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JOSMA FAMILY HEALTH PARTNERS

profile · synthesized from sources

CHI Saint Joseph Health Partners is a healthcare organization focused on transitioning providers from fee-for-service to value-based care models. They provide resources and support to healthcare providers to improve quality measures, manage chronic conditions like diabetes and depression, and reduce inpatient readmissions. The organization also educates patients on the importance of annual wellness exams and offers resources to help them manage their health.

named programs · 9 · from sources

what they call their work

Annual Adult Wellness/Preventive Exam
Provides an opportunity for adults to discuss health concerns, receive recommended tests, and get immunizations.
Annual Comprehensive Well Child Visit: Ages 0-10 years
Focuses on preventing illness, tracking growth and development, and addressing concerns for children from birth to 10 years old.
Annual Comprehensive Well Child Visit: Ages 11-17 Years
Aims to foster early screening, counseling, and intervention, reinforce health promotion messages, and identify at-risk adolescents.
Depression Management
Provides toolkits and evidence-based best practices to address challenges in depression screening and management within clinic settings.
Diabetes Management
Offers toolkits and evidence-based best practices to address challenges in diabetes management within clinic settings.
Hypertension Management
Offers toolkits and evidence-based best practices to address challenges in hypertension management within clinic settings.
Inpatient Readmission
Provides tools and evidence-based strategies to facilitate the implementation of 7-day readmission reduction strategies for facilities.
Medicare Annual Wellness Visit (AWV)
Provides tools and strategies to Accountable Care Organizations to improve compliance with Annual Wellness Visits for senior beneficiaries.
Medication Adherence
Offers tips and strategies to improve patient medication adherence, including converting to 90-day supplies, using mail-order pharmacies, and patient education.
activities · 1 group

what they do

  • Chronic Disease Screening and Management Support 7 activities
    • Coordination of integrated care networks
      Operates as a physician-led, clinically integrated network that coordinates care across a broad spectrum of providers, including hospitals, skilled nursing facilities, ambulatory care centers, and clinical offices across Kentucky. Established in 2012, it connects clinical providers and agencies to deliver coordinated, patient-focused care.
    • Diabetes management program for employees
      Operates an Employee & Dependent Diabetes Program providing 1:1 support from health professionals, tailored education, remote or in-person counseling, and no copay on formulary medications and supplies when filled at a CHI Community Pharmacy.
    • Employee health engagement and incentive programs
      Offers targeted health programs for employees and dependents, including access to Ambulatory Care Coordinators with incentive dollars for up to four engagements in 2024, and rewards of up to $450 in Health Equity $ or gift cards for completing preventative screenings and health activities.
    • Medication access and delivery services
      Provides medication access through home delivery of prescriptions, including 90-day supplies for maintenance medications, with options for delivery to hospital rooms, provider offices, or patient homes. Offers free mailing upon request and incentivizes use of CHI pharmacies with up to 50% copay/coinsurance discounts.
    • Medication therapy management
      Delivers medication therapy management services including drug interaction reviews, side effect assessments, and therapy recommendations in coordination with providers. Supports chronic disease management and medication optimization to reduce healthcare costs and improve clinical outcomes.
    • Personalized care coordination and chronic disease management
      Provides person-centered, 1:1 care coordination through multidisciplinary approaches that address chronic conditions, social determinants of health, and lifestyle barriers. Includes support for new diagnoses, medication management, and connecting patients with health and social resources, such as in asthma and diabetes care.
    • Preventative health services
      Offers annual wellness exams in office or via telehealth to support patient health and preventative care.
relationships · 7

who they work with

  • American Academy of Pediatrics Partner — Aligns with AAP recommendations for well-child visits to support child health.
  • America’s Physician Group Network — Recognized as an “Elite” 5 Star accountable care organization by America’s Physician Group.
  • BlueCross BlueShield of Illinois Network — Partner in providing PPO network access for in-network and out-of-network services.
  • CHI Saint Joseph Health Network — CHI Saint Joseph Health Partners is part of the CHI Saint Joseph Health system, operating as its clinically integrated network.
  • CHI Saint Joseph Health Network — Community Pharmacy operates under CHI Saint Joseph Health Partners network.
  • CHI Saint Joseph Health Partners Government — Employer and provider organization through which the care management team operates.
  • CHI Saint Joseph Health Partners Partner — Physician-led, clinically integrated network collaborating with independent and employed providers in Kentucky