Strategic Review Process for an Accountable Care Organization and Emerging Accountable Care Best Practices
| Autor: | Jennifer M. Bailey, Steven J. Kravet, Susan H. Donovan, Sarah Himmelrich, William A. Baumgartner, Sarah J. Conway, Lindsay C. Hebert, Scott Feeser, Scott A. Berkowitz, Patricia M. Brown, Sarah Kachur, John A. Flynn |
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| Rok vydání: | 2018 |
| Předmět: |
Value (ethics)
Quality management Leadership and Management Best practice Psychological intervention Specialty Medicare 03 medical and health sciences 0302 clinical medicine Leverage (negotiation) Humans 030212 general & internal medicine Strategic planning Accountable Care Organizations business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Public relations Quality Improvement United States Alliance Practice Guidelines as Topic 0305 other medical science business Delivery of Health Care |
| Zdroj: | Population Health Management. 21:357-365 |
| ISSN: | 1942-7905 1942-7891 |
| DOI: | 10.1089/pop.2017.0149 |
| Popis: | Accountable Care Organizations (ACOs), like other care entities, must be strategic about which initiatives they support in the quest for higher value. This article reviews the current strategic planning process for the Johns Hopkins Medicine Alliance for Patients (JMAP), a Medicare Shared Savings Program Track 1 ACO. It reviews the 3 focus areas for the 2017 strategic review process - (1) optimizing care coordination for complex, at-risk patients, (2) post-acute care, and (3) specialty care integration - reviewing cost savings and quality improvement opportunities, associated best practices from the literature, and opportunities to leverage and advance existing ACO and health system efforts in each area. It then reviews the ultimate selection of priorities for the coming year and early thoughts on implementation. After the robust review process, key stakeholders voted to select interventions targeted at care coordination, post-acute care, and specialty integration including Part B drug and imaging costs. The interventions selected incorporate a mixture of enhancing current ACO initiatives, working collaboratively and synergistically on other health system initiatives, and taking on new projects deemed targeted, cost-effective, and manageable in scope. The annual strategic review has been an essential and iterative process based on performance data and informed by the collective experience of other organizations. The process allows for an evidence-based strategic plan for the ACO in pursuit of the best care for patients. |
| Databáze: | OpenAIRE |
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