Dec 11

Regional and Statewide Relationships

12/11/17 | Connecting Missouri, Newsroom, Support the Continuum of Care

MPact Clinically Integrated Network

Mercy, Mosaic Life Care, and MU Health Care, along with more than 3,000 physicians and 48 hospitals, work together through this multi-state, regional network to improve quality, access, and care. The network members work together to create value based contracts for improved care and operational efficiencies.

Health Network of Missouri

MU Health Care is a member of the Health Network of Missouri, LLC (HNM), a collaborative comprised of more than 1,000 hospital beds, nearly 11,000 employees, and approximately 1,200 employed and affiliated physicians serving central, northeast, and southeast Missouri.  Major HNM initiatives include:

  • Improve patient health outcomes
  • Share data and best practices
  • Improve access to care
  • Coordinate patient care among various providers through a clinically integrated network
  • Lower health care costs
  • Create efficiencies to benefit patients and HNM communities Members of HNM include:
    • MU Health Care
    • Bothwell Regional Health Center, Sedalia
    • Capital Region Medical Center, Jefferson City
    • Hannibal Regional Healthcare System, Hannibal
    • Lake Regional Health System, Osage Beach
    • Saint Francis Healthcare System, Cape Girardeau

In early 2016, we implemented an automated system to improve the transition of care between caregivers and health systems within the network. These efforts help ensure providers have correct patient information when and where they need it most.

Through HNM, each hospital or health system improves its ability to serve the health care needs of its own community and preserves its independence. The health systems work together to share best practices in business, clinical, and operations.

However the HNM member health systems lacked a common technology infrastructure needed achieve their stated goals.


The collaboration with Cerner will enable us to work together on a common platform that is EHR-agnostic to support our mission to improve quality care, and to measure and contain costs.

Tom Tisone
HNM Executive Director


In December 2016, HNM members and Cerner  entered into an innovative strategic partnership based on value.  Cerner supports HNM members by proving technology infrastructure at a price that eliminates technology as a barrier to adoption. In return, Cerner will receive reimbursement when value is achieved through the partnership. As HNM members take on risk for delivering value, so is Cerner.

Tiger Institute is extending Cerner’s HealtheIntent population health management platform at MU Health Care across HNM member organizations to coordinate and manage care for residents of rural Missouri communities.

This shared IT infrastructure aggregates clinical and billing data that originates from various EHR systems (Cerner, Epic, Meditech, eClinicalWorks and Allscripts)  as well as payor/claims data from third party administrators, in near real-time and normalizes the data. With this common platform, we:

  • Track performance on identified quality and cost metrics
  • Identify and manage opportunities for improvement across the network
  • Manage chronic conditions and wellness goals
  • Risk stratify and manage high-cost patients across the care continuum

To govern the partnership, we created a Value Partnership Committee with representation from each HNM member and Cerner to evaluate value opportunities, identify strategies and resources needed to improve performance, and measure outcomes.

Typical projects are expected to range widely, including such things as indigent care cost reduction, improvements in at-risk payer contract performance, and readmission prevention. As we realize benefits, they will be distributed to the participants as agreed upon.