INTERMOUNTAIN HEALTH – ORGANIZED HEALTH CARE ARRANGEMENTS

Intermountain participates in multiple Organized Health Care Arrangements (OHCA).  Some of these OHCAs involve only internal Intermountain entities subject to the federal Health Insurance Portability and Accountability Act (HIPAA), including healthcare providers and insurers.  Others involve external healthcare providers and insurers in the communities Intermountain serves.

The reason Intermountain participates in these OHCAs is to allow for joint activities between the participants that support the delivery and management of high quality, innovative, and cost-effective care.

Your protected health information (PHI) may be shared between OHCA participants without your authorization when necessary to support joint healthcare operations and only when permitted by federal and state law.

List of OHCAs:

Medical Staff OHCA: Intermountain’s hospitals and surgery centers, together with the providers who have privileges as part of the medical staff at the hospitals and surgery centers provide services in Intermountain facilities to support a simplified patient experience as a clinically integrated care system where people may receive care from more than one provider. For more information about Intermountain Health hospitals and surgery centers, visit the Locations resources on our website.

Electronic Medical Record Administrative Simplification OHCA: Intermountain’s healthcare provider organizations share electronic medical record systems to support coordinated quality and efficiency efforts and a simplified patient experience as a clinically integrated care system where people may receive care from more than one provider.  Following is a link where you can find the entities that participate in this OHCA and a description of those entities:

• For more information about the services Intermountain Health provides and our care locations, visit the Medical Services and Locations resources on our website.
• Examples of these entities are Intermountain hospitals like Intermountain Medical Center in Utah, Good Samaritan Hospital in Colorado, and St. Vincent Hospital in Montana
• These entities include Intermountain clinics, urgent care and other care settings like pharmacy, lab, home care, and virtual care. 

Ambulatory Surgery Quality & Efficiency Inter-entity OHCA: In Utah, specific healthcare entities and ambulatory surgery centers participate in an OHCA in support of quality and efficiency in patient care and involving a clinically integrated care system where individuals may receive care from more than one provider.  Following is a description of those entities: 

• The ambulatory surgery centers that participate in this OHCA are those located within the state of Utah and branded as Intermountain Health facilities.  Examples of these facilities include Avenues Surgery Center, Logan Surgery Center, McKay Dee Surgery Center, Park City Surgery Center, Saratoga Springs Surgery Center, and St. George Surgery Center.
• Other participants in this OHCA are the hospitals, clinics and other services within IHC Health Services, Inc. (Utah and Idaho) 

Pediatric Specialty Services (PSS) OHCA: For Primary Children’s hospitals and clinics, as well as certain pediatric specialty services, Intermountain provider organization partners with University of Utah Medical Group pediatric specialists for joint activities to support the delivery and management of high quality, innovative, and cost-effective care in a clinically integrated care system where people may receive care from more than one provider.  

Intermountain/Select Health OHCA: The Intermountain integrated system includes provider and health plan HIPAA covered entities. These entities share PHI to improve the coordination and quality of the healthcare that patients and members receive through population health management.  The entities that participate in this OHCA are:

• Intermountain Health provider entities.
  • For more information about the services Intermountain Health provides and our care locations, visit the Medical Services and Locations resources on our website.
  • Examples of these entities are Intermountain hospitals like Intermountain Medical Center in Utah, Good Samaritan Hospital in Colorado, and St. Vincent Hospital in Montana.  These entities also include Intermountain clinics (including Medical Group Clinics in Nevada), urgent care and other care settings like pharmacy, lab, home care, and virtual care.
• Select Health. For more information about the health plans offered by Select Health, visit its website here.
• Intermountain Health Employee Benefit Plan