As described in a case study in the Spring/Summer 2011 Leadership report, Baylor Health Care System is working toward becoming an accountable care organization (ACO).
The health system developed the following 12 ACO must-haves that focus on people, quality, and finance.
Effective and Shared Governance
Aligned and Efficient Clinical Workforce
Increase our capacity to serve. This is about population health. Reach beyond clinic and hospital walls to promote patient compliance with care and systems. Promote team care.
Informed and Skilled Participants/Workforce
Interoperable, Data-Enabled Environment
Adopt health IT using web-based clinical tracking, visit planners, population reports, and electronic medical records that match program goals and clinical measures with our health information exchange.
Develop measures of health care for which current data are inadequate. Develop processes and measures to improve adherence to patients' wishes in providing care at the end of life. Promote transparency through development of internal and external websites and other materials that provide comparative quality information.
Attribution, Assignment, and Capacity Management
Increase our capacity to serve. This is about population health. Eliminate racial and ethnic disparities in health care, and in access to and utilization of health care.
Anchored Patient-Centered Medical Home
Know who the patient is, track them through the continuum, and design a route based on their needs.
Care Coordination and Patient Compliance
Acknowledge the shift from today's practices to system thinking. Find patients medical homes.
Risk Assessment and Acceptance
Cost Monitoring and Reduction
Reduce the annual rise in healthcare costs to no more than the growth in the gross domestic product by 2015. Reduce waste, such as duplicate tests and duplicative data gathering.
Provider Reward Methods/Incentive Design
Use what works: asymmetric ACO, symmetric ACO, partial capitation
Sustainable Business Structure
As the provider, see the patient, payer, and employer as partners. Promote trust through transparency. Agree to leave no partner behind.
The 12 ACO must-haves are reprinted with permission from Baylor Health Care System.
For more about Baylor's ACO journey, access the related case study in the Spring/Summer 2011 Leadership report.
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