Accountable Care Organizations
Change is here. HSM can help your organization utilize technology to get ahead, and stay ahead.
Accountable Care Organizations (ACOs) are part of the Affordable Care Act. Their goal is to encourage collaboration between physicians and hospitals in the coordination of patient care. This new model offers physicians and hospitals financial incentives for providing “patient-centric” care for a minimum of 5,000 Medicare beneficiaries for at least three years. ACOs also ensure that patients, especially the chronically ill, get the right care at the right time while avoiding unnecessary duplication of services and preventing medical errors. ACOs promote evidence-based practices through the use of information technology.
Clinical and financial integration and/or alignment are necessary to achieve the requirements of an ACO. Some of the barriers and challenges that face healthcare organizations include:
- Multi-specialty group formation.
- Many believe that the proposed minimum population of 5,000 Medicare patients is too small, because a larger patient population will make it easier to analyze data to manage costs of care and outcomes.
- Physicians, who are critical to the success, are often resistant to change.
- Resource limitations: staff, time, money.
- Lack of enough primary care physicians to participate.
- There are several legal and regulatory measures.
- New tools to clinically and financially manage a defined patient population are necessary because provider networks will be held accountable for improving value, as measured by cost, quality, and patient experience.
HSM can provide organizations with current and future state assessments, gap analysis and risk identification. HSM has assisted ACO clients with the following services:
- EHR Search and Selection
- Budget modeling
- Health Information Exchange (HIE) alignment
- Implement Hierarchy Data Security
- Collaborative Decision Support
- Physician-to-Physician Communication Tools
- Integrated Workflow Management