By Carl Couch MD MMM FAAFP

ISBN-10: 1498743358

ISBN-13: 9781498743358

While many wellbeing and fitness care businesses have to enhance well-being care caliber and decrease bills, such a lot lack particular innovations and strategies for imposing those alterations. Baylor Scott & White future health has demonstrated and maintains to boost an in charge care association (ACO) known as the Baylor Scott & White caliber Alliance (BSWQA) to enhance the standard of care and reduce future health care charges via scientific integration.

Accountable: The Baylor Scott & White caliber Alliance liable Care trip tells the tale of the BSWQA and its medical community and payers who're dedicated to supplying responsible, value-based sufferer care. It describes the necessity for ACOs in state-of-the-art future health care setting and info the framework and requisites had to identify one.

The publication presents readers with crucial history information regarding dependable care, together with the Triple target and inhabitants well-being administration. It outlines the infrastructure and governance framework had to determine a profitable ACO and provides real-world examples from the ACO owned by way of Baylor Scott & White health and wellbeing, the most important not-for-profit health and wellbeing care process in Texas.

The booklet explores the idea that of responsibility for all stakeholders in today’s complicated care structures, in addition to the position of private and organizational responsibility in handling sufferer populations. it is usually exact outlines to lead you in constructing your individual responsible care organization―from step by step information of criminal requisites to an summary of the function of payers during this model.

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Additional resources for Accountable: the Baylor Scott & White Quality Alliance Accountable Care Journey

Example text

Structure of Accountable Care Organizations Organizational Models for Accountable Care Organizations The definition of and requirements for Medicare ACOs established in the ACA give organizations broad latitude in determining their organizational structure. Outside the Medicare context, there can be even greater fl ­ exibility: for example, Texas passed legislation in 2011 authorizing the creation of “health care collaborations” by physicians, hospitals, and other Structure and Organization ◾ 29 health care providers; this legislation was intended to provide greater flexibility around the quality measures and payment methods used [60].

Health care system. For example, a 2003 RAND corporation study conducted in a random sample of adults living in 12 cities across the United States found that participants received only 55% of the recommended care [23]. Also as the 1999 IOM report To Err Is Human had already shown, care delivered to patients was too often unsafe [24]. Issues related to access to and timeliness of care were shown to be important targets for improving q ­ uality of care.  health care ­system was built [28]. Finally, there was recognition that patients’ wishes and preferences often took a back seat d ­ uring ­decisions about their care under a frequently paternalistic model of medicine [29, 30].

A good understanding of value is important for addressing accountability and the role it plays in improving quality and reducing cost. , survival­and quality of life) that patients achieve relative to the cost of care for the episode or condition described. Because health care systems have historically not been forced to compete on value, improving the value of health care is challenging­. Although we have focused intently on quality for the past 15 years, now in accordance with the Triple Aim, health care providers are challenged to deliver high-quality care and improve population health while lowering the cost of care per capita for that population.

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Accountable: the Baylor Scott & White Quality Alliance Accountable Care Journey by Carl Couch MD MMM FAAFP

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