The Healthcare Executive's Guide to ACO Strategy, Second Edition
The Healthcare Executive's Guide to ACO Strategy, Second Edition

Author: Coker Group

Publisher:

Published: 2015-02-20

Total Pages: 0

ISBN-13: 9781556452055

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The Healthcare Executive's Guide to ACO Strategy, Second Edition Coker Group Max Reiboldt, CPA Ellis "Mac" Knight, MD The Healthcare Executive's Guide to ACO Strategy, Second Edition, provides healthcare leaders with new strategies and tools to implement and manage accountable care organizations (ACO). Based on the experiences of organizations that have started down the path of ACO development, the authors discuss what has and hasn't worked and share new strategies for organizations grappling with managing an ACO. Wherever an organization is on the timeline for structuring its alliances and addressing evolving reimbursement issues in the accountable care era, this book delivers valuable information to help healthcare executives meet their pending challenges. This resources offers: Discussion of all updated regulations pertaining to ACOs Academic and real-world examples of the evolution of the Pioneer program Explanation of a new approach to bedside care that moves from the volume/productivity model to a value-based model A physician's viewpoint on ACOs from author Ellis "Mac" Knight, MD A focus on taking ACOs from theory to practice in implementing a value-based model: Coker's "Care Process Design System" Analysis of what has and hasn't worked, based on real experience A chapter dedicated to the experiences of the Pioneer program Table of Contents Chapter 1: Accountable Care Organizations and Clinically Integrated Networks: An Overview Chapter 2: How We Got Here Chapter 3: What We Anticipate About Accountable Care Concept Chapter 4: Moving From a Structural Construct to a Functional Construct Chapter 5: Physician-Hospital Integration Chapter 6: Compensation and Anticipated Changes Chapter 7: Are You Ready for an ACO and CIN Environment? Chapter 8: Legal Considerations of ACOs and CINs Chapter 9: The Pioneer Program and Its Outcomes Chapter 10: The CMS Shared Savings Program Chapter 11: Benchmarks for CMS Shared Savings Program Chapter 12: Quality Measures Chapter 13: The Role of Information Technology Chapter 14: Patient-Centered Medical Homes Chapter 15: Where Do We Go From Here? Appendix A: Pilot Programs in Place Appendix B: SSP Participants by Region/State Appendix C: Glossary of Acronyms Who should read this book? Healthcare executives C-suite and other high level financial, administrative, and clinical leaders within a hospital setting and in large private practices Healthcare attorneys Medical Staff Quality/Patient Safety professionals

Operations Management in Healthcare, Second Edition
Operations Management in Healthcare, Second Edition

Author: Corinne M. Karuppan, PhD, CPIM

Publisher: Springer Publishing Company

Published: 2021-12-07

Total Pages: 688

ISBN-13: 0826147720

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This thoroughly revised and updated second edition of Operations Management in Healthcare: Strategy and Practice describes how healthcare organizations can cultivate a competitive lead by developing superior operations using a strategic perspective. In clearly demonstrating the "how-tos" of effectively managing a healthcare organization, this new edition also addresses the "why" of providing quality and value-based care. Comprehensive and practice-oriented, chapters illustrate how to excel in the four competitive priorities - quality, cost, delivery, and flexibility - in order to build a cumulative model of healthcare operations in which all concepts and tools fit together. This textbook encourages a hands-on approach and integrates mind maps to connect concepts, icons for quick reference, dashboards for measurement and tracking of progress, and newly updated end-of-chapter problems and assignments to reinforce creative and critical thinking. Written with the diverse learning needs in mind for programs in health administration, public health, business administration, public administration, and nursing, the textbook equips students with essential high-level problem-solving and process improvement skills. The book reveals concepts and tools through a series of short vignettes of a fictitious healthcare organization as it embarks on its journey to becoming a highly reliable organization. This second edition also includes a strong emphasis on the patient's perspective as well as expanded and added coverage of Lean Six Sigma, value-based payment models, vertical integration, mergers and acquisitions, artificial intelligence, population health, and more to reflect evolving innovations in the healthcare environment across the United States. Complete with a full and updated suite of Instructor Resources, including Instructor’s Manual, PowerPoints, and test bank in addition to data sets, tutorial videos, and Excel templates for students. Key Features: Demonstrates the "how-tos" of effectively managing a healthcare organization Sharpens problem-solving and process improvement skills through use of an extensive toolkit developed throughout the text Prepares students for Lean Six Sigma certification with expanded coverage of concepts, tools, and analytics Highlights new trends in healthcare management with coverage of value-based payments, mergers and acquisitions, population health, telehealth, and more Intertwines concepts with vivid vignettes to describe human dynamics, organizational challenges, and applications of tools Employs boxed features and YouTube videos to address frequently asked questions and real-world instances of operations in practice

Accountable Care Organizations
Accountable Care Organizations

Author: Marc Bard

Publisher: ACHE Management

Published: 2011

Total Pages: 0

ISBN-13: 9781567934151

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Is the ACO strategy right for your organization? Accountable Care Organizations will help you understand the ACO framework and assess your readiness to embark on an ACO strategy. This book provides the structural blueprints, management skills, and cultural tools necessary to implement a successful ACO. Practical advice is bolstered with real world examples of leading healthcare providers that are pioneers in the rapidly changing world of accountable care. This guidebook is designed to facilitate critical conversations and decisions at all stages of the ACO development journey. Explore processes and structures and learn how to implement pilots to shape your own ACO delivery model. Each chapter includes takeaway points and tailored action steps for: (1) organizations interested in exploring the ACO concept, (2) organizations taking the first steps towards an ACO model, and (3) organizations already moving full speed ahead. This book will help you answer these questions and more: What does it take to become an ACO? What steps and actions should your organization take to implement an ACO strategy? How can organizational culture support your move to accountable care? How can you build a business plan to support an ACO strategy? What information technology is needed to implement an ACO strategy? How can an merging ACO best negotiate with third-party payers?

Accountable Care Organizations
Accountable Care Organizations

Author: Robert James Cimasi

Publisher: CRC Press

Published: 2013-06-05

Total Pages: 381

ISBN-13: 1482219093

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An accountable care organization (ACO) is a healthcare organization characterized by a payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned group of patients. Accountable Care Organizations: Value Metrics and Capital Formation explores the historical ba

MBA for Healthcare
MBA for Healthcare

Author: Joseph S. Sanfilippo

Publisher: Oxford University Press

Published: 2016

Total Pages: 353

ISBN-13: 0199332053

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Offering a unique exploration of healthcare-oriented business training and insight, MBA for Healthcare provides readers with an invaluable tool in the rapidly-changing healthcare industry today. This book is designed with healthcare providers at all levels of practice, so that they can promptly acquire both basic and advanced knowledge regarding the business aspects of medicine.

Health Informatics
Health Informatics

Author: Gordon D. Brown

Publisher: Asociation of University Programs in Health Administration/Health Administration Press

Published: 2012

Total Pages: 0

ISBN-13: 9781567934359

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Historically, informatics was considered as a technology for automating clinical decision making and processes. This book views informatics as a transforming technology, one that alters the structure of clinical processes and broader health organizations. It explores the use of health information technology from a systems perspective. The traditional three-pronged informatics model--cellular, clinical, and population--is expanded to include dynamic systems, which adds to and alters previous conceptions. This text integrates the medical, nursing, and healthcare IT professions. Its primary audience is graduate and professional students. Fifteen evidenced-based cases are used through the text to illustrate each chapter's concepts. Each chapter includes learning objectives, presents key concepts, and discussion questions. Topics covered include: The application and function of electronic medical records The importance of concept-based controlled biomedical vocabularies How to identify different e-health platforms How to recognize the technical safeguards required by the HIPAA Security Rule How information technology can change the role of the patient Instructor Resources: PowerPoint slides of the exhibits and answers/talking points for the discussion questions and case studies. To see a sample, click on the Instructor Resource sample tab above.