The Baylor Scott & White Quality Alliance Accountable Care Journey
1. Auflage 2015,
208 Seiten, Gebunden, Format (B × H): 242 mm x 162 mm, Gewicht: 468 g
Verlag: Taylor & Francis Inc
Couch / Couch, MD, MMM, FAAFP AccountableWhile many health care organizations need to improve health care quality and lower costs, most lack specific strategies and tactics for implementing these changes. Baylor Scott & White Health has established and continues to develop an accountable care organization (ACO) called the Baylor Scott & White Quality Alliance (BSWQA) to improve the quality of care and decrease health care costs through clinical integration.Accountable: The Baylor Scott & White Quality Alliance Accountable Care Journey tells the story of the BSWQA and its clinical network and payers who are committed to delivering accountable, value-based patient care. It describes the need for ACOs in today's health care environment and details the framework and requirements needed to establish one.The book provides readers with essential background information about accountable care, including the Triple Aim and population health management. It outlines the infrastructure and governance framework needed to establish a successful ACO and supplies real-world examples from the ACO owned by Baylor Scott & White Health, the largest not-for-profit health care system in Texas.The book explores the concept of accountability for all stakeholders in today’s complex care systems, as well as the role of personal and organizational accountability in managing patient populations. It also includes detailed outlines to guide you in developing your own accountable care organization—from step-by-step details of legal requirements to an outline of the role of payers in this model.
Weitere Infos & Material
AccountabilityMain Points for ChapterWhy ACOs? How Can an Organization Produce Accountability?Main Points for ChapterThe Accountable Care OrganizationWhat Does It Mean to Be Accountable?Accountability for QualityAccountability for CostAccountability for Clinical IntegrationAccountable by Whom and to Whom?Accountable Care StructuresStructure and Organization: Putting an Accountable Care Organization TogetherMain Points for ChapterStructure of Accountable Care OrganizationsAccountable Care Organizations: Legal ConsiderationsGovernance and OrganizationPatient Experience of CareMain Points for ChapterResponding to Consumerism through Accountable Care OrganizationsActivated ConsumersReference PricingWellness, Technology, and Self-CareConsumer Expectations about AccessRetail Clinics and Access to CareConsumers Expect Patient-Centeredness STEEEP Care in Inpatient and Outpatient SettingsShared Savings and the Patient Experience of CareRole of Hospitals in Population HealthIntegration between Hospital Care and Ambulatory CarePopulation HealthMain Points for ChapterBaylor Scott & White Quality Alliance Population Health InfrastructurePatient-Centered Medical HomeBSWQA Specialists and Care Protocols Complete the Total Care ExperienceCare CoordinationTransitional CareData AnalyticsBehavioral HealthValue-Based Contracting Driving Improved Quality and Reduced Costs through Population Health ManagementOptimizing the Medicare Shared Savings Program to Drive Value-Based CareProactive Customer Engagement: Using a Wellness Visit Business Model to Drive Population HealthInformation Technology: Promoting Population HealthPopulation Health: SummaryFinancing Accountable CareMain Points for ChapterHealth Care CostsImproving Health Care Value by Reducing WasteCurrent and Future Role of PayersFinancing Population HealthEmployer-Financed Insurance and Insurance DesignConclusionGlossaryReferences