Mostashari: Beacons 'taught us'
After three years, ONC, Beacon Community participants assess progressMay 23, 2013
The Beacon Communities proved that organizations can advocate changes to how healthcare is paid for by working with payers and providers, while improving quality and safety at the same time — lessons learned locally but applicable to the entire nation, said Farzad mostashari, MD, national coordinator for health IT. “These were the pillars of the Beacon Community activities, and they taught us,” Mostashari said. “They showed what we needed to do.”
Mostashari spoke May 22 during an online event titled The Beacon Community Experience: Illuminating the Path Forward. The idea was to assess how the 17 Beacon Communites had fared over the past three years. The 17 communities across the country were funded by ONC with $250 million to serve as models for changing healthcare. ONC named 15 communities at first, and added two later.
Changing large health plans' payment structure for a single community is one example of an idea that just didn’t make sense; another was the reality that getting data out of EHRs so caregivers can work as teams was just too hard in many cases.
“We needed national movement,” Mostashari said. “We needed national standards because the vendors couldn’t build something just for you.”
Mostashari announced the release of a learning guide for "Beacon Nation." ONC describes the guide as encompassing approaches, lessons learned and best practices of Beacon Communities in implementing automated alerts triggered by admission, discharge and transfer events, all with the goal of helping communities improve chronic disease care and reduce readmissions.
[See also: Site visit: Hawaii's Beacon Community.]
“When we look back over the last three years, we’ve accelerated many of the objectives – lot of the vision we had in mind when we started our work," said Patrick Gordon, director of government programs at Rocky Mountain Health Plans and the program director of Colorado Beacon Consortium. "A lot of times it’s easy to just be consumed by the challenges and the next generation of work ahead of us. But, really, the learnings, the experiences, the networking and the trust fabric that’s been built over the last three years is incredible,” “And I do believe that those kinds of experiences are universal … and certainly not limited to any particular community.”
Also speaking at the event, Mark McClellan, MD, director of the Engelberg Center for Health Care Reform, a senior fellow at Brookings Institution, and a former CMS administrator said that “while we’re not there yet, we are making some important and visible progress in getting the goals aligned: better care, lower costs, better outcomes, through community action, through action at the practice level and to align financing. The Beacon program touched on all of these. We hope to move them all forward together.”