The Move to Accountable Care begins with the creation of state of the art medical or health homes. Based on years of research at major integrated systems like Kaiser and Group Health Cooperative, the medical/health home is very different in structure, fully supported with unique roles and HIT, to create a new model of approaching the management of patient care and outcomes. The creation of health homes is foundational but is only one of the process and structure changes that allow an organization to manage both financial risk as well and more importantly, quality outcomes.
No longer are leaders asked to tweek a system here or there or cut costs around the edges; this process change requires a wholesale refocusing on the metrics by which all entities are evaluated and compensated.
No longer are leaders asked to tweek a system here or there or cut costs around the edges; this process change requires a wholesale refocusing on the metrics by which all entities are evaluated and compensated.
Working with Clients to achieve structures to do this work is creative, challenging and culturally wrenching! Everyone knows that culture trumps strategy.
Clients need to embed in their cultures the recognition that is not an experiment or an option. The change that is required is fundamental because the system is fundamentally unsustainable at its current cost and value (outcomes). Patients will find that its not the options that are available to them that make quality but knowing that the right option for their health and lifestyle is available to them and will have an outcome that they expect. These value changes are occurring and will be supported by payors whether our cultures accept them or not. The key to success is to embrace the paradigm shift and begin the build, balancing the "now" with the future in terms of revenue stream.
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