Advancing Care Quality and Value-Based Performance at Arrowhead Regional Medical Center

Our care model redesign with Tegria helped us realign workflows and empower our teams to work at the top of their scope. With Tegria’s help, we built efficient, sustainable processes that fit naturally into our clinics’ daily routines. By making simple but strategic workflow changes, we achieved measurable improvements in diabetes care and patient outcomes.

BRANDY ARTHURVP/Associate Hospital Administrator, Arrowhead Regional Medical Center

Background

ARMC recognized the need to better align clinical workflows with top-of-license practice and evidence-based standards. Nearly half of diabetic patients were missing A1C lab draws, and many lacked recent medication adjustments or primary care follow-up. To ensure high-quality care and position the organization for success under value-based care arrangements and annual HEDIS reporting, ARMC required greater consistency in clinical practice and improved visibility into care gaps.

Solution

Tegria partnered with ARMC to implement a Care Model Redesign initiative focused on improving workflow consistency, care gap visibility, and team performance. The project began with a detailed discovery assessment of existing workflows, followed by development of new POC A1C testing competencies, standardized ordering protocols, and a weekly “missed opportunities” report. Clinic managers received ongoing education and structured pulse checks to ensure these changes became integrated into daily practice.

Tegria’s approach included:

• Conducting a comprehensive workflow discovery and gap analysis
• Developing standardized competencies for POC A1C testing
• Creating and implementing consistent ordering and documentation protocols
• Establishing a weekly “missed opportunities” report to improve visibility into care gaps
• Providing ongoing education, structured pulse checks, and coaching for clinic managers
• Embedding redesigned workflows into daily operations without adding staff

Results

ARMC met and sustained its diabetes quality measure (A1C <9) months ahead of annual VBC and HEDIS deadlines, demonstrating significant improvements in care quality and consistency. POCT A1C completion rates exceeded 80%, surpassing both interim and final goals ahead of schedule.

Through improved workflows and targeted outreach, ARMC completed more than 5,000 diabetes-related patient calls and generated over 2,500 appointment requests. The organization also implemented a sustainable POC testing workflow that required no additional hires, enabling teams to work more efficiently and consistently at the top of their scope.