A Look at Dignity
Health’s CINs

There are 7,144 clinical integration providers

  • 370 employed physicians
  • 5,278 independent physicians
  • 1,496 AHPs

Across all of Dignity Health’s clinically integrated networks (CINs), clinical and operations leaders engage in a variety of initiatives to enhance care quality, better coordinate patient care and lower costs.

Our networks worked with Population Health/Clinical Integration leadership to produce and distribute MACRA playbooks to help providers meet the MIPS requirements for reporting quality measures. The CINs also offered on-site sessions for physicians and office staff to prepare them for the reporting process.

The CINs are also taking advantage of the revamped Care Coordination program, working to identify patients for rising- and high-risk conditions and ensuring those patients get access to the preventive and other services they need to maintain good health.

In addition, CINs completed a Press Ganey Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CGCAHPS) survey based on claims encounters to measure patient perceptions of care delivered by providers and to identify patients who may need care management so they can be enrolled.

As a result of the population health strategy we have built, Dignity Health successfully negotiated annual increases for the next five years with certain payers for network physicians in California. Many of our networks saw payouts for the Bundled Payment for Care Improvement participation.

Humankindness lives here.

Vitals are Vital

No matter the reason for a patient visit, it’s Dignity Health policy to check vital signs. And our doctors don’t just record the numbers in a chart — they are empowered to follow their clinical instincts and take action. Ophthalmologist Robert Bellinoff, MD, notes that numerous times in his department, doctors have identified conditions including hypertension, heart block and other health problems.

Recently, a 92-year-old man was in for his routine eye exam. His oxygen saturation was 85 percent, and he said he was somewhat short of breath.

“After I evaluated him, I decided to call 911 and have him taken to Mercy General. He was found to have a pneumothorax, was admitted and had a chest tube placed,” Dr. Bellinoff says. “I continue to be grateful that these policies are not in place just for us, but for our patients. I think we just saved a life today.”