WINSTON-SALEM, N.C. -- The Centers for
Medicare & Medicaid Services (CMS) announced today that the group of
physician practices affiliated with Forsyth Medical Center (FMC) has
attained a perfect quality score in the fifth year of a nationwide
Physician Group Practice (PGP) project designed to demonstrate that
improving quality through the coordination of care can help lower costs.
The FMC group includes 120 physician practices throughout the Triad
that are part of the Novant Medical Group (NMG) and one of only 10
physician practice groups across the country to participate in the
Physician practice groups selected for the project focused on quality
measures to improve overall care for patients with diabetes, heart
failure, coronary artery disease and hypertension, as well as measures
to improve preventive care. The FMC group of practices attained 53 of
the 53 possible quality points in the fifth year of the demonstration
According to Nan Holland, Novant Medical Group's senior director for
clinical excellence, the FMC group of practices has been a leader in
quality scores for all five years of the project and has achieved 96-100
percent of all quality measures each year of the demonstration.
Additionally, the group was consistently the lowest-cost provider among
all participating groups.
"The goal of the five-year project was to improve the quality of the
care while demonstrating our ability to generate real cost savings in
serving our Medicare patients," Holland says. "While the CMS project
focus was on Medicare patients, the experience we have gained can be
applied to all patients throughout the Novant Health system."
Holland says that participating in this project has elevated Forsyth
Medical Center and the NMG practices to the national stage and allowed
NMG the opportunity to collaborate with some of the most
forward-thinking physician practice groups from around the country.
"This collaboration allowed us to share our best practices and learn
from each other how to better deliver high-quality, efficient and
coordinated care to our patients," she says. "During this project we
focused on two key areas - teaching patients to take an active role in
managing their conditions and improving the coordination of care at the
practice and community level so we deliver the right care to the right
patients in the most efficient setting."
Holland says the Patient Protection and Affordable Care Act of 2010
sets our provisions for the PGP demonstration to continue its work to
address sustainability of care coordination, disease management and cost
containment programs coming out of the initial demonstration.
All ten of the physician groups will continue to participate in the
new PGP Transition Demonstration, a two-year supplement to the original
"We plan to continue our work with CMS over the next two years to
help define the role of accountable care in addressing quality, cost and
overall care," she says.
The other physician group practices participating in the project
include Dartmouth-Hitchcock Clinic (N.H.), Billings Clinic (Mont.),
Everett Clinic (Wash.), Geisinger Health System (Pa.), Middlesex Health
Clinic (Conn.), Marshfield Clinic (Wis.), University of Michigan Family
Group Practice (Mich.), Park Nicollet Health Services (Minn.) and St.
John's Health System (Mo.).