Healthcare team collaborating on healthcare transformation

Transform Healthcare Delivery

Design & deliver high-value care to improve quality and lower cost by reducing readmissions and transforming care for multi-visit patients

Data Informed ~ Clinically Credible ~ Operationally Feasible ~ Locally Adaptable ~ Measurably Effective

Large Scale Initiatives

We design and lead large-scale practice transformation initiatives.

Strategic Advisement

We advise agencies, associations, payers, providers, and innovators.

Implementation Coaching

We move teams into action and catalyze change to achieve results.

Speaking & Workshops

We inform and inspire change through sharing insights from leading care transformation.

Recognition & Publications

Award

2024 Trailblazer Award, RISE National

National award for Innovation and Excellence in enhancing the lives of America's seniors through clinical leadership, policy vision, and by superior example.

Formerly the Dr. Martin L. Block Award

RISE National

Publication

NEJM Catalyst: Innovations in Care Delivery

Multi-Visit Patients are patients whose needs are not well met by the current care delivery system. The MVP Model is designed to identify and address the underlying issues that result in and perpetuate a cycle of recurrent utilization. This is a transformative systems-based population management approach that has resulted in meaningful impact on patient lives, care delivery through equitable, high value care.

Transforming Care Delivery and Outcomes for Multivisit Patients · July 2023

Read the case study

Publication

Health Affairs

Harris Health Systems, shares their successful experience with implementing the MVP program to transform care for multivisit patients.

A New Way To Support Frequent Emergency Department Visitors · July 2022

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Brief

Institute for Advancing Health Value MVP Intelligence Brief

Every hospital, every ED, every ACO, and every health plan has multi-visit patients (MVPs). Few have an effective strategy. The MVP Method is a transformative model of care because it is designed to slow the cycle of utilization for this population - delivering quality, equity + value.

Building An Effective Care Pathway for Multi-Visit Patients: The MVP Method · April 2023

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Guide

AHRQ Hospital Guide to Reducing Medicaid Readmissions

We wrote the book on reducing Medicaid readmissions for AHRQ.

Read the guide

Podcast

Race to Value Podcast: The High Utilizers

Listen to the Race to Value Podcast to learn why every readmission reduction portfolio of strategies must include a multi-visit patient care pathway.

Ep 161 – The "High Utilizers": Transforming Care for Multi-Visit Patients (MVPs), with Dr. Amy Boutwell

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Podcast

Vizient Podcast: Transforming Care for High-Utilizers

On this podcast, Dr. Amy Boutwell, an expert in high-utilizer care, discusses her MVP Method, used successfully in a recent Vizient performance improvement collaborative.

Managing high utilizers · March 2021

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1,000+ teams over 15 years

CHART: 27 Massachusetts hospitals — 100% met their transformation goals

MAX: 87 teams in 68 New York hospitals

18% fewer readmissions in year one (MAX)

In Their Words

“Amy's passion and understanding of care transitions allowed Cityblock to build a sustainable inpatient and community care transition process.”
— National Director of Care Transitions, Cityblock Health
“Dr. Boutwell's approach shifts the paradigm and engages providers in critical thinking and problem solving that creates meaningful change.”
— Patient Experience and Equity Lead, Vizient CMS Partnership for Patients
“What you got this team to do in 9 months would have easily otherwise taken 4 years - and 2 people would have quit!”
— Chief Medical Officer, Regional Community Based Organization, NY DSRIP