


UAB Medicine has been a leader in developing innovative health care models to address whole-person health for many years.

Unfortunately, models that utilize clinical resources to address these non-clinical factors are not economically feasible long-term. Many have redirected expensive clinical resources, including nurses, towards tackling these non-clinical issues. Providers have struggled to find effective ways to address these types of non-clinical issues that have an overwhelming impact on patient health. A recent Kaiser Family Foundation¹ research paper noted that health care accounted for only 10% of the factors leading to premature death, while social and environmental factors combined with individual behaviors made up a total of 60%. Multiple alternative payment models are being introduced that will reward providers for the value of care versus volume and support the now-foundational concept of the Triple Aim-improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care.Īs the requirements for alternative payment models are rolled out, it has become clear that the ability to impact a patient’s total health, and not just their healthcare, will be crucial for success. continue to move towards value-based care, which will better align the financial incentives to enhance the patient centered focus of care, reduce unnecessary utilization, and reward providers for improved efficiency. in Healthcare Quality and Safety), and looks at one of UAB’s most recent ventures, Guideway Care. This edited article features Warren Smedley, UAB Health System Service Line Director and double-HSA alumnus (Executive MSHA and M.S.
