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Part 1 69:
Accountable Care Organizations (ACOs) play a key role in coordinating health care services for Medicare beneficiaries. These organizations have largely become consumer driven, making marketing and health care consumerism central to their success. By offering and marketing evidence-based, patient-centered services and initiatives, ACOs can better connect with consumers. For this Assignment, you examine the services and initiatives for an ACO in your state.
To prepare:
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· Select an ACO from the website ACOs in Your State in this week’s Learning Resources.
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· Identify evidence-based services/initiatives that the ACO is using.
http://innovation.cms.gov/
· Consider the following:
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· Is the ACO using services/initiatives that the Centers for Medicare & Medicaid Services (CMS) recognize and for which they offer reimbursements?
· How does the ACO market these services/initiatives to increase health care consumerism?
The Assignment
In a matrix, analyze evidence-based services/initiatives that the ACO you selected is using for each of the following:
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· Quality of care
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· IT
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· Marketing
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· Financial outcomes
· Population health programs
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· Vertical versus horizontal integration
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· Operational excellence
Include whether the ACO is using approaches that CMS recognizes for reimbursements and how these initiatives/services increase health care consumerism.
Synthesize the information you have gathered from your analysis so that each bullet point clearly represents the most significant considerations within each category. While this is a 1-page document that might appear to be simple, each point must be the result of deep and critical thinking.
Must use these resources
Walston, S. L. (2014). Strategic healthcare management: Planning and execution. Chicago, IL: Health Administration Press.
http://www.ccsenet.org/journal/index.php/ibr/article/view/40661/22507
Angood, P., & Birk, S. (2014). The value of physician leadership. Physician Executive, 40(3), 6–20.
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/program-data.html
Chi, W. C.-H., Wu, S.-J., & DeVries, A. (2014). Value-based purchasing’s effect on quality and costs. Health Affairs, 33(4), 723.
https://www.ajmc.comjournals/AJAC/2015/2015-vol3-n2/Meaningfully-Engaging-Patients-in-ACO-Decision-Making
Gilman, M., Adams, E. K., Hockenberry, J. M., Wilson, I. B., Milstein, A. S., & Becker, E. R. (2014). California safety-net hospitals likely to be penalized by ACA value, readmission, and meaningful-use programs. Health Affairs, 33(8), 1314–1322.
Klimontowicz, M. (2014). Customer-centricity evolution as a foundation of bank’s competitive strategy. Journal of Economics & Management, 16, 45–59.
Macfarlane, M. A. (2014). Sustainable competitive advantage for accountable care organizations. Journal of Healthcare Management, 59(4), 263–271.
Part 2 67
Read the articles and watch the videos on process mapping and critical path. Identify an operational activity within your organization, or an organization with which you are familiar. These activities could include business planning, staff training initiatives, changes in case management, etc.
The Assignment:
Using what you have learned about process mapping in this week’s resources, create a process mapping flowchart to measure operational data of the activity using Microsoft PowerPoint or Microsoft Visio. Identify the important measurements within your process which provide operational data. Then, based on the process map you have created, list and describe these measurements and the critical path within your process, utilizing any additional process improvement tools necessary. Your completed Assignment should include the flowchart, a description of process measurements, the critical path analysis, and a 1- to 2-page summary.
Must use these resources:
McLaughlin, D. B., & Olson, J. R. (2017). Health care operations management (3rd ed.). Chicago, IL: Health Administration Press.
Zhong, X., Williams, M., Li, J., Kraft, S. A., & Sleeth, J. S. (2014, August). Primary care redesign: A simulation study at a pediatric clinic.Paper presented at the meeting of IEEE International Conference on Automation Science and Engineering (CASE), Taipei, Taiwan.
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