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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

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Embarking on accountable care: preparing for the second curve.

Laura Caramanica1, Marcia L Delk

  • 1WellStar Health System, Atlanta, Georgia.

Nursing Administration Quarterly
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WellStar Health System improved heart failure patient care through an integrated model, reducing hospital readmissions and enhancing treatment compliance. This accountable care model aligns with the Affordable Care Act's goals.

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Quality Improvement

Background:

  • The Affordable Care Act promotes new care models emphasizing integrated partnerships.
  • Silos in care delivery hinder effective patient management.
  • Accountable care models are emerging to improve healthcare outcomes and efficiency.

Purpose of the Study:

  • To describe the preliminary outcomes of WellStar Health System's demonstration project within the Medicare Shared Savings Program (Medicare ACO).
  • To evaluate the impact of a dedicated inpatient heart failure unit on the "triple aim" of healthcare: improving access, reducing cost, and enhancing patient outcomes.

Main Methods:

  • Implementation of a dedicated inpatient heart failure unit.
  • Establishment of a new organizational structure linking interdisciplinary providers across the care continuum.
  • Focus on a specific patient population: heart failure patients.

Main Results:

  • Significant improvement in patient compliance with care treatment plans.
  • Demonstrated reduction in hospital readmission rates for heart failure patients.
  • Successful preliminary outcomes within the first year of the Medicare ACO demonstration project.

Conclusions:

  • Integrated care models and dedicated units can improve patient compliance and reduce readmissions.
  • WellStar Health System's approach offers a sustainable structure for accountable care delivery.
  • Early adoption of new care engagement rules shows promise in achieving the triple aim.