Aco Presentation Matthew Mabalot

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HTM 520 Matthew Mabalot National University

Introduction What is ACO? Benefits Relationship to Meaningful Use Standards group Barriers Future trends Takeaways

ACO models were designed to improve the quality of care and reduce the costs for the services for a specific patient population. Providers and hospitals working together in sharing information and costs.

ACO focuses on patient centeredness utilizing technology

A group of health care providers that work together to provide value based care to a specific population

Improved Quality of Care Reduced Costs Patient Centered Care Shared patient information Reduced Medical Errors Minimize ER visits by improving case management Improved communication Financial Rewards and Incentives

Meaningful Use Stage 1 requires entities to have an EHR system. ACOs must be aligned with the Meaningful Use criteria for EHR systems.
Meaningful Use Stage 2 requires Health Information Exchange. To share information, provides must have an EHR system. ACO must demonstrate that 50% of its Primary Care Providers are Meaningful Use EHR users.

Must include a minimum of 5,000 primary care professionals in the organization to be considered an ACO.
The ACO must be in the program no less than 3 years.

The ACO must possess clinical and administrative systems with the capability to share data.
Data analysis must reflect proof of both, quality service and cost efficiency. The ACO must be in compliance with patient centeredness criteria.

CMS creates requirements to be come an ACO and created Shared Savings Program to ACOs who can show that they reduced costs and still met the performance standards on quality care

Accreditation for ACO to ensure quality measures and standards are met

ACO Performance Measures

http://www.healthcarepayernews.com/content/survey-analysis-challenges-aco-formation

More ACOs will be established in the future Healthcare costs reduced and quality of care improved utilizing health information technology More patient centered care Less Fee For Service and more value based purchasing

http://healthaffairs.org/blog/2013/02/19/continued-growth-of-public-and-private-accountable-careorganizations/

http://healthaffairs.org/blog/2013/02/19/continued-growth-of-public-and-private-accountable-

Accountable Care Organization is a model for coordinating care across multiple providers. Improve patient care for chronic illnesses ACO focuses on preventative Care Achieve savings and manage patient population. Shared responsibility, information ,costs, and incentives between providers, hospitals and health plans in managing patient care.

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