Redesigning the Delivery System

The Members in Action series highlights how hospitals and health systems are implementing new value-based strategies to improve health care affordability. This includes the work described below to redesign the delivery system.


Cedars-Sinai Medical Center Image Geriatrics Team

Cedars-Sinai Medical Center – Los Angeles, Calif.
Age-friendly Health Care Improves Value for Older Adults with Fractures

By integrating the Age-Friendly Health Systems 4Ms Framework in its Geriatric Fracture Program, Cedars-Sinai Medical Center is providing valuable care to older adults. Additionally, the Cedars-Sinai team established telehealth visits for older adults during the COVID-19 pandemic, ensuring the 4Ms are practiced with each patient. These age-friendly efforts have improved patient outcomes and experience, and reduced lengths of stay and cost of care. Read more.

HI Health Creighton University Medical Center Case Study Image

CHI Health Creighton University Medical Center – Omaha, Neb.
Building a Culture of Team-based Care Improves Value

CHI Health and Creighton University Medical Center, an academic medical center in Omaha, Neb., partnered to design and build University Clinic, a new primary care-based medical facility that functions as a learning laboratory for inter-professional health sciences education, research and collaborative team-based care. Read more.

Value Initiative Members in Action: Mayo Clinic Rochester Minn.

Value Initiative Members in Action: Mayo Clinic Rochester Minn.
OB Nest Redesigns Prenatal Care for Low-risk Pregnancies

Mayo Clinic developed the OB Nest program to optimize prenatal care for low-risk expectant mothers and transform care from a medicalized model to an innovative wellness model. Patients enrolled in the program report being more satisfied with the care received and less prenatal stress. Read more.

The Value Initiative Members in Action: University of Tennessee Medical Center – Knoxville, Tenn.

University of Tennessee Medical Center – Knoxville, Tenn.
Standardization Results in Enhanced Value and Improved Outcomes

Multidisciplinary teams at the University of Tennessee Medical Center used lean methodology to create evidence-based care plans throughout any episode of care, including the ED, outpatient, inpatient, post-acute and home care. The medical center also implemented a comprehensive medication analysis for patients receiving nine or more medications. By standardizing clinical pathways and order sets, UTMC has reduced readmissions, lengths of stay and costs. Read more.

The Value Initiative Members in Action: Dartmouth-Hitchcock Medical Center – Lebanon, N.H.

Dartmouth-Hitchcock Medical Center – Lebanon, N.H.
Telehealth Improves Value, Increases Access for Rural Hospitals

Dartmouth-Hitchcock Medical Center partners with rural and community hospitals throughout New England to provide telehealth specialty care so patients can stay closer to home. D-H’s telehealth approach improves outcome, lowers costs and supplements clinical staffing in rural areas. Read more.

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PeaceHealth Peace Harbor Medical Center – Florence, Ore.
Critical access hospital engages paramedics to improve care through home visits

Through the Peace Harbor’s Mobile Integrated Healthcare program, a dedicated paramedic checks on patients at home for their safety and provides preventive care to reduce their ED visits, avoidable readmissions and ambulance trips. For every dollar spent on the MIH program, the hospital saved $5 in health care costs. Read more.

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15 Hospitals in North Carolina and South Carolina
Transforming Care in the Carolinas

Spurred by grant funding and collaboration, 15 hospitals in North Carolina and South Carolina are implementing financially sustainable initiatives to improve the patient experience, enhance care coordination and decrease avoidable readmissions. Read more.

Texas Health CoLab at Dell Medical School Image

Texas Health CoLab at Dell Medical School – Austin, TX
Co-working Space Is a Catalyst For New Enterprises That Improve Health and Reduce Costs

Dell Med’s Working Spaces encourages well-aligned, value-focused startups and entrepreneurs to work with and learn from academic researchers, clinicians, staff and students as they innovate. The physical design of WorkSpaces inspires interaction and supports partnerships through open wet labs, workstations, conference rooms, event spaces and kitchen and break areas that invite conversation and teamwork. Read more.

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Columbus Community Hospital – Columbus, NE
Interdisciplinary Teams Reduce Readmissions

Through building relationships among providers across the care continuum and implementing standardized processes, Columbus Community Hospital reduced all-cause 30-day readmissions by 42%, saving $819,797 in hospital care. Read more.

Spectrum Health Value Initiative Image

Spectrum Health – Grand Rapids, MI
Telehealth Program Reduces Costs and Decreases Patient Transfers

Spectrum Health’s telehealth program saves patients time and money, and results in avoided patient transfers, avoided ED and urgent care center visits, and savings to payers. Read more.

AHA Value Initiative Members In Action Image of Northern Maine Medical Center

Northern Maine Medical Center – Fort Kent, Maine
Purchase of Retail Pharmacy Enhances Services to the Community

In May 2018, Northern Maine Medical Center purchased a local retail pharmacy in an effort to improve patient outcomes, support patients’ medication adherence, reduce avoidable readmissions, and provide prevention and wellness services in a trusted community setting. Read more.

Doctor with elderly patient

Brigham Health – Boston
Home hospital program provides quality care at lower cost

Through its home hospital program, Brigham Health patients receive hospital-level care in the comfort of their own homes. Patients in the program experienced fewer clinical interventions, more physical activity and comparable patient satisfaction scores as those being cared for in the hospital. The program has also helped lower costs and readmissions. Read more.

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Hartford Logistics Center

Hartford HealthCare – Connecticut
Logistics Center Coordinates Care Among Six Hospitals

Hartford HealthCare instituted a centralized logistics center to maximize patient flow among its flagship academic medical center in Hartford and its five other hospitals in Connecticut. Since its launch in October 2017, the center has, among other improvements, decreased the time it takes to get patients to the next level of care and increased the number of patients staying within the HHC system. Click here to read more.

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Allina Health – Minneapolis, MN
LifeCourse supports patients and families facing late-life, serious illnesses

The LifeCourse program helps patients and their families and friends navigate the complexities of serious illnesses, such as cancer, Parkinson’s disease and advanced heart failure. Allina patients report an improved quality of life, and the program offers proven savings. Click here to learn more.

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Illinois Rural Community Care Organization – Princeton, IL
Statewide Rural Accountable Care Organization

Illinois Rural Community Care Organization builds the structure necessary for rural providers to be successful ACOs. Click here to learn more.



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University of Mississippi Medical Center – Jackson, MS
Remote Patient Monitoring Program

University of Mississippi Medical Center initiated a Diabetes Telehealth Network pilot program to treat patients in the Mississippi Delta region, one of the most impoverished areas in the country. Click here to learn more.



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Meadville Medical Center – Meadville, PA
Care Coordination for Adults and Children

Meadville Medical Center created the Community Care Network to engage patients and improve community well-being. This program uses an interdisciplinary team to improve care coordination for residents with chronic disease conditions such as hypertension, diabetes, hyperlipidemia and depression. Click here to learn more. to learn more.