BLUE CROSS AND BLUE SHIELD ANNOUNCES MEMBERS OF NEW CARDIAC NETWORK; NETWORK BASED ON QUALITY & PATIENT OUTCOMES IS FIRST OF KIND IN MINN.
MINNEAPOLIS, Feb. 9 /PRNewswire/ -- Blue Cross and Blue Shield of Minnesota (BCBSM) and its HMO affiliate, Blue Plus, have formed a unique, statewide specialty network for elective cardiac care. Called the Project HealthVision Cardiac Network, it's the first time in Minnesota patient outcomes and other quality of care related measures have been used to select providers. The network has an average of only 15 deaths per thousand compared to 53 per thousand, the average for the majority of other cardiac providers in the state. Information on patient outcomes was collected using MedisGroups, a unique data analysis program at BCBSM which gathers clinical information from patient charts to compare complication and death rates at various hospitals statewide. MedisGroups is a cornerstone of Project HealthVision, Blue Cross and Blue Shield's unique approach to managing health care through the power of information. "We targeted cardiac services because of their frequency, complexity, and cost," said Mark Banks, M.D., Senior Vice President, BCBSM, and Chief Operating Officer, Blue Plus. "In addition, our research showed wide variation in patient outcomes among cardiac care providers. We used the results of our research to develop a quality- based network. By limiting the number of cardiac providers with whom we contract and working more closely with them, we can do a better job of managing care, improving health care quality, and controlling costs." The Project HealthVision Cardiac Network includes seven metropolitan and three outstate hospitals and will serve as the cardiac network of providers for Blue Plus members who are in need of non-emergency or elective cardiac services. "We offered every cardiac program in the state equal opportunity to be involved in the cardiac network and selected those hospitals and their affiliated physician groups that demonstrated the ability to deliver high quality cardiac care," said Mary Ann Stump, vice president for quality improvement at Blue Plus. Hospitals were selected for the network based on the most comprehensive collection of quality and measurable patient outcomes data ever assembled in Minnesota. Aside from the MedisGroups data, hospitals also had to meet guidelines of the American Heart Association and the American College of Cardiology for volume and experience. Other primary criteria included the potential to participate in a long-term relationship with Blue Plus. Important consideration was also given to providers' quality improvement programs, convenience of location for members statewide, and the opinions of Blue Plus primary care physicians and employer clients. The Project HealthVision Cardiac Network will provide five diagnostic and surgical services when performed as elective, non- emergency procedures: -- Cardiac catheterization -- Electrophysiologic studies -- Angioplasty -- Coronary bypass grafts -- Valve surgery However, Project HealthVision Cardiac Network providers are not limited to these five procedures and can provide a full range of cardiac care. The Project HealthVision Cardiac Network includes: Abbott Northwestern Minneapolis; Fairview Southdale, Edina; North Memorial Medical Center, Minneapolis; Methodist Hospital, St. Louis Park; St. Joseph's Hospital, St. Paul; United Hospital, St. Paul; University of Minnesota Medical Center, Minneapolis; St. Mary's, Duluth; Dakota Hospital, Fargo, N.D.; and McKennan Hospital, Sioux Falls, S.D. In the next few years, Blue Plus and BCBSM will be creating additional quality-based networks using a selection model similar to that used for the cardiac network. These future speciality networks could include oncology, orthopedics, high-risk maternity, neurology, and physical therapy. Blue Plus is one of Minnesota's largest HMOs, covering nearly 200,000 members through a network of primary care providers at 250 clinics. BCBSM is the state's oldest and largest health coverage carrier. More than 1.1 million members are covered by BCBSM health plans or plans administered by the company. -0- 2/9/93 /CONTACT: Mark Heymans of Blue Cross and Blue Shield of Minnesota, 612-456-8786, or Greg Smith of Colle & McVoy, 612-851-2555, for BCBSM/
CO: Blue Cross and Blue Shield of Minnesota; Blue Plus ST: Minnesota IN: MTC HEA SU:
DS -- MN002 -- 4498 02/09/93 09:24 EST
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|Date:||Feb 9, 1993|
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