KPMAS implemented the Clinical Decision Unit (CDU) model in 2011 to improve member access to acute care services, decrease unnecessary emergency department visits and hospitalizations and enhance quality of care for our members in the region. Our CDUs provide our members access to physicians, lab, pharmacy and radiology 24/7/365.
The CDUs function as part of the five multi-specialty hubs and promote coordinated care across our system and provide services well above and beyond traditional urgent care clinical service models. In most cases, our CDUs can provide all the care our members require in one building (e.g., diagnostic testing, treatment, observation services, prescriptions, preventive care) which is a key differentiator for KPMAS in comparison with traditional urgent care and emergency departments.
As a result of our unique CDU model and services, we have seen a decline in ED utilization. KPMAS is #2 in the nation for the lowest number of emergency department visits per 1,000 members.
The source for data contained in this publication is Quality Compass 2018 Commercial data and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass 2018 includes certain CAHPS data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Official plan names per Quality Compass: (1) Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.; (2) Anthem Health Plans of Virginia, Inc., dba Anthem Blue Cross Blue Shield of Virginia; (3) Group Hospitalization and Medical Services Inc. (GHMSI); (4) Cigna Health and Life Insurance Company – Virginia/District of Columbia; (5) Johns Hopkins Employer Health Programs