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Accountability for Community-Based Programs for the Seriously Ill
Joan M Teno1, Russ Montgomery2, Tom Valuck2
11 Department of Gerontology and Geriatrics, University of Washington , Seattle, Washington.
Journal of Palliative Medicine
|December 2, 2017
Summary
Developing accountability measures is crucial for high-quality, person-centered care for the seriously ill during healthcare payment reform. This ensures value-based systems prioritize patient well-being over mere cost reduction.
Area of Science:
- Health Services Research
- Healthcare Policy
- Gerontology
Background:
- The healthcare system faces a critical need for innovation in caring for the seriously ill.
- Transitioning to value-based payment models presents opportunities to improve care delivery.
- Current systems require accountability frameworks that prioritize quality and patient-centered outcomes.
Purpose of the Study:
- To establish guiding principles for measurement in accountability systems for seriously ill populations.
- To develop a foundational measurement set and define key terms for accountability.
- To identify research priorities for implementing accountability in community-based programs for the seriously ill.
Main Methods:
- Convening a meeting of 45 experts to discuss and formulate principles.
- Reviewing expert-authored articles to inform debate and decision-making.
- Defining the scope and parameters for an accountability system.
Main Results:
- Guiding principles for measurement were established.
- A starter measurement set was created.
- A proposed definition for the denominator was specified, with plans for refinement.
Conclusions:
- Developing robust accountability systems is urgent for ensuring high-quality, person- and family-centered care for the seriously ill.
- Actionable measures are needed alongside payment model innovation.
- Future research is essential for successful implementation of accountability frameworks.
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