UMP Plus — PSHVN (PEBB) Participating Providers

UMP Plus — Puget Sound High Value Network (UMP Plus — PSHVN) is a group of industry-leading medical organizations committed to providing excellent care and customer service in King, Kitsap, Pierce, Snohomish, Thurston and Yakima counties.

Supported by Regence, UMP Plus — PSHVN connects eligible Public Employees Benefits Board (PEBB) Program members to high-quality primary and specialty care, close to home.

The UMP Plus — PSHVN participating organizations include:

CHI Franciscan and independent providers as part of Rainier Health NetworkIn-Network Starting 2020
EvergreenHealth PartnersIn-Network Through 2019 ONLY
MultiCare Connected CareIn-Network Through 2019 ONLY
Multicare Health SystemIn-Network Through 2019 ONLY
Overlake Medical CenterIn-Network Through 2019 ONLY
The PolyclinicIn-Network Starting 2020
Seattle Children’s
Virginia Mason
Virginia Mason Memorial as part of Signal Health

If you need help or would like to schedule an appointment, please call (855) 776-9503.


CHI Franciscan
 

https://www.chifranciscan.org/

Saint Joseph Main CampusCHI Franciscan — In-Network Starting 2020

CHI Franciscan is a Catholic nonprofit health system based in Tacoma, Washington, with a team of more than 12,000 physicians, nurses and staff who provide expert, compassionate medical care at 11 acute care hospitals and over 200 primary and specialty care clinics throughout the greater Puget Sound.

Started in 1891 by the Sisters of St. Francis of Philadelphia, today CHI Franciscan is one of the largest health systems in Washington. The system is comprised of nearly 1,300 hospital beds and over 4,000 credentialed providers offering cardiovascular care, cancer care, orthopedics and sports medicine, neuroscience, women’s care and other health care services.

Patients of Franciscan Medical Group, CHI Franciscan’s medical group, can use MyChart to view their health summary, request appointments, view test results, request prescription renewals and communicate electronically and securely with their medical care team.

Recognition

CHI Franciscan is nationally recognized for its quality, patient care. The health system has the highest Leapfrog Safety Grades in Washington state, earning grades comparable to the best facilities in the nation. Additionally, CHI Franciscan facilities and programs are nationally recognized by Healthgrades™ for statistically better patient outcomes in a wide variety of specialties, most notably its cardiac surgery program, ranked in the top 10 percent in the nation for quality outcomes.
 


Rainier Health Network Logo

Rainier Health Network — In-Network Starting 2020

http://www.rainierhealthnetwork.com/

Rainier Health Network solely owned by CHI Franciscan, is located throughout western Washington state but its primary service areas are King, Pierce and Kitsap counties and include leading providers from: CHI Franciscan, CityMD, Franciscan Medical Group, Highline Medical Services Organization, Northwest Physicians Network, Pediatrics Northwest PS, The Doctors Clinic and Virginia Mason.

As an accountable care organization (ACO), Rainier Health Network (RHN) is transforming health care delivery with physician-led and patient-centered care. With a network of more than 3,500 health care providers in the Puget Sound region, patients are supported every step of the way. RHN’s value-based approach brings together patients, providers and payers in a system that rewards high-quality care and healthy outcomes.

Recognition

In 2015, Rainier Health Network was awarded nearly $3 million from the Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP). MSSP rewards ACOs that achieve better care for patients while keeping costs low.
 



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EvergreenHealth Partners — In-Network Through 2019 ONLY

EvergreenHealth - Kirkland WA

EvergreenHealthPartners.org/Partners

Overview

EvergreenHealth Partners, the region’s first clinically integrated network, launched in 2013 with a vision to transform the delivery of health care and offer the greatest value to both patients and providers. EvergreenHealth Partners brings together more than 550 independent-practice physicians, specialists and hospital-employed providers in more than 85 practices representing 45 specialties across King and Snohomish counties to streamline care, increase cost efficiencies and improve access to resources. EvergreenHealth Partners is a physician-led organization managed by peers who hold each other accountable to quality standards determined by the group. Providers who are part of EvergreenHealth Partners are able to have a deeper, more patient-focused conversation and align around quality, patient experience and efficiency. EvergreenHealth Partners patients receive coordinated care made possible by a case management program and an extensive reporting system of physician quality data. This large group of skilled providers representing an array of specialties ensures each patient receives quality, expert care delivered in a team approach by physicians with access to shared resources. EvergreenHealth Partners is anchored by EvergreenHealth, a public hospital district and community-based health care organization established in 1972.

EvergreenHealth is a two-hospital health care system serving nearly 850,000 residents in northern King and southern Snohomish counties. EvergreenHealth’s campus in Kirkland includes a 318-bed medical center, 15-bed inpatient hospice facility, four medical specialty buildings and a Level III emergency department. EvergreenHealth also has 10 primary care practices, two urgent care clinics, a free-standing emergency department in Redmond, specialty care ranging from neurosciences, orthopedics, oncology to obstetrics and cardiology and the largest Home Health and Hospice agency in the Puget Sound area. EvergreenHealth offers extensive community health outreach and education programs, anchored by its 24/7 Nurse Navigator and Healthline. A free consulting nurse and referral service available to the community and EvergreenHealth Partner patients, Healthline callers are connected to registered triage nurses who can help determine the appropriate level of care for a range of health care needs or experts who can help make a referral to a provider. In March 2015, EvergreenHealth finalized an alliance with Valley General Hospital in Monroe, which became EvergreenHealth Monroe. EvergreenHealth Monroe serves east Snohomish County with inpatient services, emergency services, inpatient chemical dependency therapy, hyperbaric facilities and general medical/surgical care. Access to behavioral health services will increase in 2015 when Fairfax Behavioral Health opens a 34-bed inpatient mental health unit on the EvergreenHealth Monroe campus.

Recognition

  • U.S. News & World Report named EvergreenHealth the No. 3 best hospital in the Seattle metropolitan region, and the No. 4 best hospital in Washington state in the 2015-16 edition of its ‘Best Hospitals’ rankings.

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MultiCare Connected Care — In-Network Through 2019 ONLY

Multicare

MulticareConnectedCare.com

Overview

MultiCare Connected Care, a wholly owned subsidiary of MultiCare Health System, is an accountable care organization that supports a clinically integrated network called MultiCare Connected Care Network. This provider network is comprised of MultiCare and select non-MultiCare health providers, including physicians and other health care providers, hospitals, clinics and health care services such as imaging, labs and pharmacies that are connected to one another to transform the way care is delivered to improve the health of our region. MultiCare Health System, based in Tacoma, Wash., is a nonprofit health care organization with five hospitals, more than 10,000 employees and more than 130 sites of specialty, primary and urgent care for the region. It includes the South Puget Sound region’s children’s hospital and state-designated Level II Pediatric Trauma Center for Western Washington, and the region’s only Level IV Neonatal Intensive Care Unit as well as Home Health and Hospice and Behavioral Health Services. Tacoma General Hospital provides Level II Adult Trauma Services. 

Its heritage dates to the founding of Tacoma’s first hospital in 1882. In response to the growing community’s needs, MultiCare Health System has built an integrated health care delivery system that offers skilled, personal care for every stage of life. Members of MultiCare Connected Care Network have been recognized for the care they provide, as well as their commitment to patients, investment in technology and involvement in the community. MultiCare Connected Care serves residents of Pierce, King, Thurston and Kitsap counties.

In January 2016, MultiCare Health System and CHI Franciscan Health received approval from the Washington State Department of Health to jointly build and operate a new, 120-bed  psychiatric hospital on the MultiCare Allenmore Hospital campus in Tacoma. Construction is expected to be completed in 2018.

Recognition

  • In 2015, MultiCare hospitals and more than 100 MultiCare clinics received Stage 7 Awards from HIMSS Analytics, which represents the pinnacle of achievement in digital health records – an honor attained by just a small percentage of U.S. hospitals.

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Rockwood Health System logo 1



MultiCare Health System — In-Network Through 2019 ONLY

https://www.multicare.org/

UMP Plus PSHVN Deaconess Hospital

Overview

Multicare Deaconess Hospital, Multicare Valley Hospital and Multicare Rockwood Clinic make up the Multicare Health System, an integrated health care delivery system that strives to increase access to health services, improve coordination of patient care, and focus on building quality relationships.

Multicare Deaconess Hospital is a 388-bed acute care hospital that offers high-quality inpatient and outpatient services, diagnostic imaging, medical, surgical and emergency services. It has a Level III Trauma Center, a Certifi ed Chest Pain Center, a Certified Total Joint Restoration Center, and an accredited Primary Stroke Center.

Multicare Rockwood is a multispecialty clinic that provides primary care, urgent care and specialty care at multiple locations throughout the Inland Northwest. It employs more than 300 physicians and providers, offers more than 40 specialties and operates from 12 primary clinical locations, including Spokane, Coeur d’Alene, Cheney and Medical Lake.

Multicare Valley Hospital is a 123-bed acute care facility supported by 530 medical and allied health professionals. It includes advanced medical technology and modern facilities that offer inpatient and outpatient services, diagnostic imaging, medical, surgical, emergency services and a Level III Trauma Center.

Recognition

Multicare Deaconess and Multicare Valley Hospitals are the only hospitals in the Spokane area to be recognized in 2015 as Top Performers for Key Quality Measures by The Joint Commission. Multicare Deaconess was also rated the No. 1 Bariatric Surgery program in Washington State based on clinical performance by Comparion® Medical Analytics.

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overlake

Overlake Medical Center — In-Network Through 2019 ONLY

Overlake Hospital

OverlakeHospital.org

Overview

Overlake Medical Center is a 349-bed, nonprofit regional medical center offering a full range of advanced medical services to the Puget Sound region. Overlake has more than 1,000 active and courtesy physicians on staff to serve patients. Overlake opened the first Level III Trauma Center on the Eastside and is known for providing award-winning, compassionate and patient-centered care that is recognized by national and regional organizations for the highest quality and value. As part of Overlake’s integrated network of care, Overlake Medical Clinics include five primary care clinics with same-day appointments; urgent care clinics in Issaquah, Redmond and downtown Bellevue; and 16 specialty clinics that provide a broad array of services including cancer, orthopedic, cardiac, neurosciences, bariatric, pulmonology, weight loss, psychiatric, breast health, and colon and rectal care. Overlake Medical Center and Overlake Medical Clinics are supported by an integrated electronic health record, which allows for easy flow of critical health information so patients receive care that is highly coordinated across Overlake’s continuum of services. Recently, Overlake Medical Center created the Overlake Physician Network (OPN). OPN is in the process of becoming an integrated network of community physicians and Overlake employed physicians. Currently, a committee of physicians from 12 different organizations is meeting to formalize the network to ensure OPN will optimize its care delivery for its patients and its physicians. The network will be dedicated to improving quality of care and meeting the needs of its patients through better access, enhanced communication and improved coordination. OPN will provide an opportunity for physicians and patients to collaborate to improve health care for all on the Eastside.

Recognition

  • In 2015, Overlake received a Hospital Safety Score ‘A’ letter grade from The Leapfrog Group for the third year in a row. The Leapfrog Group, an independent nonprofit organization and advocate for patient safety nationwide, awards letter grades to hospitals on a semi-annual basis. Only 11 of the 43 Leapfrog-graded hospitals in Washington state received an ‘A’ grade.

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The Polyclinic Logo

https://polyclinic.com/

The Polyclinic MadisonThe Polyclinic — In-Network Starting 2020

The Polyclinic is a leading multispecialty physician practice in the Seattle area. The Polyclinic’s mission is to promote the health of patients by providing personalized health care. Established in 1917 by a small group of independent physicians, The Polyclinic remains physician-led and fosters a unique culture of clinical collaboration. Their medical staff includes more than 240 physicians and advanced practice clinicians at 12 Seattle-area locations. All of their physicians are board-certified in their specialty.

They offer:

  • Primary care and specialty care under one roof.
  • Primary care focused on prevention, disease management and appropriate clinical interventions.
  • Top specialists and surgeons in nearly three dozen specialties, working closely with primary care doctors to provide well-coordinated care.
  • Onsite lab and diagnostic imaging at many locations.
  • Polyclinic Now urgent care open seven days a week.
  • First Hill Surgery Center, a state-of-the-art outpatient surgery facility.

In addition to primary and specialty care, The Polyclinic’s comprehensive services include Anticoagulation/Lipid Clinics, Audiology, Clinical Research, Diabetes Education, Endoscopy Center, Optical Shop, Physical Therapy, Sleep Medicine Center, Travel Medicine, and Vascular Surgery.

Through The Polyclinic’s MyChart online portal, patients can conveniently schedule appointments, check test results, view their medical record, and securely communicate with their care team to help manage their health.

Recognition

The Polyclinic is consistently among the highest-ranking health care providers in the region for quality and patient experience. In the Washington Health Alliance's (WHA) 2018 Community Checkup report, The Polyclinic was ranked third in the state on a range of quality measures for commercially insured patients. The annual report compares medical groups in Washington in areas like preventive screenings and care for chronic conditions.

In 2012, through a voluntary program sponsored by the Centers for Medicare & Medicare Services (CMS), The Polyclinic was the first medical group in Washington to be approved as a Medicare Shared Savings Program Accountable Care Organization. The program enables The Polyclinic to provide Medicare patients with high-quality health care services while reducing the overall cost of care through enhanced care coordination.
 



Seattle Children's Logo

Seattle Children’s

Seattle Children's Hospital

SeattleChildrens.org

Overview

Seattle Children’s Hospital, Foundation and Research Institute together deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent academic medical referral center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country. Consistently ranked as one of the best children’s hospitals in the country by U.S. News & World Report, Seattle Children’s Hospital specializes in meeting the unique physical, emotional and developmental needs of children from infancy through young adulthood. For more than 100 years, the hospital has been dedicated to providing top-quality care to every child in who needs it, regardless of the family’s ability to pay. Seattle Children’s Hospital and Research Foundation gathers community support and raises funds for Seattle Children’s Hospital and Seattle Children’s Research Institute. Located in downtown Seattle’s biotech corridor, Seattle Children’s Research Institute is pushing the boundaries of medical research to find cures for pediatric diseases and improve outcomes for children all over the world. Internationally recognized investigators and staff at the research institute are advancing new discoveries in cancer, genetics, immunology, pathology, infectious disease, injury prevention and bioethics, among others.

Recognition

  • In 2015, U.S. News & World Report ranked Seattle Children’s No. 6 in the country among the nation’s best children’s hospitals. It was the 23rd consecutive year Seattle Children’s was selected and the only pediatric medical center in Washington state to be ranked.

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Virginia Mason Logo

Virginia Mason

Virginia Mason

VirginiaMason.org

Overview

Virginia Mason is a Seattle-based, nonprofit health care system that serves the Pacific Northwest. Virginia Mason includes:

  • A 336-bed acute-care hospital.
  • A primary and specialty care group practice of more than 480 physicians.
  • Regional medical centers throughout the Puget Sound area.
  • Bailey-Boushay House, the first skilled-nursing and outpatient chronic care management program in the U.S. built to meet the needs of people with HIV/AIDS.
  • Benaroya Research Institute at Virginia Mason, their internationally-recognized research arm, known for its breakthroughs in immune system disease research.
  • Memorial Family of Services and Yakima Valley Memorial Hospital, a 226-bed facility serving the Yakima Valley in Central Washington since 1950. Memorial Family of Services includes primary care practices and specialty care services like cardiac care, cancer care, hospice care, and advanced services for children with special health care needs.

Since 2002, Virginia Mason has applied lean manufacturing principles to health care to eliminate waste, lower cost, and improve quality and patient safety. MyVirginiaMason.org, the patient portal, is an example of the health system’s ongoing commitment to transparency, engagement and enhancing the patient experience. The portal allows patients to request appointments online; view lab, radiology and pathology results; self-schedule select appointments; securely message care team members 24/7; renew prescriptions online; and access summaries of medications, allergies, clinical notes, immunizations and medical issues.

Recognition

  • Virginia Mason received the Healthgrades 2019 America’s 50 Best Hospitals Award™ for the third straight year. The distinction makes Virginia Mason one of the top one percent of more than 4,500 hospitals nationwide for its consistent, year-over-year superior clinical performance as measured by Healthgrades.

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Virginia Mason Memorial Logo     Signal Health Logo

Virginia Mason Memorial as part of Signal Health

UMP Plus PSHVN SignalHealth

Overview

SignalHealth is a clinically integrated network of physicians located throughout the Yakima Valley. The network’s model moves beyond treating illness to focus on the patient experience and the promotion of health and wellness.

As part of Memorial Family of Services (YakimaMemorial.org), which is now part of Virginia Mason Health System, SignalHealth patients benefit from Virginia Mason's commitment to safety, quality, innovation and leading care. They also offer local pharmacy services, physical, occupational and speech therapy services, specialty care, and clinic- and hospital-based services. Providers in the SignalHealth network follow the highest quality care standards — focusing on prevention and working with patients to navigate the local health care system. SignalHealth is working to improve the wellness of Yakima County residents by giving them better access to healthcare and making the healthcare system easier to navigate.


Capital Medical Center

CapitalMedical.com

In addition to the participating organizations listed above, Capital Medical Center in Olympia is designated as a network hospital for Thurston County.

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