Accountable Care Organizations: An Opportunity for Synergy

Schultz, Stephen; Abercrombie, Stoney; Crownover, Brian; Hoekzema, Grant; Krug, Nathan; Maxwell, Lisa; Mazzone, Michael; Mitchell, Karen; Shaffer, Todd; Tuggy, Michael

doi:10.1370/afm.1530

Cited by 4 publications

(3 citation statements)

References 2 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When asked about the future of healthcare, many of those interviewed referenced the Patient Protection and Affordable Care Act (PPACA). The PPACA of 2010 intends to make vast changes in the healthcare deliver in the United States by increasing the number of individuals with health insurance and creating alliances among providers to improve continuity of healthcare (Schultz et al, 2013). An overarching commonality across many interviews regarding the future of healthcare and the built environment is that many of the effects PPACA on healthcare delivery remain somewhat unknown; therefore, it is important to forecast as accurately as possible when the decisions made today are comparatively permanent for the life of the building.…”

Section: Current Trends and Future Forecastingmentioning

confidence: 99%

Bedside to Blueprints: The Role of Nurses in Hospital Design

Clark¹

2014

HERD

View full text Add to dashboard Cite

show abstract

Section: Current Trends and Future Forecastingmentioning

confidence: 99%

Bedside to Blueprints: The Role of Nurses in Hospital Design

Clark¹

2014

HERD

View full text Add to dashboard Cite

show abstract

“…The transition from one model (medical fee-for-service) to another (business shared-risk) is far from seamless and could have far-reaching implications, of which patients may yet be unaware. Although some advocates applaud the potential of ACOs to improve health care and reduce cost [47], others are already trying to find ways to work around them [48].…”

Section: The Accountable Care Organizationmentioning

confidence: 99%

New care measures and their impact on pain medicine: One pain specialist’s perspective

Pergolizzi

2015

Postgraduate Medicine

View full text Add to dashboard Cite

Value-based purchasing (VBP) goes into effect this year and it links the quality of care to payments for care. Starting in fiscal year 2013, the Centers for Medicare and Medicaid Services reduces all inpatient prospective payment system reimbursements by 1%. This money then can be returned to hospitals in the form of a bonus through VBP. Value-based purchasing holds hospitals accountable for both cost and quality. With VBP, hospitals get a score that is based on the process of care, the outcomes, and patient-centeredness. This means that reimbursements in health care, which keep hospitals in business, are transitioning from "volume of services" to VBP. Although VBP sounds like a great idea, particularly to politicians in Washington tasked with managing out-of-control health care expenditures, there is very little high-quality evidence that VBP will actually improve care. Nevertheless, this is the way we are going to be moving forward. The perception of pain is a highly personalized phenomenon, and chronic pain affects every aspect of a patient's life. The biopsychosocial model and the concept of utilizing an interdisciplinary team approach in the management of chronic pain make sense, but there are concerns that it could result in higher overall costs and no measurable improvements in the patient's perception of care. Both results. could have a negative impact on pain specialists.

show abstract

“…42 However, the cost of building the required clinical office infrastructure has not been supported by current payment models, [43][44][45][46] so the adoption of PCMHs within the primary care community has been slow, and the value and viability of the PCMH remains a concern. 47,48 The timeliness of the FFM 1.0 Report facilitated an opportunity to influence the Affordable Care Act (ACA)-the largest health reform legislation in more than 50 years; key concepts from the report were embedded in ACA legislation.…”

Section: The Us Health Care Systemmentioning

confidence: 99%

Back to the Future: Reflections on the History of the Future of Family Medicine

Doohan

Endres

Koehn

et al. 2014

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

These are historic times for family medicine. The profession is moving beyond the visionary blueprint of the Future of Family Medicine (FFM) report while working to harness the momentum created by the FFM movement. Preparing for, and leading through, the next transformative wave of change (FFM version 2.0) will require the engagement of multigenerational and multidisciplinary visionaries who bring wisdom from diverse experiences. Active group reflection on the past will potentiate the collective work being done to best chart the future. Historical competency is critically important for family medicine's future. This article describes the historical context of the development and launch of the FFM report, emphasizing the professional activism that preceded and followed it. This article is intended to spark intergenerational dialog by providing a multigenerational reflection on the history of FFM and the evolution that has occurred in family medicine over the past decade. Such intergenerational conversations enable our elders to share wisdom with our youth, while allowing our discipline to visualize history through the eyes of future generations. (J Am Board Fam Med 2014;27:839 -845.) Keywords: Health Policy, Medical Education, Primary Health CareThere is an urgent need for a strong and sustainable US health care system. Family medicine is uniquely positioned to lead efforts to help our nation achieve the triple aim of better health care, improved population health, and lower health care costs. [1][2][3][4][5] Reflections on the history of family medicine are central to our dialog about the future, including a critical review of key historical documents, such as the Future of Family Medicine (FFM 1.0) report. [6][7][8][9] Reviewing the history surrounding the creation of the FFM 1.0 report will help our profession prepare for the next wave of transformative recommendations (FFM 2.0).10 This article presents a multigenerational perspective on the historical context of the development and the launch of the FFM 1.0 report, emphasizing the professional activism that preceded and followed it. It is intended to spark continued intergenerational dialog on the evolution that has occurred in family medicine over the past decade as well as to provide historical context for critically interpreting and building an action plan for FFM 2.0 recommendations. Effective change will require the engagement of multigenerational and multidisciplinary visionaries who bring wisdom from diverse experiences. Historical competency is imperative; active group reflection on the past will potentiate the collective work being done to best chart the future.Historical Context, Development, and Launch of the FFM 1.0 Report Family medicine derived from general practice. Before the 20th century, the standard medical practice This article was externally peer reviewed.

show abstract

Accountable Care Organizations: An Opportunity for Synergy

Cited by 4 publications

References 2 publications

Bedside to Blueprints: The Role of Nurses in Hospital Design

Bedside to Blueprints: The Role of Nurses in Hospital Design

New care measures and their impact on pain medicine: One pain specialist’s perspective

Back to the Future: Reflections on the History of the Future of Family Medicine

Contact Info

Product

Resources

About