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The Healthcare Executive's Guide to ACO Strategy, Second Edition Coker Group Max Reiboldt, CPA Ellis "Mac" Knight, MD The Healthcare Executive's Guide to ACO Strategy, Second Edition, provides healthcare leaders with new strategies and tools to implement and manage accountable care organizations (ACO). Based on the experiences of organizations that have started down the path of ACO development, the authors discuss what has and hasn't worked and share new strategies for organizations grappling with managing an ACO. Wherever an organization is on the timeline for structuring its alliances and addressing evolving reimbursement issues in the accountable care era, this book delivers valuable information to help healthcare executives meet their pending challenges. This resources offers: Discussion of all updated regulations pertaining to ACOs Academic and real-world examples of the evolution of the Pioneer program Explanation of a new approach to bedside care that moves from the volume/productivity model to a value-based model A physician's viewpoint on ACOs from author Ellis "Mac" Knight, MD A focus on taking ACOs from theory to practice in implementing a value-based model: Coker's "Care Process Design System" Analysis of what has and hasn't worked, based on real experience A chapter dedicated to the experiences of the Pioneer program Table of Contents Chapter 1: Accountable Care Organizations and Clinically Integrated Networks: An Overview Chapter 2: How We Got Here Chapter 3: What We Anticipate About Accountable Care Concept Chapter 4: Moving From a Structural Construct to a Functional Construct Chapter 5: Physician-Hospital Integration Chapter 6: Compensation and Anticipated Changes Chapter 7: Are You Ready for an ACO and CIN Environment? Chapter 8: Legal Considerations of ACOs and CINs Chapter 9: The Pioneer Program and Its Outcomes Chapter 10: The CMS Shared Savings Program Chapter 11: Benchmarks for CMS Shared Savings Program Chapter 12: Quality Measures Chapter 13: The Role of Information Technology Chapter 14: Patient-Centered Medical Homes Chapter 15: Where Do We Go From Here? Appendix A: Pilot Programs in Place Appendix B: SSP Participants by Region/State Appendix C: Glossary of Acronyms Who should read this book? Healthcare executives C-suite and other high level financial, administrative, and clinical leaders within a hospital setting and in large private practices Healthcare attorneys Medical Staff Quality/Patient Safety professionals
Is the ACO strategy right for your organization? Accountable Care Organizations will help you understand the ACO framework and assess your readiness to embark on an ACO strategy. This book provides the structural blueprints, management skills, and cultural tools necessary to implement a successful ACO. Practical advice is bolstered with real world examples of leading healthcare providers that are pioneers in the rapidly changing world of accountable care. This guidebook is designed to facilitate critical conversations and decisions at all stages of the ACO development journey. Explore processes and structures and learn how to implement pilots to shape your own ACO delivery model. Each chapter includes takeaway points and tailored action steps for: (1) organizations interested in exploring the ACO concept, (2) organizations taking the first steps towards an ACO model, and (3) organizations already moving full speed ahead. This book will help you answer these questions and more: What does it take to become an ACO? What steps and actions should your organization take to implement an ACO strategy? How can organizational culture support your move to accountable care? How can you build a business plan to support an ACO strategy? What information technology is needed to implement an ACO strategy? How can an merging ACO best negotiate with third-party payers?
This thoroughly revised and updated second edition of Operations Management in Healthcare: Strategy and Practice describes how healthcare organizations can cultivate a competitive lead by developing superior operations using a strategic perspective. In clearly demonstrating the "how-tos" of effectively managing a healthcare organization, this new edition also addresses the "why" of providing quality and value-based care. Comprehensive and practice-oriented, chapters illustrate how to excel in the four competitive priorities - quality, cost, delivery, and flexibility - in order to build a cumulative model of healthcare operations in which all concepts and tools fit together. This textbook encourages a hands-on approach and integrates mind maps to connect concepts, icons for quick reference, dashboards for measurement and tracking of progress, and newly updated end-of-chapter problems and assignments to reinforce creative and critical thinking. Written with the diverse learning needs in mind for programs in health administration, public health, business administration, public administration, and nursing, the textbook equips students with essential high-level problem-solving and process improvement skills. The book reveals concepts and tools through a series of short vignettes of a fictitious healthcare organization as it embarks on its journey to becoming a highly reliable organization. This second edition also includes a strong emphasis on the patient's perspective as well as expanded and added coverage of Lean Six Sigma, value-based payment models, vertical integration, mergers and acquisitions, artificial intelligence, population health, and more to reflect evolving innovations in the healthcare environment across the United States. Complete with a full and updated suite of Instructor Resources, including Instructor’s Manual, PowerPoints, and test bank in addition to data sets, tutorial videos, and Excel templates for students. Key Features: Demonstrates the "how-tos" of effectively managing a healthcare organization Sharpens problem-solving and process improvement skills through use of an extensive toolkit developed throughout the text Prepares students for Lean Six Sigma certification with expanded coverage of concepts, tools, and analytics Highlights new trends in healthcare management with coverage of value-based payments, mergers and acquisitions, population health, telehealth, and more Intertwines concepts with vivid vignettes to describe human dynamics, organizational challenges, and applications of tools Employs boxed features and YouTube videos to address frequently asked questions and real-world instances of operations in practice
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An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned group of patients. Accountable Care Organizations: Value Metrics and Capital Formation explores the historical ba
Offering a unique exploration of healthcare-oriented business training and insight, MBA for Healthcare provides readers with an invaluable tool in the rapidly-changing healthcare industry today. This book is designed with healthcare providers at all levels of practice, so that they can promptly acquire both basic and advanced knowledge regarding the business aspects of medicine.
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The Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model answers key questions surrounding ACOs so that hospitals, PHOs, IPAs and other physician organizations, networks or group practices can weigh the merits now of creating an ACO and complete the necessary groundwork before CMS's ACO operation date of January 2012.