Our commitment to our principles

In the fall of 2009, Palmetto Health began pursuit of Total Optimal Integration (TOI), an effort to seek ways to partner with its physicians on a system-wide basis to improve quality and efficiency of care. The TOI process seeks to maximally integrate the inpatient, outpatient, and ambulatory care settings through transformational redesign of patient care processes, service and program array, physical location, and physician alignment strategies. Clinical Integration (CI) emerged as a vehicle to pursue TOI.

Under the TOI process, six guiding principles were formed that demonstrate the organization's commitment to patient centered integration. These principles are foundational to all integration efforts, including decisions within and about Quality Collaborative:

  • We make the patient the focus of all our efforts.
  • We invest the appropriate resources necessary for achieving quality outcomes and efficiency.
  • We provide coordination across the continuum of care.
  • We work as an integrated team, Palmetto Health and its physicians partners, to achieve the best results for our patients.
  • We provide the highest value of care for our community.
  • We operate in an ethic of trust, integrity, respect, stewardship, and open communication

As a result, Palmetto Health began to develop a CI infrastructure that would be seminal to the formulation of a clinically integrated organization. Through the commitment of the Palmetto Health Board of Directors, medical staff leadership (Executive Coordinating Committee), the TOI Steering Committee and its physician-led integration committees, and newly formed CI structures, Palmetto Health successfully connected physicians of the various medical staffs around common issues pertaining to credentialing and privileging, professional practice evaluation, and clinical informatics.

The Quality Collaborative believes it is well-positioned to adopt the Clinical Integration (CI) model, to provide access to a broad range of physicians, and to seek mutually-beneficial, value-based CI contracts with payers that will benefit its patients, Palmetto Health, employers, payers, and the physicians themselves.