Healthcare Intelligence Network
Accountable Care Organizations
Best Sellers
Behavioral Healthcare
Benchmarking
Bundled Payment
Care Coordination
Care Transitions
Case Management
Chronic Care Management
Coaching
Coming Soon
Community Health
Compliance
Consumer-Driven
Cultural Diversity
Data Analytics
Diabetes Management
Disease Management
Dual Eligibles
e-Books
eHealthcare
Emergency Medicine
Health Literacy
Health Risk Assessments
Health Risk Stratification
Healthcare Reform
Healthcare Trends
HIN Benchmark Reports
HIN Case Studies
HIPAA
Home Health
Home Visits
Hospice
Hospital
Hospital Readmissions
Hospitalist
ICD-10
Infection Control
Infographics
Information Technology
Long-Term Care
MACRA
Managed Care
Medicaid
Medical Home
Medical Neighborhood
Medical Practice
Medical Records
Medicare
Medication Adherence
Nurse Management
Palliative Care
Patient Engagement
Patient Experience
Patient Registry
Pay for Performance
Physician Practice Transformation
Physician Organizations
Physician Quality Reporting Initiative
Population Health Management
Post-Acute Care
Predictive Modeling
Pre-Publication
Quality Improvement
Reimbursement
Remote Patient Monitoring
Revenue Cycle Management
Safety
Social Health Determinants
Telehealth
Training DVDs
Transparency
Value-Based Reimbursement
Webinars
Wellness
What's New
Subscribe to the Free
'Healthcare Business Weekly Update' e-Newsletter and receive the latest trends, news and analysis in healthcare.
Email:

Click here to view this week's issue
Home>e-Books
Proactive Care Management in a Top-Performing ACO: Closing Quality and Care Gaps in High-Risk, High-Utilization Populations
Proactive Care Management in a Top-Performing ACO: Closing Quality and Care Gaps in High-Risk, High-Utilization Populations
Be the first to review this item
Price
Your Price:
$95.00
Choose Format and Quantity
Format Recommended: Print & Instant PDF Download
Print
Instant PDF Download
HIN Case Study Series Member
Enterprise PDF Site License
Save on Multi-User PDFs*
Quantity Price Per Copy
2-5 $61.75
6-10 $52.25
11-25 $23.75
26-50 $19.00
51-99 $14.25
Contact us for multiple print pricing or to order 25+ copies.
Quantity
Add to Wish List
Description

Like the convenience of an instant PDF download but still want a hard copy of this book? Order both and save 25 percent!

Frequent Case Studies Buyer? Save more than $500 annually with our Healthcare Case Studies Membership. Click here for details.

As one of 2016's top 10 performing MSSP accountable care organizations, UT Southwestern Accountable Care Network (UTSACN) generated nearly $17.5 million in shared savings.

Proactive Care Management in a Top-Performing ACO: Closing Quality and Care Gaps in High-Risk, High-Utilization Populations divulges some of the secrets behind UTSACN's success in the Medicare Shared Savings Program (MSSP) for ACOs. Winning strategies of the UTSACN ACO include a commitment to data analytics to inform programming and improve utilization and quality as well as holding its healthcare providers accountable for clinical and fiscal decisions.

In this 25-page resource, Cathy Bryan, UTSACN's director of care coordination, describes the structure and focus of the UTSACN ACO, selected in January to participate in the Next Generation ACO model. By functioning as extensions of primary care teams, UTSACN's care teams reduce barriers to care plan adherence and help patients bridge gaps to self-management.

In addition, Ms. Bryan hones in on the rewards of leveraging data for quality improvement in the area of UTSACN's home health utilization and efficiency, where costs had been twice the national average. She walks through the analytics that reduced UTSACN's disparate network of more than 1,200 providers to a preferred network of the 20 most efficient home health agencies, generating $6 million in savings and reducing utilization by 8 percent.

Part of this process included the education and engagement of providers in more efficient use of home healthcare, as well as raising awareness of their clinical and fiscal responsibilities as providers within the ACO.

Ms. Bryan outlines the following concepts in this special report:

  • Eight secrets of UTSACN ACO success;
  • Three key types of data leveraged by UTSACN for care management of high-risk, high-utilization patients;
  • Care management team structure, focus and responsibilities;
  • Seven ways UTSACN multi-factorial care teams address barriers to medical care plans;
  • Five specialty sub-teams that support care management;
  • UTSACN 'pod' approach to population health management;
  • Detailed case study on how UTSACN leveraged data to risk-assess and improve home health utilization and efficiency;
  • Educating and engaging healthcare providers in effective use of home healthcare;
  • How UTSACN holds primary care providers accountable for their clinical and fiscal responsibilities within the ACO;
  • Seven key outcomes resulting from UTSACN data analytics;
and much more.

Table of Contents

  • Bridging the Gap Between Appropriate Levels of Care and Care Plan Adherence for ACO-Attributed Lives
    • 8 Secrets to ACO Success
    • A Look at UT Southwestern ACO
    • Leveraging Available Data
    • Care Management Team Focus
    • Addressing Barriers to Medical Plan of Care
    • Care Management Team Structure
    • Leveraging Data for Quality Improvement
    • Narrow or Preferred Network for Home Care
    • Educating Providers on Home Health Utilization
    • Engaging Providers in ACO Fiscal Responsibility
    • Outcomes and Ongoing Work
  • Q&A: Ask the Expert
    • Team Coordination Across the Continuum
    • Predicting ED Utilization
    • Most Critical Gaps in Care
  • Glossary
  • For More Information
  • About the Contributor
Publication Date: January 2018
Number of Pages: 25
ISBN 10: 1-943542-76-7 (Print version); 1-943542-77-5 (PDF version)
ISBN 13: 978-1-943542-76-5 (Print version); 978-1-943542-77-2 (PDF version)
Frequently Bought Together
HIN Case Study Membership
HIN Case Study Membership
Your Price: $895.00
Buy
2017 Healthcare Benchmarks: Accountable Care Organizations
2017 Healthcare Benchmarks: Accountable Care Organizations
Your Price: $125.00
Buy
Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success
Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success
Your Price: $90.00
Buy
Browse Similar Items
HIN Case Studies
Disease Management
Population Health Management
Care Coordination
Care Transitions
Chronic Care Management
Health Risk Assessments
Accountable Care Organizations
Medicare
Physician Practice Transformation
Value-Based Reimbursement
Data Analytics
Healthcare Trends
Home Health
Hospital Readmissions
Patient Engagement
Quality Improvement
Reimbursement
What's New

Assessing Social Determinants of Health: Screening Tools, Triage and Workflows to Link High-Risk Patients to Community Services
Healthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare Industry
2017 Healthcare Benchmarks: Patient Engagement
2017 Healthcare Benchmarks: Chronic Care Management
Telephonic and Community-Based Care Coordination Model: An Early Engagement Approach for Medicaid Managed Care

Copyright Healthcare Intelligence Network. All Rights Reserved. eCommerce Software by 3dcart.