Improved Patient Outcomes in 3 Years with a System of Cure for Diabetes

Bloom, Frederick J.; Graf, Thomas; Steele, Glenn

doi:10.31478/201210b

Cited by 1 publication

(6 citation statements)

References 4 publications

(4 reference statements)

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“…For clinical outcomes in diabetes care, for example, monitoring usually relies on intermediate metrics such as glycosylated hemoglobin levels, which eventually translate into improved outcomes. 2,12 Tracking is also often done on administrative targets-such as the avoidance of potentially preventable hospital admissions and rates of readmission-as indicators of inappropriate care and missed opportunities for care coordination.…”

Section: Accountable Care: the Implementation Journeymentioning

confidence: 99%

“…Several accountable care systems that meet our definition have shown strong evidence of enhanced care quality and patient experience, [2][3][4][5][6]8,9,11,13,[16][17][18] including many of our case examples (see Appendix Exhibit 1). 7 Unnecessary treatments have been reduced, 16,17,19 as have admission and readmission rates.…”

Section: Early Evidence Of Impactmentioning

confidence: 99%

“…7 Unnecessary treatments have been reduced, 16,17,19 as have admission and readmission rates. 4,6,10,11,13,16,18 Health outcomes can improve dramatically, 2,3,5,10 with the effects often apparent after just two or three years. 2,5,13,17,19 particularly successful.…”

Section: Early Evidence Of Impactmentioning

confidence: 99%

“…More generally, health care systems around the world have been implementing payment reforms to give greater prominence to health and cost outcomes through more patient-focused care delivery. [1][2][3][4][5][6] These care delivery reforms include improving the use of evidence-based treatments for common conditions, reducing variability in resource use that cannot be clinically justified, increasing coordination of care through the use of information technology and team-based initiatives, emphasizing prevention and disease management, and giving patients a stronger voice in their own care and in defining what matters.…”

mentioning

confidence: 99%

“…The first format involves episodes of care-which are often centered on an exacerbation of a disease or the performance of a procedure, such as a coronary artery bypass graft or cataract surgery-in which a bundled payment can cover all of the steps leading to the outcomes desired by the patient. 2 In the second, more comprehensive, format providers become accountable for the overall health outcomes of a defined population.…”

mentioning

confidence: 99%

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Accountable Care Around The World: A Framework To Guide Reform Strategies

et al. 2014

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Accountable care-a way to align health care payments with patient-focused reform goals-is currently being pursued in the United States, but its principles are also being applied in many other countries. In this article we review experiences with such reforms to offer a globally applicable definition of an accountable care system and propose a conceptual framework for characterizing and assessing accountable care reforms. The framework consists of five components: population, outcomes, metrics and learning, payments and incentives, and coordinated delivery. We describe how the framework applies to accountable care reforms that are already being implemented in Spain and Singapore. We also describe how it can be used to map progress through increasingly sophisticated levels of reforms. We recommend that policy makers pursuing accountable care reforms emphasize the following steps: highlight population health and wellness instead of just treating illness; pay for outcomes instead of activities; create a more favorable environment for collaboration and coordinated care; and promote interoperable data systems.

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Section: Accountable Care: the Implementation Journeymentioning

confidence: 99%