TY - JOUR
T1 - Strategic Review Process for an Accountable Care Organization and Emerging Accountable Care Best Practices
AU - Johnson Conway, Sarah
AU - Himmelrich, Sarah
AU - Feeser, Scott A.
AU - Flynn, John A.
AU - Kravet, Steven J
AU - Bailey, Jennifer
AU - Hebert, Lindsay C.
AU - Donovan, Susan H.
AU - Kachur, Sarah G.
AU - Brown, Patricia M.C.
AU - Baumgartner, William A
AU - Berkowitz, Scott
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Accountable Care Organizations (ACOs), like other care entities, must be strategic about which initiatives they support in the quest for higher value. This article reviews the current strategic planning process for the Johns Hopkins Medicine Alliance for Patients (JMAP), a Medicare Shared Savings Program Track 1 ACO. It reviews the 3 focus areas for the 2017 strategic review process - (1) optimizing care coordination for complex, at-risk patients, (2) post-acute care, and (3) specialty care integration - reviewing cost savings and quality improvement opportunities, associated best practices from the literature, and opportunities to leverage and advance existing ACO and health system efforts in each area. It then reviews the ultimate selection of priorities for the coming year and early thoughts on implementation. After the robust review process, key stakeholders voted to select interventions targeted at care coordination, post-acute care, and specialty integration including Part B drug and imaging costs. The interventions selected incorporate a mixture of enhancing current ACO initiatives, working collaboratively and synergistically on other health system initiatives, and taking on new projects deemed targeted, cost-effective, and manageable in scope. The annual strategic review has been an essential and iterative process based on performance data and informed by the collective experience of other organizations. The process allows for an evidence-based strategic plan for the ACO in pursuit of the best care for patients.
AB - Accountable Care Organizations (ACOs), like other care entities, must be strategic about which initiatives they support in the quest for higher value. This article reviews the current strategic planning process for the Johns Hopkins Medicine Alliance for Patients (JMAP), a Medicare Shared Savings Program Track 1 ACO. It reviews the 3 focus areas for the 2017 strategic review process - (1) optimizing care coordination for complex, at-risk patients, (2) post-acute care, and (3) specialty care integration - reviewing cost savings and quality improvement opportunities, associated best practices from the literature, and opportunities to leverage and advance existing ACO and health system efforts in each area. It then reviews the ultimate selection of priorities for the coming year and early thoughts on implementation. After the robust review process, key stakeholders voted to select interventions targeted at care coordination, post-acute care, and specialty integration including Part B drug and imaging costs. The interventions selected incorporate a mixture of enhancing current ACO initiatives, working collaboratively and synergistically on other health system initiatives, and taking on new projects deemed targeted, cost-effective, and manageable in scope. The annual strategic review has been an essential and iterative process based on performance data and informed by the collective experience of other organizations. The process allows for an evidence-based strategic plan for the ACO in pursuit of the best care for patients.
KW - accountable care organization
KW - care delivery system
KW - coordinated care
KW - Medicare
KW - quality improvement
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U2 - 10.1089/pop.2017.0149
DO - 10.1089/pop.2017.0149
M3 - Review article
C2 - 29393824
AN - SCOPUS:85054657072
SN - 1942-7891
VL - 21
SP - 357
EP - 365
JO - Population Health Management
JF - Population Health Management
IS - 5
ER -