It may be reproduced and distributed 
in its entirety without further permission from GAO. Because this work 
may contain copyrighted images or other material, permission from the 
copyright holder may be necessary if you wish to reproduce this 
material separately. 

United States Government Accountability Office: 
GAO: 

Report to Congressional Committees: 

November 2010: 

Health Care Delivery: 

Features of Integrated Systems Support Patient Care Strategies and 
Access to Care, but Systems Face Challenges: 

GAO-11-49: 

GAO Highlights: 

Highlights of GAO-11-49, a report to congressional committees. 

Why GAO Did This Study: 

Health care delivery in the United States often lacks coordination and 
communication across providers and settings. This fragmentation can 
lead to poor quality of care, medical errors, and higher costs. 
Providers have formed integrated delivery systems (IDS) to improve 
efficiency, quality, and access. The Health Care Safety Net Act of 
2008 directed GAO to report on IDSs that serve underserved populations—
those that are uninsured or medically underserved (i.e., facing 
economic, geographic, cultural, or linguistic barriers to care, 
including Medicaid enrollees and rural populations). In October 2009, 
GAO provided an oral briefing. In this follow-on report, GAO describes 
(1) organizational features IDSs use to support strategies to improve 
care; (2) approaches IDSs use to facilitate access for underserved 
populations; and (3) challenges IDSs encounter in providing care, 
including to underserved populations. 

GAO selected a judgmental sample of 15 private and public IDSs that 
are clinically integrated across primary, specialty, and acute care; 
they vary in their degree of integration, specific organizational 
features, and payer mix (e.g., extent to which they serve Medicare and 
Medicaid beneficiaries and the uninsured). GAO interviewed chief 
medical officers or other system officials at all 15 IDSs and 
conducted site visits at 4 IDSs, interviewing system executives and 
clinical staff. 

What GAO Found: 

IDSs in GAO’s sample reported that using electronic health records 
(EHR), operating health insurance plans, and employing physicians all 
support strategies to improve patient care. An EHR contains patient 
and care information, such as progress notes and medications. Some 
IDSs said that using EHRs supports their patient care strategies such 
as care coordination, disease management, and use of care protocols by 
increasing the availability of individual patient and patient 
population data and by improving communication among providers. IDSs 
also reported that operating a health insurance plan can support 
patient care strategies by providing to the IDS both financial 
resources, such as savings from reducing avoidable hospitalizations 
for health insurance plan members, and data on plan members. For 
example, financial resources could be used to fund services such as 
care coordination—which many insurers do not reimburse—and the data 
could assist with strategies such as disease management. Employment of 
physicians was reported to facilitate physician accountability for 
quality of care because physicians who are employed by the IDS must 
meet certain performance indicators, and the IDSs collect data on and 
review physician performance. Employment of physicians was also 
reported to increase adherence to care protocols and to facilitate 
provision of care to underserved populations through compensation that 
mitigates physicians’ concerns that they might not receive payment 
from uninsured patients. 

IDSs in the sample discussed several approaches they use to facilitate 
access to care for underserved populations. These approaches include 
using community-based settings, such as school-based health centers 
and federally qualified health centers (FQHC); conducting outreach; 
helping patients apply for coverage programs such as Medicaid; 
providing financial assistance; and collaborating with community 
organizations, including faith-based organizations. For example, some 
IDSs operate FQHCs within their system, and others collaborate with 
local FQHCs that are not part of their system. In addition, to improve 
access to mental health care services for patients, including those in 
underserved populations, some IDSs integrate mental health and primary 
care services. 

IDSs in the sample reported facing various operational challenges in 
providing care, including care for underserved populations. Some 
reported that not receiving reimbursement from health care insurance 
companies for the care coordination services they provide to patients 
is a financial challenge. Other operational challenges IDSs identified 
included finding specialty care for underserved patients, including 
mental health care; sharing clinical information in patients’ EHRs 
with providers outside the system; and changing management and 
physician cultures to adapt to organizational change. 

The Department of Health and Human Services reviewed a draft of this 
report and provided technical comments, which GAO incorporated as 
appropriate. 

View [hyperlink, http://www.gao.gov/products/GAO-11-49] or key 
components. For more information, contact Cynthia Bascetta at (202) 
512-7114 or bascettac@gao.gov. 

[End of section] 

Contents: 

Letter: 

Scope and Methodology: 

Background: 

IDSs Reported That Using Electronic Health Records, Operating Health 
Insurance Plans, and Employing Physicians Support Strategies to 
Improve Patient Care: 

IDSs Use Community-Based Settings and Other Approaches to Facilitate 
Access to Care for Underserved Populations: 

IDSs May Face Various Operational Challenges in Providing Care: 

Appendix I: Selected Characteristics of Integrated Delivery Systems in 
GAO Sample: 

Appendix II: GAO Contact and Staff Acknowledgments: 

Table: 

Table 1: IDSs in GAO Sample: 

Abbreviations: 

CPOE: computerized physician order entry: 

EHR: electronic health record: 

FQHC: federally qualified health center: 

HAAM: Health Alliance for Austin Musicians: 

IDS: integrated delivery system: 

NYCHHC: New York City Health and Hospitals Corporation: 

[End of section] 

United States Government Accountability Office: 
Washington, DC 20548: 

November 16, 2010: 

The Honorable Tom Harkin: 
Chairman: 
The Honorable Michael B. Enzi: 
Ranking Member: 
Committee on Health, Education, Labor, and Pensions: 
United States Senate: 

The Honorable Henry A. Waxman: 
Chairman: 
The Honorable Joe Barton: 
Ranking Member: 
Committee on Energy and Commerce: 
House of Representatives: 

Health care delivery in the United States has long been characterized 
by fragmentation at the national, state, and local levels. Care is 
delivered by multiple providers, in multiple care settings, and often 
without systematic coordination and communication across providers and 
settings. Fragmentation of care delivery can lead to poor quality of 
care, medical errors, inefficient delivery of services, higher costs, 
and patient dissatisfaction. Fragmentation can be especially 
burdensome for patients with chronic illnesses because of their 
ongoing care needs and for underserved populations--individuals who 
are uninsured or medically underserved--because of their financial and 
other challenges to accessing services.[Footnote 1] 

One way that hospitals, physicians, and other providers have addressed 
fragmentation is by forming integrated delivery systems (IDS) to 
improve efficiency, quality, and access to care. An IDS can be 
integrated across its providers and facilities in terms of such 
aspects as clinical care, financial management, and human resources. 
These systems can vary in the way they are organized, with services 
linked vertically, among different levels of care (e.g., clinic, 
specialist's office, hospital), or horizontally, across one level of 
care (e.g., hospitals). They can also vary in the extent to which they 
are integrated. IDSs can be publicly owned or private. While public 
IDSs have a mission of providing care to underserved populations, some 
private IDSs share this mission and others serve these populations to 
varying degrees. 

The Health Care Safety Net Act of 2008 directed GAO to report on 
integrated health system models that integrate primary, specialty, and 
acute care and serve uninsured and medically underserved 
populations.[Footnote 2] We provided an oral briefing to congressional 
staff on October 8, 2009. In this follow-on report, we provide more in-
depth information on: 

1. organizational features that IDSs use to support strategies to 
improve patient care; 

2. approaches IDSs use to facilitate access to care for underserved 
populations; and: 

3. challenges IDSs encounter in providing care, including care 
provided to underserved populations. 

Scope and Methodology: 

To address our research objectives, we selected a judgmental sample of 
15 IDSs that clinically integrate primary, specialty, and acute care 
and serve uninsured and medically underserved populations.[Footnote 3] 
To select our sample, we began by reviewing published research and 
interviewing researchers with expertise in IDSs. As a result, we 
identified 44 public and private nonprofit systems from which to 
select our sample. In December 2009, we sent a Web-based data 
collection instrument to these systems to determine the extent of 
their clinical integration and to obtain additional information about 
organizational features of the system. This included whether the 
system is made up of subsystems--local or regional delivery systems 
that are organized below the system level--that integrate clinical 
care within themselves. We sent e-mail reminders and conducted 
telephone outreach to systems that had not responded by our requested 
deadline. In the end, we received completed data collection 
instruments from 19 systems. We excluded 4 systems from our study 
because their responses indicated a lack of clinical integration or 
because of an affiliation with a "closed system"--one that exclusively 
serves members of the system's health insurance plan.[Footnote 4] Our 
final sample consisted of 15 IDSs, which include five subsystems. (See 
table 1.) 

Table 1: IDSs in GAO Sample: 

Name: Allina Hospitals & Clinics; 
Public/private: Private; 
Location: Minnesota and Western Wisconsin. 

Name: Ascension Health, Seton Family of Hospitals (subsystem); 
Public/private: Private; 
Location: Central Texas. 

Name: Cambridge Health Alliance; 
Public/private: Public; 
Location: Greater Boston, Massachusetts. 

Name: Denver Health; 
Public/private: Public; 
Location: Denver, Colorado. 

Name: Geisinger Health System; 
Public/private: Private; 
Location: Central and Northeastern Pennsylvania. 

Name: Hennepin Healthcare System; 
Public/private: Public; 
Location: Minneapolis/St. Paul, Minnesota. 

Name: Henry Ford Health System, Detroit Region (subsystem); 
Public/private: Private; 
Location: Detroit, Michigan. 

Name: Intermountain Healthcare; 
Public/private: Private; 
Location: Utah and Southeastern Idaho. 

Name: Marshfield Clinic; 
Public/private: Private; 
Location: Central, Western, and Northern Wisconsin. 

Name: Mayo Clinic, Rochester Region (subsystem); 
Public/private: Private; 
Location: Rochester, Minnesota. 

Name: Memorial Healthcare System; 
Public/private: Public; 
Location: Broward County, Florida. 

Name: New York City Health and Hospitals Corporation, Queens Health 
Network (subsystem); 
Public/private: Public; 
Location: New York, New York. 

Name: Parkland Health & Hospital System; 
Public/private: Public; 
Location: Dallas, Texas. 

Name: Partners Healthcare; 
Public/private: Private; 
Location: Greater Boston and Eastern Massachusetts. 

Name: Sisters of Mercy Health System, St. Edward Mercy Health System 
(subsystem); 
Public/private: Private; 
Location: Arkansas. 

Source: GAO. 

[End of table] 

The 15 IDSs vary in many aspects, including the degree to which they 
are integrated, specific organizational features, and payer mix (e.g., 
extent to which they serve Medicare and Medicaid beneficiaries 
[Footnote 5] and the uninsured) (see app. I). We reviewed the Web 
sites for the IDSs in our sample, relevant articles and reports about 
the systems, and other documents the systems provided. Based on our 
review of the extent of clinical integration of each system, its 
location (census region and urban/rural), and whether it is publicly 
or privately owned, we selected for site visits four systems that 
reflected variation among these dimensions: Ascension Health's Seton 
Family of Hospitals, Denver Health, Henry Ford Health System's Detroit 
Region, and New York City Health and Hospitals Corporation's (NYCHHC) 
Queens Health Network. We administered a structured interview protocol 
with chief medical officers (or other system officials, as 
appropriate) to obtain information on organizational features that 
IDSs use to support strategies to improve patient care; approaches 
IDSs use to facilitate access to care for underserved populations; and 
challenges IDSs encounter in providing care, including care provided 
to underserved populations. To gain additional in-depth information, 
we conducted interviews with IDS officials at the four sites we 
visited, including system executives and clinical staff. In some 
cases, information provided by IDS chief medical officers and 
officials is specific to underserved populations, and we note it as 
such in this report. In other cases, the information is more general, 
relating to the overall system or patient population, which can 
include underserved patients. 

Findings in this report are based on a judgmental sample and are not 
generalizable to all IDSs. The organizational features, patient care 
strategies, approaches to facilitate access, and challenges that we 
describe are not necessarily unique to IDSs, but may also be found in 
other health care settings and experienced by different providers. 
However, the information we present is from the perspective of the 
IDSs in our sample. We relied on data obtained through the Web-based 
data collection instrument, interviews with system representatives, 
and published studies and did not conduct independent analyses of the 
effectiveness of strategies. 

We conducted this performance audit from June 2009 to November 2010, 
in accordance with generally accepted government auditing standards. 
Those standards require that we plan and perform the audit to obtain 
sufficient, appropriate evidence to provide a reasonable basis for our 
findings and conclusions based on our audit objectives. We believe 
that the evidence obtained provides a reasonable basis for our 
findings and conclusions based on our audit objectives. 

Background: 

IDSs vary in their organizational configuration and in the continuum 
of services they provide. They frequently use patient care strategies 
such as care coordination, disease management, and care protocols. 
Other providers that are not part of IDSs may also use some of these 
strategies and may also face challenges similar to those IDSs may 
face. For example, some IDSs serve a patient population that includes 
a high proportion of underserved individuals and may face financial 
challenges in doing so. Other providers who also serve a high 
proportion of underserved individuals may face some of the same 
financial challenges. 

Organization of IDSs: 

IDSs can be organized in different ways and use various staffing 
models.[Footnote 6] Some IDSs are a single entity that includes a 
delivery system (hospitals, physicians, and other providers) and a 
health insurance plan. Examples of this type of IDS include NYCHHC and 
Geisinger Health System. Other IDSs include a delivery system but do 
not have a health insurance plan, such as Partners Healthcare and 
Memorial Healthcare System. IDSs may employ their own physicians, rely 
on community-based physicians who are not employed by the system but 
are granted use of the hospital facilities and staff, or use a 
combination of those two approaches. An IDS can be organized at the 
system level, or it can be more decentralized, having subsystems that 
organize health care at the local or regional level. These subsystems 
integrate care within themselves but not necessarily with other 
subsystems in the overall system. IDSs can consist of multiple 
subsystems. Because there is so much variation in the ways that IDSs 
can be organized, it is difficult to determine the exact number of 
IDSs in the country; however, millions of Americans receive care from 
IDSs.[Footnote 7] 

IDSs offer a continuum of services to a particular patient population 
or community and can vary in what services are provided within this 
continuum. For example, some IDSs provide nursing home care within 
their systems, and others do not. Similarly, not all IDSs provide 
certain specialized services such as organ transplantation or major 
burn services within their systems. An IDS may have a contract with 
other providers to offer certain services, or may refer patients to 
providers not affiliated with the IDS for a service. 

Patient Care Strategies Used by IDSs: 

IDSs use multiple strategies to improve patient care, such as care 
coordination, disease management, clinical practice guidelines, and 
care protocols. Care coordination is the integration of patient care 
activities between two or more participants involved in a patient's 
care to facilitate the appropriate delivery of services. It occurs 
across the continuum of care and across different delivery sites, 
encompassing both health care and social support interventions, and is 
often used for patients with special health care needs or chronic 
health conditions. Care coordination activities can include case 
management and patient navigation services.[Footnote 8] Disease 
management involves providing coordinated health care interventions 
and communications to patients who have chronic conditions, such as 
diabetes or asthma, where patients' self-care efforts can affect their 
health outcomes. Disease management is a systematic approach to 
patient care that uses evidence-based practice guidelines. Evidence-
based practice guidelines, also referred to as clinical practice 
guidelines, are systematically developed statements that guide 
providers and patients in making decisions about appropriate health 
care for certain conditions. They are typically based on an 
examination of the best available scientific evidence and broad 
consensus about the best treatment to follow. Care protocols, which 
are generally more specific than guidelines, provide more detail about 
the management and treatment of diseases and conditions. Patient care 
strategies can be designed to achieve a variety of goals, such as 
improved health outcomes and quality of care, increased efficiency, 
and lower costs. They may be performed by physicians, nurses, or other 
clinical or nonclinical staff members and often are implemented 
outside of a patient's face-to-face appointment with a physician. 

Studies have shown that IDSs are more likely to use patient care 
strategies than are other providers, such as solo practitioners. For 
example, a national study of the management of chronic illness for 
patients with asthma, congestive heart failure, depression, and 
diabetes found that certain IDSs were significantly more likely to use 
recommended, evidence-based care management processes than were less 
organized providers.[Footnote 9] In addition, a study of physician 
practices in California in the early 2000s found that physicians 
affiliated with an IDS were more likely to use disease management 
programs than were physicians in nonintegrated medical group practices 
or small practices.[Footnote 10] 

IDSs' Role in Serving Underserved Populations: 

Depending on their geographic location and their mission, IDSs serve 
varying proportions of underserved populations. Individuals who are 
underserved have higher rates of illness, and they often face barriers 
to accessing timely and needed care. For example, uninsured patients 
are more likely than insured patients to have chronic illnesses that 
are undiagnosed or undertreated.[Footnote 11] People with limited 
English proficiency may have problems comprehending health care 
information and complying with treatment. Rural residents also face 
barriers to access because of physician shortages in rural areas. In 
addition, underserved patients may have difficulty obtaining specialty 
services, including diagnostic services. Integrating care, such as by 
linking primary and specialty care, can reduce some of the access 
barriers that underserved populations experience. 

IDSs Reported That Using Electronic Health Records, Operating Health 
Insurance Plans, and Employing Physicians Support Strategies to 
Improve Patient Care: 

The 15 IDSs in our sample collectively reported that organizational 
features such as using electronic health records (EHR),[Footnote 12] 
operating health insurance plans, and employing physicians all support 
various strategies for improving patient care, including care 
coordination, disease management, and use of care protocols. 

Using EHRs Was Reported to Support Patient Care Strategies by 
Increasing Availability of Patient Information: 

Officials at some IDSs in our sample told us that using EHRs supports 
their strategies to improve the quality of patient care by increasing 
the availability of clinical information and patient population data 
and by improving communication. All 15 IDSs reported having 
implemented EHRs to some extent. For example, as of March 2010, Seton 
was in the process of implementing its EHR, and Henry Ford's EHR was 
available at all of its facilities. Clinical strategies supported by 
using EHRs include care coordination, disease management, electronic 
prescribing (e-prescribing) and computerized physician order entry 
(CPOE), and care protocols. 

Care Coordination: 

Table 21: According to officials at some IDSs, using EHRs facilitates 
care coordination because EHRs make patient clinical information more 
readily available to providers and improve communication among 
providers, staff, and patients. For example, officials from Denver 
Health characterized the EHR as a key component of integration. At 
Denver Health, the EHR supports care coordination because physician 
notes from patient encounters are scanned in within 24 hours of 
patient contact and clinical information, such as previous laboratory 
tests, is available to all providers (for additional information, see 
sidebar). Similarly, an official from Mayo Clinic told us that the EHR 
helps avoid overutilization and duplication of services, and an 
official from Partners Healthcare told us that the EHR aids in care 
coordination because physicians can see patient clinical information 
no matter where in the system the patient is. Marshfield Clinic's EHR 
is also available at all of its facilities, giving providers access to 
clinical information, digital radiology images, and capabilities such 
as e-prescribing. At Marshfield Clinic, each patient's EHR contains a 
"dashboard" with information on preventive services to highlight 
needed services and to facilitate communication among providers so 
that services and assistance can be requested electronically. 
Marshfield's EHR also creates a list of high-risk patients with 
outcomes in need of interventions so that physicians and other staff 
can follow up with those patients. 

[Side bar: 
Use of EHR at Denver Health: 
* Denver Health uses an EHR across all locations, and each patient has 
a single numerical identifier. 
* A single login screen gives providers access to the EHR, digital 
radiology images, and functions such as computerized physician order 
entry (CPOE). 
* Through the EHR, information related to each patient’s preventive 
services, such as checking of hemoglobin A1C levels or cancer 
screening, is automatically populated onto a hard copy encounter form, 
which the provider reviews at the time of the patient’s visit and uses 
to record additional clinical information during the visit. 
* If a patient is admitted, the hospital provider has access to the 
patient’s clinical information from past points of contact, including 
clinic-based care. In addition, primary care providers receive daily 
notification, facilitated by the EHR, when patients are admitted and 
have access to hospitalization information as soon as it is entered or 
scanned into the EHR. End of side bar] 

Disease Management: 

According to IDS officials, using EHRs facilitates disease management 
by making patient-level and population-level data available to 
providers, which allows providers and IDSs to adjust approaches to 
treatment based on individual patient and population-wide progress. 
NYCHHC, for example, has disease management programs for patients with 
asthma, diabetes, congestive heart failure, hypertension, 
cardiovascular disease, and depression. Each regional subsystem within 
NYCHHC has its own separate EHR. The EHRs update disease registries 
nightly, and through the disease registries, providers can develop a 
comprehensive understanding of a patient over time.[Footnote 13] For 
example, providers can assess a given diabetic patient's health status 
at any point in time, and compare it to another point in time to 
ascertain what may have been associated with a change in health 
status. The diabetic disease registry also enables NYCHHC physicians 
with similar groups of patients to compare their patients' outcomes. 
NYCHHC officials said that information technology makes it easier to 
get data and identify trends, and that EHRs allow them to anticipate 
and mitigate potential problems more easily and much earlier. Because 
the EHR provides real-time clinical information, providers are able to 
see test results immediately upon completion, which might not be 
possible without an EHR. Having real-time information allows providers 
to initiate appropriate treatment or follow-up. Similarly, the Doc 
Site Registry at Henry Ford, which uses a common EHR across all its 
facilities, is a disease registry program available for all patients 
that is linked to the EHR. It covers diseases such as depression, 
chronic obstructive pulmonary disease, hypertension, asthma, and 
chronic kidney disease. The Doc Site Registry prompts providers to 
administer missing preventive services during patients' visits. Staff 
at Henry Ford use the Doc Site Registry to identify groups of patients 
who are in need of care management. In addition, Hennepin Healthcare 
System has used an EHR system since February 2007 for both inpatient 
and outpatient services. According to officials at Hennepin Healthcare 
System, the EHR is fundamental to providing real-time awareness and 
support for providing clinical care, including care for patients with 
chronic diseases. One of the officials added that using data from the 
EHR enables them to determine which interventions are more effective 
in specific circumstances and gives the staff insight into how to 
improve care. 

E-prescribing and CPOE: 

Officials at some of the IDSs reported that using EHRs with e-
prescribing and CPOE capabilities reduces errors and lowers costs. 
[Footnote 14] For example, e-prescribing at Marshfield Clinic was 
reported to reduce errors related to illegible handwriting and 
unintentional drug interactions.[Footnote 15] Through the EHR, 
prescribers are alerted when an allergy or drug interaction exists. 
Marshfield Clinic's EHR also requires physicians to consider 
appropriate alternatives for prescription drugs, and a study found 
that Marshfield Clinic's suggestions of "preferred alternative" 
prescription drugs saved payers and patients $2.5 million in 1 year. 
[Footnote 16] In addition, NYCHHC officials told us that its CPOE 
includes drug interaction warnings and improves the legibility of 
physician orders. 

Care Protocols and Clinical Practice Guidelines: 

Officials from some IDSs told us that their systems' EHRs facilitate 
the use of care protocols and clinical practice guidelines by 
prompting providers to use them and tracking their use. At Denver 
Health, for example, when entering an order into the CPOE through the 
EHR, the physician is presented with a standard set of orders that is 
applicable to the patient. The sets of orders are linked with 
guidelines explaining the need for the specific orders, and physicians 
must explicitly de-select any orders they disagree with. A Denver 
Health official told us that guidelines incorporated into the EHR's 
CPOE function are more likely to be followed than standalone 
guidelines. One example of the use of standardized order sets is for 
Denver Health patients with ketoacidosis;[Footnote 17] this use of 
standardized order sets was associated with a 23 percent decrease in 
intensive care unit length of stay and a 30 percent decrease in 
hospital length of stay.[Footnote 18] In another example, Allina 
Hospitals & Clinics, which uses a single EHR system at all 11 of its 
hospitals and for all of its employed physicians, created systemwide 
pneumonia vaccine guidelines to better identify patients eligible for 
the vaccine. Allina Hospitals & Clinics' EHR electronically prompts 
the nurse to use the guidelines at the time the patient is assessed 
for admission. 

Operating a Health Insurance Plan Was Reported to Support Patient Care 
Strategies by Providing Resources and Increasing the Availability of 
Data on Patients in the Plan: 

Officials from IDSs in our sample reported that operating a health 
insurance plan can support patient care strategies by providing to the 
IDS both financial resources, such as savings resulting from reducing 
avoidable hospitalizations for health plan members, and data on health 
insurance plan members.[Footnote 19] IDS officials reported that 
financial resources could be used to fund services such as care 
coordination--which many insurers do not reimburse--and the data could 
be used as a basis for implementing strategies such as disease 
management. 

Care Coordination: 

A Geisinger Health System official discussed how operating a health 
insurance plan could enable an IDS to invest financial resources in 
coordinating care for patients insured by the plan. The official said 
one way that the Geisinger Health Plan provides care coordination is 
through its ProvenHealth Navigator program. Geisinger Health Plan 
hires nurses trained in population health management to work in 
primary care settings, where they provide specialized care 
coordination and preventive services for the plan's high-risk 
patients. According to the Geisinger Health System official, the 
ProvenHealth Navigator program is associated with reductions of up to 
30 percent in hospital readmissions and about 20 percent in acute 
admissions. Because Geisinger Health System hospitals have fewer 
admissions, Geisinger Health System revenues from hospital care are 
reduced. However, for the overall system, the reduced revenue has been 
offset by savings the health insurance plan experiences because it is 
paying for fewer hospital admissions for its members. Furthermore, 
patients have benefited from avoiding preventable hospital stays. 

Disease Management: 

Officials at some IDSs provided us with examples of ways that 
operating a health insurance plan enables them to allocate resources 
for disease management services or enables them to create better- 
informed disease management programs by providing access to useful 
patient information through the tracking of health insurance plan 
data. Henry Ford implemented an innovative protocol for use of an 
outpatient heparin treatment in place of an inpatient heparin 
treatment for patients with deep vein thrombosis before outpatient 
heparin was the standard of care. The type of heparin used in the 
outpatient treatment was not covered by most insurers. Because Henry 
Ford controls its own insurance benefit through its health insurance 
plan, the Health Alliance Plan, it was able to cover the cost of the 
outpatient heparin, which was associated with a decreased length of 
stay, as well as a decreased cost per admission.[Footnote 20] Henry 
Ford also uses its health insurance plan claims data to better inform 
patient care. For example, Henry Ford has access to over 10 years of 
data on patients with osteoporosis,[Footnote 21] allowing it to know 
how patients were treated and what the outcomes of those treatments 
were, which can guide future efforts to manage treatment of 
osteoporosis. Similarly, an official from Intermountain Healthcare 
told us that it used its health insurance plan data to identify 
patients with conditions such as hypertension and diabetes and conduct 
targeted education for those patients through mailings and other 
initiatives. 

Some IDSs Reported That Employing Physicians Supports Patient Care 
Strategies by Ensuring Physician Participation in Quality Efforts: 

Employing physicians, rather than relying solely on community-based 
physicians who are not employed by the system, may facilitate 
strategies to improve the quality of patient care at an IDS, in part 
because of the IDS's ability to require or encourage certain aspects 
of care and to monitor certain aspects of the care employed physicians 
provide. At each of the 15 IDSs in our sample, some physicians are 
employed by the IDS. Strategies supported by the employment of 
physicians include accountability for quality of care, use of care 
protocols, and mitigation of physician concerns related to payment for 
care for underserved populations. 

Accountability for Quality of Care: 

Employment of physicians was reported to facilitate physician 
accountability for quality of care because physicians who are employed 
by the IDS are expected to meet certain performance indicators, and 
the IDSs collect data on and review physician performance. For 
example, an official from Memorial Healthcare System said that 
employed physicians are expected to comply with performance 
indicators, but that Memorial Healthcare System does not have the same 
leverage with community-based physicians it does not employ as it has 
with the physicians it employs. The Memorial Healthcare System 
official told us the system can compare an employed physician's data 
with those of its other employed physicians and with performance 
benchmarks, and that such data comparisons help motivate physicians to 
improve their performance.[Footnote 22] A Denver Health official told 
us that the employment of physicians is an important part of 
implementing physician accountability and quality of care, and that 
physicians that the system employs are more likely to fully support 
hospital initiatives than are community-based physicians who are not 
employed by the system. An official from Intermountain Healthcare said 
that physicians are motivated to improve performance when presented 
with a comparison of individual performance indicators and peer 
performance indicators, and Intermountain Healthcare is able to 
provide more detailed information on physicians it employs because of 
the employed physicians' use of the EHR. 

Use of Care Protocols: 

Officials from some IDSs told us that employment of physicians can 
increase adherence to care protocols, because IDSs can require or 
encourage their use. For example, Geisinger has a pay-for-performance 
program for providers of coronary artery bypass graft surgery for 
Geisinger patients. Because Geisinger employs these surgeons, it can 
require them to follow 40 care protocols through its ProvenCare Heart 
Program. In a 2007 study, adverse outcomes occurred less often in the 
ProvenCare treatment group than the control group, the latter of which 
consisted of patients treated before the implementation of ProvenCare, 
and the likelihood of the patients being discharged to their home 
rather than to another care facility was higher.[Footnote 23] In 
addition, an official from Memorial Healthcare System told us that 
employed physicians are expected to follow protocols for chronic 
conditions. Memorial Healthcare System can track whether employed 
physicians--in both inpatient and outpatient settings-
-are using the protocols, and employed physicians receive feedback on 
their compliance with protocols. Memorial Healthcare System can track 
use of protocols for other physicians who provide inpatient services, 
but cannot track use of the protocols for other physicians who provide 
outpatient services. 

Mitigation of Physician Concerns Related to Payment: 

Officials from several IDSs told us that employment of physicians can 
facilitate provision of care to underserved populations because 
compensation from IDSs can mitigate physicians' concerns that they may 
not receive payment from uninsured patients. For example, an official 
from Intermountain Healthcare told us that physicians receive the same 
compensation regardless of the patient's insurance status. At Henry 
Ford Hospital, where the Henry Ford Medical Group is the sole source 
of physician staffing, the physicians are expected to provide the same 
standard care processes, which are evidence-based, without considering 
the patient's insurance status, and often physicians do not know what 
the patient's insurance status is. Similarly, the Sisters of Mercy 
Health System's St. Edward Mercy Health System has a set compensation 
structure for newly hired primary care physicians for at least 2 years 
under which there is no financial incentive for them to distinguish 
among patients of different insurance status. After 2 years, primary 
care physicians are asked to take at least 10 percent of their 
patients from Medicare or Medicaid populations, and they are 
reimbursed at a rate similar to that of commercial insurance for 
patients from those populations that exceed the 10 percent level (up 
to 20 percent). 

IDSs Use Community-Based Settings and Other Approaches to Facilitate 
Access to Care for Underserved Populations: 

The IDSs in our sample discussed several approaches that they use to 
facilitate access to care for underserved populations. These include 
providing community-based care, conducting outreach, helping patients 
apply for coverage programs, providing financial assistance, 
integrating mental health and primary care services, and collaborating 
with community organizations. 

Providing Community-Based Care: 

School-Based Health Centers: 

Officials from some IDSs reported providing underserved children with 
some of the health care services along their continuum of care--such 
as primary care, mental health care and counseling, and health 
education--through school-based health centers (SBHC).[Footnote 24] 
Examples of IDSs with school-based health centers serving underserved 
children include Denver Health, Henry Ford, Intermountain, NYCHHC, and 
Parkland Health & Hospital System. Henry Ford's SBHCs provide 
management of chronic illnesses, such as asthma and diabetes, and 
mental health counseling and referral in addition to their primary 
care services. Intermountain's SBHCs have expanded access to their 
health services to family members of the children they serve. 

Federally Qualified Health Centers (FQHC): 

Officials from several IDSs reported either operating or collaborating 
with FQHCs to provide care to underserved populations.[Footnote 25] 
Some IDSs, such as Denver Health and Parkland, operate FQHCs within 
their systems. All of Denver Health's 12 school-based health centers 
are FQHCs, as are all 8 of its primary care clinics, its urgent care 
center, and its hospital-based women's care clinic. Similarly, 
Parkland's Homeless Outreach Medical Services, which operates mobile 
health units in partnership with the City of Dallas, is an FQHC. At 
two other IDSs--Seton and Henry Ford--there are no FQHCs among the 
clinics in their system, but both IDSs collaborate with local FQHCs 
that are not part of their system. For example, Henry Ford 
collaborates with two local FQHCs, facilitating access to primary and 
specialty health care services. The FQHCs provide primary care 
services to patients, and Henry Ford provides needed specialty care 
services. In addition, Henry Ford collaborates more broadly with one 
of the FQHCs, providing resources to help meet the clinic's needs (for 
additional information, see sidebar). Another IDS, Marshfield Clinic, 
has a contractual partnership with an outside FQHC through which 
Marshfield Clinic provides primary and preventive health care and 
dental care to low-income uninsured and underinsured individuals and 
families. Marshfield Clinic also supported the establishment of the 
FQHC by helping it apply for federal grant funding. 

[Side bar: 
Henry Ford’s Collaboration with an FQHC Outside Its System: 
* Recognizing a need for greater primary care services in the 
community, Henry Ford helped fund the FQHC’s expansion and pays its 
rent. 
* Henry Ford provides low-cost laboratory services to the FQHC. 
* Henry Ford physicians, including specialists, serve as providers in 
the FQHC. 
* Henry Ford also makes its EHR available to the FQHC to facilitate 
the sharing of clinical information on shared patients. End of side 
bar] 

Mobile Health Units: 

Some IDSs operate mobile health units to expand access to care for 
underserved populations, such as people who are homeless and residents 
of rural areas. For example, Parkland's Homeless Outreach Medical 
Services mobile health units visit Dallas area homeless shelters to 
provide medical and social work services to children and adults. 
Services include immunizations, care for acute and chronic conditions, 
health education, and well-child care. To facilitate access to health 
care services for patients in rural communities, especially those who 
are uninsured, Seton operates a mobile mammography program and a 
mobile pediatric clinic. The mobile mammography program provides free 
mammography screening, breast self-examination instruction, and a 
clinical breast examination as well as eligibility screening for 
available public and Seton-sponsored health coverage. A nurse provides 
case management services for women screened through the mobile 
mammography program. The mobile pediatric clinic serves children 
through age 21, providing services such as well-child care, 
immunizations, and chronic disease management. 

Telehealth: 

Some IDSs, such as Marshfield Clinic, St. Edward Mercy Health System, 
and Geisinger, facilitate access to certain health care services to 
patients in rural areas by using telehealth to provide services such 
as primary care, mental health care, and certain specialty services. 
Telehealth enables providers to interact remotely with patients and 
other providers by using electronic communication and technologies 
such as video conferencing, bringing a wider range of services to 
underserved individuals in their communities. For example, Marshfield 
Clinic telehealth services are available in 40 medical specialties at 
55 sites, including dental clinics, skilled nursing facilities, Head 
Start clinics,[Footnote 26] a rural hospital, and 31 rural clinics, 5 
of which are FQHCs. Telehealth is available in care areas such as 
mental health, dentistry, and primary care. Through telehealth, 
Marshfield Clinic specialists and primary care providers consult with 
each other and outside referring physicians, and Marshfield Clinic 
patients can receive services from other specialists located in 
academic medical and research centers throughout the country. St. 
Edward Mercy Health System facilitates access to health care services 
for pregnant women and newborns in rural communities through its 
participation in the perinatal telehealth program of the University of 
Arkansas for Medical Sciences and Arkansas Children's Hospital. The 
program links physicians at St. Edward Mercy Medical Center with a 
neonatalogist or an obstetrician who specializes in high-risk 
pregnancies for consultation. To facilitate access to psychiatric 
services for veterans living in rural communities, Geisinger 
incorporates telemedicine into its Reaching Rural Veterans program. 
The program uses telehealth and a patient navigator to identify and 
assist veterans who have post-traumatic stress disorder and their 
families and connect them to local private and public resources. 

Conducting Outreach: 

Most IDSs in our sample conduct outreach targeted at underserved 
populations. IDSs engage in outreach activities such as health 
education, health screening, and linking individuals with providers 
for needed health care services. For example, Denver Health conducts 
outreach to underserved men in targeted neighborhoods and at the 
Denver County jail through its Men's Health Initiative. The Men's 
Health Initiative provides basic health screening; case management 
services, including services for men with complex health care needs; 
and referrals for specialty health care services. At Cambridge Health 
Alliance, volunteer health advisors work in the community to conduct 
health education and screening, participate in health fairs, provide 
referrals for services, and lead culturally and linguistically 
appropriate peer support groups such as those for patients with 
chronic conditions. According to Cambridge Health Alliance, since 2001 
the volunteer health advisor program has provided 8,100 screenings, 
and more than 700 individuals have been enrolled in health coverage 
and referred to a primary care doctor. 

Helping Patients Apply for Coverage Programs: 

All IDSs in our sample facilitate access to care for uninsured 
patients by helping them complete applications for public coverage 
such as Medicaid and local coverage programs. At some IDSs, 
application assistance is a component of community outreach 
activities, such as in Denver Health's Men's Health Initiative. Two 
systems--Seton and Parkland--use a Web-based tool to screen for 
eligibility for federal, state, and local health insurance programs. 
According to Seton representatives, using the Web-based tool enables 
the system to adopt a "no wrong door" approach, screening patients for 
eligibility regardless of where the patient enters the system. With 
the Web-based tool, Seton can track whether patients submitted 
applications, remind patients to do so, and track their enrollment 
status. Parkland uses the tool, which screens for eligibility for 
about 100 programs, at its main campus and all of its community health 
clinics, school-based health centers, and other locations. 

Providing Financial Assistance: 

Many IDSs in our sample also provide financial assistance, such as a 
sliding fee scale, for health care services to patients who are 
uninsured and do not qualify for public health insurance programs. For 
example, NYCHHC operates the HHC Options program, through which 
individuals who are uninsured or underinsured and meet income 
requirements pay a fee based on income and family size for health care 
services. Officials from another IDS, Seton, told us that it operates 
a "health insurance-like" program known as Seton Care Plus, through 
which uninsured individuals who meet income requirements can access 
health care services. Seton Care Plus enrollees pay a fee based on 
income for primary care services provided at Seton primary care 
clinics and receive discounts for specialty services from community 
specialists who have agreed to provide such services. According to 
officials from Seton, although Seton Care Plus is not insurance, it is 
similar in some ways, such as in its requirement for prior 
authorization for certain services and in its tracking and monitoring 
of the use of medical services. (For additional information on HHC 
Options and Seton Care Plus, see sidebar.) 

[Side bar: 
HHC Options and Seton Care Plus: 
HHC Options: 
* Patients with income up to 400 percent of the federal poverty level 
may be eligible. 
* Enrollee fees include: 
– $15 to $60 for adult clinic or emergency room visits; 
– $2 to $22 per prescription drug; 
* NYCHHC considers HHC Options an important way to serve immigrant 
communities. 
Seton Care Plus: 
* Patients with income up to 250 percent of the federal poverty level 
may be eligible. 
* Enrollee fees include: 
– $5 to $40 for preventive health examinations; 
– $20 to $60 for outpatient surgery; 
* Care coordination and disease management services are available to 
enrollees. End of side bar] 

Integrating Mental Health and Primary Care Services: 

To improve access to mental health care services for patients, 
including for underserved populations, some IDSs integrate mental 
health and primary care services by providing mental health screenings 
in primary care locations or collocating mental health providers in 
primary care settings. For example, the NYCHHC Queens Health Network, 
which serves a high proportion of patients who are uninsured or have 
Medicaid coverage, annually screens all adult patients with diabetes 
for depression in primary care settings. The primary care physicians 
treat patients with mild to moderately severe depression, and patients 
needing more specialized care are referred to the mental health 
clinic.[Footnote 27] Similarly, Henry Ford conducts depression 
screening for patients with chronic conditions. Henry Ford implemented 
a two-step screening process--which is embedded in the EHR--in its 
primary care clinics. The patient is first screened using a two-item 
screening questionnaire, and if that screening indicates a need, the 
patient completes a second, more extensive depression screening. The 
EHR uses the patient's responses to notify the primary care provider 
if treatment for depression is required and provides the evidence-
based treatment protocol. Henry Ford reported that in a 12-month 
period from June 2007 to June 2008, its primary care doctors were 
providing treatment for depression to 67 percent of the patients they 
identified through screening. In addition, two IDSs with facilities in 
Minnesota, Mayo Clinic and Allina, participate in a collaborative care 
model in which primary care providers screen and treat adult patients 
with depression.[Footnote 28] Primary care providers use a 
standardized questionnaire to assess symptoms of depression, a 
tracking system to monitor patient status, a medical guide for 
identifying appropriate treatment, care coordination for patients, a 
psychiatrist who is available for consultations, and tools for 
preventing relapses by patients in clinical remission. 

Another way some IDSs facilitate access to mental health care services 
is by collocating providers such as social workers, nurses, and 
psychiatrists in primary care settings. For example, Denver Health 
collocates some mental health providers in community health clinics 
and school-based health centers. Some of the community health clinics 
have a limited number of mental health providers on site, as well as a 
psychologist or psychiatrist. Staff at the school-based health centers 
include master's level mental health clinicians and child 
psychiatrists for consultations as needed. Another example of an IDS 
that collocates primary care and mental health care is NYCHHC, where 
most mental health clinics are collocated with primary care clinic 
locations. Therefore, patients needing both primary care and mental 
health services can obtain those services in one location. 

IDS officials told us that improving access to mental health care 
could have a beneficial effect on a patient's physical health. A 
Denver Health official noted that patients with unmet mental health 
care needs could face difficulty adhering to medical care treatment 
plans. Similarly, a staff member at Seton's community clinic commented 
that diabetic patients who are depressed and therefore not taking care 
of themselves often cannot manage the disease appropriately. 

Collaborating with Community Organizations: 

Officials from most of the IDSs in our sample reported collaborating 
with community organizations to facilitate access to care for 
underserved populations. In these collaborative efforts, IDSs work 
with organizations such as other providers and faith-based 
organizations, sometimes providing financial resources or directly 
providing patient care, referrals, screening services, or health 
education. For example, Seton collaborates with other local 
organizations through the Health Alliance for Austin Musicians (HAAM) 
to provide physical and mental health care services to low-income, 
uninsured musicians in Austin, Texas. Seton provides primary care 
services through Seton Care Plus to HAAM members, while other 
community organizations offer mental health, dental, and audiology 
services. Although HAAM members obtain mental health care services 
through a HAAM mental health provider, they obtain medications 
prescribed by that provider through Seton Care Plus, which gives them 
access to low-cost prescription drugs. Hennepin Healthcare System 
collaborates with other providers in its community on a pilot program 
to help patients who sought nonemergency care in the emergency 
department to find a primary care home. 

Some other IDSs collaborate with health clinics in their communities 
by providing in-kind and financial resources. For example, 
Intermountain and Geisinger provide financial assistance to local 
health clinics. St. Edward Mercy Health System provides office space 
to a local community organization that provides social services and 
assistance to children who have been abused, and a St. Edward Mercy 
Health System physician serves as medical director for the 
organization. Some of the systems in our sample work with local faith-
based organizations. For example, Henry Ford works with 15 to 20 local 
churches to offer health education and screening related to issues 
such as nutrition, cancer, and heart disease. Memorial Healthcare 
System and Parkland also collaborate with area churches to conduct 
outreach, provide some health care services, or provide health 
education and screening. 

IDSs May Face Various Operational Challenges in Providing Care: 

IDSs in our sample reported facing various operational challenges in 
providing care, including care for underserved populations. Some 
reported that not receiving reimbursement from health care insurance 
companies for the care coordination services they provide to patients 
is a financial challenge. Other operational challenges IDSs reported 
included finding specialty care for underserved patients, including 
mental health care; sharing information with providers outside the 
system; and changing management and physician cultures to adapt to 
organizational change. 

IDSs May Face the Financial Challenge of Not Receiving Reimbursement 
for the Care Coordination Services They Provide: 

Officials from some IDSs in our sample said that not receiving health 
insurance reimbursement for the care coordination services they 
provide is a financial challenge. While all the IDSs in our study 
provide these services as a patient care strategy, such services are 
generally not covered by health insurance.[Footnote 29] For example, 
Cambridge Health Alliance provides patient navigation and care 
management services but does not receive reimbursement for those 
services from health insurance companies. Cambridge Health Alliance 
said that because these services are necessary for treating certain 
patients, including those with mental illness, it continued to provide 
the services without receiving payment for them. Similarly, Henry Ford 
operates a pediatric medical home program that includes care 
coordination services, but does not receive health insurance 
reimbursement for these services.[Footnote 30] Allina cannot bill for 
services provided by its nonclinical care guides, whose services are 
part of a broader care coordination strategy. The care guides are 
trained to provide one-on-one counseling and patient navigation 
services to patients diagnosed with a chronic disease to help them 
meet their clinical goals. Allina told us that the Care Guide program 
increased the number of clinical goals that were met for participating 
patients and decreased inpatient care costs. An Allina official also 
commented that because Allina provides these services without 
receiving health insurance reimbursement and it does not operate a 
health insurance plan, it cannot recoup the savings that may result 
from care coordination, such as the reduced need for services for 
preventable events. 

IDSs May Face Difficulties in Finding Specialty Care, Including Mental 
Health Care, for Underserved Patients: 

Some IDS officials said that finding specialty care, including mental 
health care, for their underserved patients has presented challenges. 
The challenges that IDSs may face in finding mental health care 
providers include recruiting and funding providers to practice in the 
system and identifying providers in the community to accept referrals 
of underserved patients. For example, an official from Marshfield 
Clinic, which serves a rural population, told us the system has 
difficulty recruiting mental health care providers for its patient 
population, including Medicare and Medicaid beneficiaries. As a 
result, the mental health care providers at Marshfield Clinic have a 
large patient caseload and find it difficult to spend time 
collaborating with other types of providers to integrate care. Like 
Marshfield, Seton experiences difficulty recruiting psychiatrists to 
practice at one of its rural facilities. Seton officials also told us 
that while previously a psychiatrist worked in one of the system's 
urban primary care clinics, the clinic could not sustain the funding 
for the position. Clinic staff said they are able to consult with a 
psychiatrist only on a limited basis, and that there are many patients 
at the clinic who have serious mental illnesses but cannot access the 
care they need. In addition, Seton officials told us it is challenging 
to find psychiatrists in the community to accept referrals for the 
system's Medicaid and uninsured patients. 

Officials from some IDSs also told us that, in certain circumstances, 
they face challenges when seeking other types of outside specialty 
care for their underserved patients. For example, Sisters of Mercy 
refers patients to practices outside its system for certain specialty 
care that is not available within its system. However, it sometimes 
encounters problems finding outside specialty providers to treat its 
uninsured patients. Seton has also experienced this challenge. To 
fulfill its mission to provide health care to underserved populations, 
Seton provides primary care services to uninsured patients through its 
community clinics. It also participates in a program through which it 
recruits specialists from the community who agree to see a certain 
number of uninsured patients, but it has experienced difficulty 
finding specialists to participate in this program and provide 
specialty care to Seton patients. 

Sharing Information in EHRs with Outside Providers May Present 
Challenges to IDSs: 

Some IDS officials described challenges related to sharing the 
clinical information in patients' EHRs with providers outside of their 
systems.[Footnote 31] To improve availability of patient clinical 
information, some IDSs make their EHRs available to outside providers 
that also treat their patients. Of those IDSs, some reported that 
while the outside providers can read the EHRs, they cannot directly 
enter clinical information. For example, Geisinger makes its EHR 
available to outside providers to give them immediate access to 
patient medical records, but the providers are not able to enter any 
additional clinical information directly into the EHR.[Footnote 32] 
Geisinger can scan this information into the EHR if the outside 
provider communicates it, but scanning is not instantaneous, as direct 
entry would be. A Geisinger official noted that while scanning is not 
optimal, absent a common EHR where information can be directly 
entered, the scanned records can be a helpful supplement to a 
patient's EHR in many cases. Similarly, providers serving patients at 
the FQHCs that Henry Ford partners with can only view information in 
the EHR and cannot directly enter clinical information themselves. 
While the Geisinger and Henry Ford EHRs are available as read-only for 
outside providers, the Denver Health EHR cannot be viewed by mental 
health care providers outside of its system. A Denver Health official 
told us that, with the exception of enrollees in Denver Health's 
managed care plans, Denver Health's patients with severe and 
persistent mental illness receive their outpatient mental health care 
from a community mental health center in Denver that uses an EHR that 
is separate from Denver Health's EHR.[Footnote 33] As a result, Denver 
Health providers, such as those working in the psychiatric emergency 
department, do not have immediate access to information about the care 
their patients received at the community mental health center, which 
can affect patient care. However, Denver Health providers do have 
access to an electronic database with the prescription history of 
patients who visit the community mental health center. 

IDSs May Experience Challenges in Changing Management and Physician 
Culture and Implementing an EHR: 

Officials from some IDSs told us about challenges they faced as their 
systems have evolved, in particular, difficulty in changing management 
and physician cultures and in implementing an EHR. For example, as 
Allina centralized its supervision of clinical care, it redefined the 
role of its clinical directors, who used to manage groups of clinical 
services at individual facilities. When the system transferred 
supervision of the clinical services from the individual facilities to 
the central system, the facility clinical directors were concerned 
that they would no longer have a role in clinical management and would 
be responsible for administrative functions only. The operational 
challenge was different at Intermountain, where implementing care 
protocols required a change in the physician culture because of the 
generally independent nature of physicians and their concern that 
Intermountain was trying to "tell them what to do." The system has 
been making efforts to motivate physicians to use Intermountain's 
voluntary care protocols for about 10 years. To do so, Intermountain 
uses physician-level data to show how individual physicians are 
performing relative to their colleagues. Intermountain has more buy-in 
from physicians now than in the past, but officials there said 
changing the culture continues to be a challenge. 

Some IDS officials said that implementing an EHR system is financially 
and operationally challenging. For example, NYCHHC currently has eight 
separate EHRs that were developed and customized at the subsystem 
level, and it has been financially and operationally challenging to 
consolidate them into an interoperable system.[Footnote 34] Because 
the EHRs were developed at the subsystem level, clinical data can be 
shared within each subsystem, but NYCHHC does not yet have a system 
that can seamlessly transfer clinical data across the entire system. 
According to senior NYCHHC officials, consolidating the regional EHRs, 
as NYCHHC is currently doing for its electronic blood bank registry, 
is part of the system's strategic plan. Henry Ford has also 
encountered challenges in implementing its EHR system. Because of cost 
and connectivity issues, its school-based health centers do not 
currently have access to the system's EHRs. A Henry Ford official said 
that the school-based health centers have competing priorities for 
funds provided by Henry Ford, including staffing needs, and that Henry 
Ford has not been able to pay for the implementation of the EHR at the 
school-based health centers but plans to do so eventually. 

We are sending a copy of this report to the Secretary of Health and 
Human Services and the Administrator of the Health Resources and 
Services Administration. The report also is available at no charge on 
GAO's Web site at [hyperlink, http://www.gao.gov]. 

If you or your staff have any questions regarding this report, please 
contact me at (202) 512-7114 or bascettac@gao.gov. Contact points for 
our Offices of Congressional Relations and Public Affairs may be found 
on the last page of this report. GAO staff who made major 
contributions to this report are listed in appendix II. 

Signed by: 

Cynthia Bascetta: 
Director, Health Care: 

[End of section] 

Appendix I: Selected Characteristics of Integrated Delivery Systems in 
GAO Sample: 

1. IDS[A]: Allina Hospitals & Clinics; 
Public/private: Private; 
Census region: Midwest; 
Payer mix[B] (percentage of patient population): Uninsured: 2; 
Payer mix[B] (percentage of patient population): Medicaid: 11; 
Payer mix[B] (percentage of patient population): Medicare: 36; 
Payer mix[B] (percentage of patient population): Private: 49; 
Payer mix[B] (percentage of patient population): Other: 2; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Check]. 

2. IDS[A]: Seton Family of Hospitals (Ascension Health); 
Public/private: Private; 
Census region: South; 
Payer mix[B] (percentage of patient population): Uninsured: 22; 
Payer mix[B] (percentage of patient population): Medicaid: 18; 
Payer mix[B] (percentage of patient population): Medicare: 21; 
Payer mix[B] (percentage of patient population): Private: 32; 
Payer mix[B] (percentage of patient population): Other: 7; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Check]. 

3. IDS[A]: Cambridge Health Alliance; 
Public/private: Public; 
Census region: Northeast; 
Payer mix[B] (percentage of patient population): Uninsured: 22; 
Payer mix[B] (percentage of patient population): Medicaid: 30; 
Payer mix[B] (percentage of patient population): Medicare: 16; 
Payer mix[B] (percentage of patient population): Private: 31; 
Payer mix[B] (percentage of patient population): Other: 1; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Empty]. 

4. IDS[A]: Denver Health; 
Public/private: Public; 
Census region: West; 
Payer mix[B] (percentage of patient population): Uninsured: 47; 
Payer mix[B] (percentage of patient population): Medicaid: 30; 
Payer mix[B] (percentage of patient population): Medicare: 6; 
Payer mix[B] (percentage of patient population): Private: 17; 
Payer mix[B] (percentage of patient population): Other: 0; 
Includes FQHCs[C]: [Check]; 
Includes rural facilities[D]: [Empty]. 

5. IDS[A]: Geisinger Health System; 
Public/private: Private; 
Census region: Northeast; 
Payer mix[B] (percentage of patient population): Uninsured: 2; 
Payer mix[B] (percentage of patient population): Medicaid: 12; 
Payer mix[B] (percentage of patient population): Medicare: 39; 
Payer mix[B] (percentage of patient population): Private: 44; 
Payer mix[B] (percentage of patient population): Other: 3; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Check]. 

6. IDS[A]: Hennepin Healthcare System; 
Public/private: Public; 
Census region: Midwest; 
Payer mix[B] (percentage of patient population): Uninsured: 19; 
Payer mix[B] (percentage of patient population): Medicaid: 47; 
Payer mix[B] (percentage of patient population): Medicare: 17; 
Payer mix[B] (percentage of patient population): Private: 16; 
Payer mix[B] (percentage of patient population): Other: 1; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Empty]. 

7. IDS[A]: Henry Ford Detroit Region (Henry Ford Health System); 
Public/private: Private; 
Census region: Midwest; 
Payer mix[B] (percentage of patient population): Uninsured: 4; 
Payer mix[B] (percentage of patient population): Medicaid: 16; 
Payer mix[B] (percentage of patient population): Medicare: 35; 
Payer mix[B] (percentage of patient population): Private: 44; 
Payer mix[B] (percentage of patient population): Other: 1; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Empty]. 

8. IDS[A]: Intermountain Healthcare; 
Public/private: Private; 
Census region: West; 
Payer mix[B] (percentage of patient population): Uninsured: 9; 
Payer mix[B] (percentage of patient population): Medicaid: 11; 
Payer mix[B] (percentage of patient population): Medicare: 23; 
Payer mix[B] (percentage of patient population): Private: 51; 
Payer mix[B] (percentage of patient population): Other: 6; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Check]. 

9. IDS[A]: Marshfield Clinic; 
Public/private: Private; 
Census region: Midwest; 
Payer mix[B] (percentage of patient population): Uninsured: 3; 
Payer mix[B] (percentage of patient population): Medicaid: 11; 
Payer mix[B] (percentage of patient population): Medicare: 38; 
Payer mix[B] (percentage of patient population): Private: 45; 
Payer mix[B] (percentage of patient population): Other: 3; 
Includes FQHCs[C]: [Check]; 
Includes rural facilities[D]: [Check]. 

10. IDS[A]: Mayo Clinic - Rochester Region (Mayo Clinic); 
Public/private: Private; 
Census region: Midwest; 
Payer mix[B] (percentage of patient population): Uninsured: 6; 
Payer mix[B] (percentage of patient population): Medicaid: 7; 
Payer mix[B] (percentage of patient population): Medicare: 33; 
Payer mix[B] (percentage of patient population): Private: 52; 
Payer mix[B] (percentage of patient population): Other: 2; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Empty]. 

11. IDS[A]: Memorial Healthcare System; 
Public/private: Public; 
Census region: South; 
Payer mix[B] (percentage of patient population): Uninsured: 15; 
Payer mix[B] (percentage of patient population): Medicaid: 15; 
Payer mix[B] (percentage of patient population): Medicare: 30; 
Payer mix[B] (percentage of patient population): Private: 35; 
Payer mix[B] (percentage of patient population): Other: 5; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Empty]. 

12. IDS[A]: Queens Health Network (New York City Health and Hospitals 
Corporation); 
Public/private: Public; 
Census region: Northeast; 
Payer mix[B] (percentage of patient population): Uninsured: 28; 
Payer mix[B] (percentage of patient population): Medicaid: 50; 
Payer mix[B] (percentage of patient population): Medicare: 12; 
Payer mix[B] (percentage of patient population): Private: 9; 
Payer mix[B] (percentage of patient population): Other: 1; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Empty]. 

13. IDS[A]: Parkland Health & Hospital System; 
Public/private: Public; 
Census region: South; 
Payer mix[B] (percentage of patient population): Uninsured: 34; 
Payer mix[B] (percentage of patient population): Medicaid: 33; 
Payer mix[B] (percentage of patient population): Medicare: 15; 
Payer mix[B] (percentage of patient population): Private: 9; 
Payer mix[B] (percentage of patient population): Other: 10; 
Includes FQHCs[C]: [Check]; 
Includes rural facilities[D]: [Empty]. 

14. IDS[A]: Partners Healthcare; 
Public/private: Private; 
Census region: Northeast; 
Payer mix[B] (percentage of patient population): Uninsured: 5; 
Payer mix[B] (percentage of patient population): Medicaid: 15; 
Payer mix[B] (percentage of patient population): Medicare: 35; 
Payer mix[B] (percentage of patient population): Private: 40; 
Payer mix[B] (percentage of patient population): Other: 5; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Empty]. 

15. IDS[A]: St. Edward Mercy Health System (Sisters of Mercy Health 
System); 
Public/private: Private; 
Census region: South; 
Payer mix[B] (percentage of patient population): Uninsured: 9; 
Payer mix[B] (percentage of patient population): Medicaid: 10; 
Payer mix[B] (percentage of patient population): Medicare: 49; 
Payer mix[B] (percentage of patient population): Private: 30; 
Payer mix[B] (percentage of patient population): Other: 2; 
Includes FQHCs[C]: [Empty]; 
Includes rural facilities[D]: [Check]. 

Source: GAO analysis of publicly available information and IDS 
responses to Web-based data collection instrument, in the field from 
December 8, 2009, through January 6, 2010. 

[A] Some IDSs are organized into multiple subsystems--local or 
regional delivery systems that are organized below the system level--
that integrate clinical care within themselves. For IDSs organized at 
the subsystem level, this table identifies the subsystem we studied 
for this report and gives the system name in parentheses. 

[B] IDSs were asked to report payer mix data--specifically, for 
calendar year 2007, the percentage of patients who were uninsured; 
were covered by Medicaid, Medicare, or private insurance; or had other 
forms of coverage. Other forms of coverage may include Workers 
Compensation, Civilian Health and Medical Program of the Uniformed 
Services (CHAMPUS), Civilian Health and Medical Program of the 
Department of Veterans Affairs (CHAMPVA), and other government 
programs. 

[C] IDSs were asked to report whether any of their facilities were 
FQHCs. A check mark indicates that the IDS (or subsystem, when 
applicable) had at least one facility that was designated an FQHC. 

[D] We used facility addresses provided by the IDSs to determine rural 
status using codes 4 through 10 of the Rural-Urban Commuting Area 
(RUCA) codes, developed by the Health Resources and Services 
Administration, the U.S. Department of Agriculture, and the University 
of Washington. Census tracts with RUCA codes 4 through 10 are 
considered rural for the purposes of Rural Health grants by the Health 
Resources and Services Administration's Office of Rural Health Policy. 
A check mark indicates that the IDS has at least one rural facility. 

[End of table] 

[End of section] 

Appendix II: GAO Contact and Staff Acknowledgments: 

GAO Contact: 

Cynthia A. Bascetta, (202) 512-7114 or bascettac@gao.gov: 

Acknowledgments: 

In addition to the contact named above, Helene F. Toiv, Assistant 
Director; Anne Dievler; Joanne Jee; Martha R.W. Kelly; Mariel 
Lifshitz; Kate Nast; Roseanne Price; Janet L. Sparks; Margaret J. 
Weber; and Jennifer Whitworth made key contributions to this report. 

[End of section] 

Footnotes: 

[1] In this report we define medically underserved individuals as 
those individuals who demonstrate economic, geographic, cultural, or 
linguistic barriers to health care services, including Medicaid 
enrollees and rural populations. 

[2] Pub. L. No. 110-355 § 2 (b)(4), 122 Stat. 3988, 3990-91. The act 
refers to IDSs as "integrated health systems." 

[3] We define primary care in this report as basic or general health 
services such as family medicine, internal medicine, pediatrics, 
obstetrics and gynecology, dental care, and certain types of mental 
health/substance abuse treatment. Specialty care is defined here as 
health services in a specific field of medicine, such as cardiology, 
dermatology, and psychiatry. Acute care is defined here as short-term 
medical or surgical treatment. 

[4] An example of a closed system is Kaiser Permanente. 

[5] Medicare is the federal health insurance program for people over 
age 65, individuals under age 65 with certain disabilities, and 
individuals diagnosed with end-stage renal disease. Medicaid is a 
joint federal-state program that finances health care coverage for 
certain low-income adults and children. Medicaid programs vary from 
state to state. 

[6] Anthony Shih et al., Organizing the U.S. Health Care Delivery 
System for High Performance (New York, N.Y.: Commonwealth Fund 
Commission on High Performance Health System, August 2008). 

[7] A. Enthoven, "Integrated Delivery Systems: The Cure for 
Fragmentation," The American Journal of Managed Care 15, no. 10 
(2009): S284-S290. 

[8] Patient navigation services can include assistance in scheduling 
appointments and arranging transportation and child care. 

[9] Stephen M. Shortell and Julie Schmittdiel, "Prepaid Groups and 
Organized Delivery Systems," in Toward a 21st Century Health System, 
eds. Alain C. Enthoven and Laura A. Tollen (San Francisco, Calif.: 
Jossey-Bass, 2004): 1-21. 

[10] D.R. Rittenhouse et al., "Physician Organization and Care 
Management in California: From Cottage to Kaiser," Health Affairs, 23, 
no. 6 (2004): 51-62. 

[11] Institute of Medicine, America's Uninsured Crisis: Consequences 
for Health and Health Care (Washington, D.C.: National Academy Press, 
2009). 

[12] An EHR is an electronic collection of information about the 
health of an individual or the care provided, such as patient 
demographics, progress notes, problems, medications, vital signs, past 
medical history, immunizations, laboratory data, and radiology 
reports. The EHR can also support other care-related activities, 
including evidence-based decision making. The Health Information 
Technology for Economic and Clinical Health Act of 2009 established 
the Electronic Health Record Incentive Program, through which certain 
providers become eligible for financial incentives when they implement 
certified EHRs. Providers using certified EHRs must demonstrate 
"meaningful use" to improve health care quality, safety, and 
efficiency to receive the incentive payment. 

[13] Disease registries are databases that contain information on 
patients diagnosed with a particular disease. 

[14] Studies on CPOE systems have recognized their potential for 
reducing medication errors; however, CPOE systems have also been 
associated with their own risks and errors. 

[15] Douglas McCarthy, Kimberly Mueller, and Sarah Klein, Marshfield 
Clinic: Health Information Technology Paves the Way for Population 
Health Management (New York, N.Y.: The Commonwealth Fund, 2009), 5. 

[16] Douglas McCarthy, Kimberly Mueller, and Sarah Klein, 5. 

[17] Ketoacidosis occurs when ketone levels in blood and urine become 
too high as a result of uncontrolled diabetes or illness, and can lead 
to diabetic coma or death. 

[18] S.V. Bull et al., "Mandatory Protocol for Treating Adult Patients 
with Diabetic Ketoacidosis Decreases Intensive Care Unit and Hospital 
Lengths of Stay: Results of a Nonrandomized Trial," Critical Care 
Medicine, 35, no. 1 (2007): 41-46. 

[19] Ten of the IDSs in our sample offer a health insurance plan that 
can be available to groups, to individuals, to system employees, or to 
people enrolled in Medicaid, Medicare, or the Children's Health 
Insurance Program. 

[20] Vinod K. Sahney et al., The Business Case for Pharmaceutical 
Management: A Case Study of Henry Ford Health System (New York, N.Y.: 
The Commonwealth Fund, 2003), 12. 

[21] Osteoporosis is a disease in which bones become fragile and more 
likely to break. 

[22] The Memorial Healthcare System official told us that he is able 
to track physician data for all physicians practicing in the inpatient 
setting, but that for physicians practicing in an outpatient setting, 
he is able to track physician data only for employed physicians. 

[23] A. S. Casale et al., "ProvenCareSM: A Provider-Driven Pay-for- 
Performance Program for Acute Episodic Cardiac Surgical Care," Annals 
of Surgery, 246, no. 4 (2007): 613-623. 

[24] School-based health centers are located on school grounds; 
provide primary health care and other health care services, such as 
mental health care, regardless of the student's ability to pay; and 
offer a broader range of services than a school nurse generally 
provides. 

[25] FQHCs include (1) health centers that receive federal grants 
under Section 330 of the Public Health Service Act, including 
Community Health Centers, Migrant Health Centers, Health Care for the 
Homeless Health Centers, and Public Housing Primary Care Centers; (2) 
FQHC "Look-A-likes" that have been identified by the Health Resources 
and Services Administration and certified by CMS as meeting the 
definition of "Health Center" under Section 330 of the Public Health 
Service Act, although they do not receive grant funding under Section 
330; and (3) outpatient health programs/facilities operated by tribal 
organizations (under the Indian Self-Determination Act) or urban 
Indian organizations (under the Indian Health Care Improvement Act). 
FQHCs are eligible to receive special Medicaid and Medicare 
reimbursement rates. 

[26] The Head Start program is a federal early childhood program that 
gives grants to local organizations to provide preschool education and 
other services such as family support, health screenings, and dental 
care to low-income children and their families. 

[27] Research shows that depression is highly prevalent among people 
with diabetes. Research also shows that depression is associated with 
chronic illness 20 to 50 percent of the time. 

[28] A group of Minnesota medical groups, along with representatives 
from six of Minnesota's commercial health plans and the Minnesota 
Department of Human Services, developed the collaborative care model, 
which is referred to as DIAMOND--Depression Improvement Across 
Minnesota, Offering a New Direction. 

[29] There are some instances where funding is available for care 
coordination services, including Medicare demonstration projects and 
Medicaid waiver programs, but they are limited, and health systems 
generally do not receive payment for these services. 

[30] The Henry Ford Medical Home for Children program helps families 
of children who have chronic diseases, developmental disabilities, or 
physical disabilities through early identification, medical 
management, and health promotion. 

[31] The use and disclosure of patient health information by and 
between providers are subject to a number of state and federal laws, 
including, for example, the privacy protections under the Health 
Insurance Portability and Accountability Act of 1996, Pub. L. No. 104- 
191, title II, 110 Stat. 1936. 

[32] About half of Geisinger Health Plan members receive some care 
from outside providers. 

[33] Denver Health's managed care plans include Medicare Advantage 
plans, a children's health insurance plan, and health maintenance 
organization plans for employees of Denver Health and the City and 
County of Denver. 

[34] Interoperability is the ability of two or more systems or 
components to exchange information and to use the information that has 
been exchanged. 

[End of section] 

GAO's Mission: 

The Government Accountability Office, the audit, evaluation and 
investigative arm of Congress, exists to support Congress in meeting 
its constitutional responsibilities and to help improve the performance 
and accountability of the federal government for the American people. 
GAO examines the use of public funds; evaluates federal programs and 
policies; and provides analyses, recommendations, and other assistance 
to help Congress make informed oversight, policy, and funding 
decisions. GAO's commitment to good government is reflected in its core 
values of accountability, integrity, and reliability. 

Obtaining Copies of GAO Reports and Testimony: 

The fastest and easiest way to obtain copies of GAO documents at no 
cost is through GAO's Web site [hyperlink, http://www.gao.gov]. Each 
weekday, GAO posts newly released reports, testimony, and 
correspondence on its Web site. To have GAO e-mail you a list of newly 
posted products every afternoon, go to [hyperlink, http://www.gao.gov] 
and select "E-mail Updates." 

Order by Phone: 

The price of each GAO publication reflects GAO’s actual cost of
production and distribution and depends on the number of pages in the
publication and whether the publication is printed in color or black and
white. Pricing and ordering information is posted on GAO’s Web site, 
[hyperlink, http://www.gao.gov/ordering.htm]. 

Place orders by calling (202) 512-6000, toll free (866) 801-7077, or
TDD (202) 512-2537. 

Orders may be paid for using American Express, Discover Card,
MasterCard, Visa, check, or money order. Call for additional 
information. 

To Report Fraud, Waste, and Abuse in Federal Programs: 

Contact: 

Web site: [hyperlink, http://www.gao.gov/fraudnet/fraudnet.htm]: 
E-mail: fraudnet@gao.gov: 
Automated answering system: (800) 424-5454 or (202) 512-7470: 

Congressional Relations: 

Ralph Dawn, Managing Director, dawnr@gao.gov: 
(202) 512-4400: 
U.S. Government Accountability Office: 
441 G Street NW, Room 7125: 
Washington, D.C. 20548: 

Public Affairs: 

Chuck Young, Managing Director, youngc1@gao.gov: 
(202) 512-4800: 
U.S. Government Accountability Office: 
441 G Street NW, Room 7149: 
Washington, D.C. 20548: