By Carl Couch MD MMM FAAFP
While many well-being care firms have to enhance healthiness care caliber and decrease charges, so much lack particular thoughts and strategies for enforcing those alterations. Baylor Scott & White healthiness has proven and keeps to advance an dependable care association (ACO) known as the Baylor Scott & White caliber Alliance (BSWQA) to enhance the standard of care and reduce wellbeing and fitness care bills via medical integration.
Accountable: The Baylor Scott & White caliber Alliance dependable Care trip tells the tale of the BSWQA and its medical community and payers who're devoted to supplying in charge, value-based sufferer care. It describes the necessity for ACOs in trendy well-being care atmosphere and info the framework and standards had to determine one.
The publication offers readers with crucial historical past information regarding liable care, together with the Triple goal and inhabitants well-being administration. It outlines the infrastructure and governance framework had to determine a profitable ACO and offers real-world examples from the ACO owned through Baylor Scott & White health and wellbeing, the biggest not-for-profit wellbeing and fitness care process in Texas.
The publication explores the concept that of responsibility for all stakeholders in today’s complicated care structures, in addition to the function of private and organizational responsibility in dealing with sufferer populations. it is also particular outlines to lead you in constructing your personal responsible care organization―from step by step information of felony standards to an overview of the position of payers during this model.
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Additional info for Accountable: the Baylor Scott & White Quality Alliance Accountable Care Journey
Main Points for Chapter This chapter includes a discussion of: ◾◾ What defines an accountable care organization ◾◾ Accountability for quality, cost, and clinical integration consistent with the Triple Aim ◾◾ How “value” in health care is defined in an accountable care world The Accountable Care Organization In an accountable care structure, physicians, hospitals, and others elect to come together and contractually agree to be jointly responsible and accountable for providing better care, 7 8 ◾ Accountable better health, and better value to entire populations of patients, payers, and communities.
This is why I rarely go to a primary care physician. It seems to take forever to get an appointment,” he reflects. Thinking back on previous office visits, he also recalls the redundancy of repeating the registration process and health h istory review, followed by yet more rounds of tests, some of them likely repeats of tests he had just had during his hospital stay. “Don’t these doctors talk to each other? ” He wonders why health care is so complicated. Mr. B is not an unusual patient in our health care system.
While the ACA did not formally address the formation of private or commercial ACOs, these have also proliferated in its wake: in 2014, there were at least 626 ACOs across the United States, including 329 with government contracts, 210 with commercial contracts, 74 with both, and 13 that had not announced or finalized the nature of their contracts [15, 50]. These organizations have brought physicians, hospitals, and others together to hold themselves contractually accountable for improving quality of care, lowering costs, and better integrating and coordinating care for the patients served.
Accountable: the Baylor Scott & White Quality Alliance Accountable Care Journey by Carl Couch MD MMM FAAFP