The ecosystem that comprises the United States healthcare system has embraced a technological revolution and the pace of change is accelerating. Our ability to transform processes, systems, organizations and the way we help people heal has been impacted by waves of innovation cascading from the field of information technologies over the last five decades. The ability of physicians, caregivers, and administrators to share needed healthcare information, both clinical and administrative, to improve the health of populations has improved and advanced beyond what was unimaginable earlier in history.
Accountable Care: Bridging the Health Information Technology Divide, First Edition, is a book, 17 months in the making, that touches on many elements of this technological journey with a focal point of clinically integrated accountable care organizations (ACOs) at the epicenter. As the nation and global health system shifts focus from volume-driven care to performance and quality-driven care, leadership is returning to the provider. This is resulting in a greater emphasis on clinical and administrative performance and on the priority of improving population health.
Three overarching influential factors touched on throughout the book are the aging of our U.S. and global population (e.g., Baby Boomers, Generation X, and Generation Y), complexity of the healthcare system, and the continuous drive for new innovation. Each of these factors will continue to have a profound effect on the future development of how we deliver and administer care for patients in America and abroad.
Purpose of the Book
Accountable Care: Bridging the Health Information Technology Divide, First Edition, starts a series that will focus on various aspects of health information technologies that are part of the future for accountable care organizations and other care delivery organizations. Many chapters were developed as an anthology of independent works by the authors, with the final chapter, The New Horizon, offering the reader a degree of integration with a predictive view, drawing upon many of the issues covered throughout the earlier chapters. The book helps meet educational needs and set strategic direction for organizations.
Key topics covered include:
- State of affairs and landscape of the industry
- Electronic health records
- Data analytics and business intelligence
- Standards and interoperability
- Health information exchange
- Personal health records and mobile health
- Quality and patient safety
- Meaningful use of electronic health records
- Revenue cycle management and other financial implications for ACOs
- Comparative effectiveness research
- The network transition and its strategic implications
An historical perspective is provided for students of healthcare seeking to get a holistic sense of the information technology transformation underway. For the healthcare executive, physician, and caregiver audience, material is provided with depth of evidence to validate points made throughout each chapter. For policy makers, researchers, and those evaluating the direction of the industry, this work is offered as a reference manual and to provide insights on the complex nature of the healthcare system in this renaissance era.
About the Authors
Managing editors include: Bill Spooner is chief information officer at Sharp Healthcare. Bert Reese is senior vice president and chief information officer for Sentara Healthcare. Colin Konschak is managing partner of Divurgent. Contributing authors include: J.M. Bohn, founder of KMI Communications LLC. Chon Abraham, PhD, MBA is an associate professor of management information systems (MIS) at the Mason School of Business, College of William and Mary. Shane Danaher, MBA is client services VP for Divurgent. Cynthia Davis, MHSA, RN, FACHE is a principal with CIC Advisory, Inc. Robert Esterhay, MD is the chair of the department for health management and systems sciences in the School of Public Health and Information Sciences at the University of Louisville. Richard G. Jung is chief executive officer of InTuun. Greg Miller is senior vice president at Medicity, Inc., a subsidiary of Aetna Corporation. Chip Perkins, MBA is vice president of provider solutions at OptumInsight. John P. Reinhart, CPA is the founder and chief executive officer of the International Center for Long Term Care Innovation (InnovateLTC). David Shiple leads Divurgent's advisory services practice. Mary Sirois, MBA, PT is the principal responsible for Divurgent's clinical transformation practice. Tim Webb is a partner with InfoArch Consulting. Laishy Williams-Carlson is a regional chief information officer for Bon Secours Health System. Ken Yale, DDS, JD is vice president of clinical solutions at ActiveHealth Management.
As managing the health of populations becomes more important, effective health information technologies are required across the continuum of care. The authors have identified all of the relevant technological components required in an accountable care model and provide clear direction on how to move your organization in this direction. This book is a must read for anyone in the health information technology industry, providers, vendors, and researchers alike.
System Vice President of Applications
The authors have laid out a very clear roadmap of health information technologies required by the accountable care model. Chapter 1 introduces a very thorough Accountable Care Organization Reference Model (ACORM) that sets up discussions of various technologies and capabilities throughout the rest of the book. This text will be very helpful for those responsible for developing the infrastructure required for success in an era of accountable care.
System Vice President &Chief Information Officer
Ochsner Health System
As healthcare leaders, we are in the midst of our dynamic industry facing a shifting focus of how our delivery systems are viewed, measured, and ultimately reimbursed. This new world, based on population health management and outcomes-based reimbursement, will require us to reassess the technological infrastructure needed to succeed. This text provides a succinct overview and plan that will be essential for delivering accountable care to the communities we serve.
Michael Mayo, FACHE
Baptist Medical Center-Jacksonville
This book provides a comprehensive assessment of technology issues that healthcare leaders need to address in mapping strategies for selection, implementation, and adoption of health information technology solutions for CINs and ACOs.
Bruce Flareau, MD
BayCare Physician Partners
A must have text for healthcare executives. Truly global in perspective, Bridging the Divide, shows healthcare leaders what they should expect from information and technology in the 21st century and how to go about getting it.
Vice President and Chief Information Officer
Cancer Care Ontario
An insightful assessment of both literature and regulatory issues impacting the landscape of health information technology issues being faced by healthcare leaders across the globe in the 21st century. An important text to have on every healthcare CIOs desk.
Beth Lindsey Wood
Chief Information Officer
Tampa General Hospital