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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.

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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.