Download Accountable: the Baylor Scott & White Quality Alliance by Carl Couch MD MMM FAAFP PDF

By Carl Couch MD MMM FAAFP

While many future health care corporations have to enhance overall healthiness care caliber and decrease charges, so much lack particular concepts and strategies for enforcing those alterations. Baylor Scott & White well-being has confirmed and maintains to enhance an responsible care association (ACO) known as the Baylor Scott & White caliber Alliance (BSWQA) to enhance the standard of care and reduce health and wellbeing care bills via medical integration.

Accountable: The Baylor Scott & White caliber Alliance responsible Care trip tells the tale of the BSWQA and its medical community and payers who're dedicated to offering responsible, value-based sufferer care. It describes the necessity for ACOs in modern future health care setting and info the framework and requisites had to determine one.

The publication offers readers with crucial history information regarding dependable care, together with the Triple objective and inhabitants wellbeing and fitness administration. It outlines the infrastructure and governance framework had to identify a winning ACO and provides real-world examples from the ACO owned by means of Baylor Scott & White future health, the most important not-for-profit well-being care method in Texas.

The ebook explores the idea that of responsibility for all stakeholders in today’s complicated care platforms, in addition to the function of non-public and organizational responsibility in dealing with sufferer populations. it is usually distinct outlines to steer you in constructing your individual liable care organization―from step by step info of criminal standards to an summary of the position of payers during this model.

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Extra info for Accountable: the Baylor Scott & White Quality Alliance Accountable Care Journey

Example text

2). This cost curve exceeds the consumer price index and the gap continues to grow. For years, ­critics of the health care system have recognized that the ­rising cost of care is unsustainable and is caused by the provision of too much unnecessary or ineffective care, too little ­effective care (particularly in the areas of disease ­prevention and ­management), and wrong care [7, 38]. Under the fee-for-service reimbursement mechanism, ­however, health care providers and organizations have been paid g ­ enerously despite—and, What if National Health Expenditures (NHE) indeed, sometimes because of—these ­inefficiencies in care.

Accountability for Quality Most physicians and other health care providers have a strong professional desire to do their best to deliver quality care to their patients. But in 2001, when the IOM report Crossing the Quality Chasm: A New Health System for the 21st Century was released, the serious deficiency in health care q ­ uality was brought into the spotlight [7].  health care community with its findings and assertion that there is a chasm (not just a gap) between the health care ­system in place and what is needed to achieve optimal ­outcomes and establish and maintain a healthy population.

Health care ­system was built [28]. Finally, there was recognition that patients’ wishes and preferences often took a back seat d ­ uring ­decisions about their care under a frequently paternalistic model of medicine [29, 30]. In the face of such overwhelming evidence of deficiencies in these important aspects of care delivery, quality measurement and improvement became high priorities. As a result, the six STEEEP domains are the areas on which many health care organizations including BSWH have focused.

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