Related Experiment Video
Updated: Mar 16, 2026
Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Improving Care Transitions Management: Examining the Role of Accountable Care Organization Participation and Expanded
Thomas P Huber1, Stephen M Shortell1, Hector P Rodriguez1
1School of Public Health, University of California Berkeley, Berkeley, CA.
Objective:
Examine the extent to which physician organization participation in an accountable care organization (ACO) and electronic health record (EHR) functionality are associated with greater adoption of care transition management (CTM) processes.
Data Sources/Study Setting:
A total of 1,398 physician organizations from the third National Study of Physician Organization survey (NSPO3), a nationally representative sample of medical practices in the United States (January 2012-May 2013).
Study Design:
We used data from the third National Study of Physician Organization survey (NSPO3) to assess medical practice characteristics, including CTM processes, ACO participation, EHR functionality, practice type, organization size, ownership, public reporting, and pay-for-performance participation.
Data Collection/Extraction Methods:
Multivariate linear regression models estimated the extent to which ACO participation and EHR functionality were associated with greater CTM capabilities, controlling for practice size, ownership, public reporting, and pay-for-performance participation.
Principal Findings:
Approximately half (52.4 percent) of medical practices had a formal program for managing care transitions in place. In adjusted analyses, ACO participation (p < .001) and EHR functionality (p < .001) were independently associated with greater use of CTM processes among medical practices.
Conclusions:
The growth of ACOs and similar provider risk-bearing arrangements across the country may improve the management of care transitions by physician organizations.
Related Concept Videos
01:30Methods of Documentation VII: EMR
01:30Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:11Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
01:31Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
01:18Types of Records II: Educational and Administrative Records