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Care Delivery Transformation

Research to develop, test and evaluate new models of care and payment redesign.

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Surveying Hospitals and Health Systems about Their Readiness to Be Accountable for the Continuum of Patient Care

Although the Affordable Care Act encourages the establishment of accountable care organizations (ACOs), it is not clear that health care providers are ready to participate in ACOs or will be able to develop the capabilities to do so. In the first study of its kind, HRET will profile U.S. hospitals and health systems for their readiness to be accountable for the continuum of patient care.

The project team will survey system leaders about their organizations' ability to: 1) provide integrated primary, acute, and post-acute care services; 2) enable communication and clinical information exchange among all providers involved in a patient's care; and 3) manage financial risk, receive bundled payment, and calculate and distribute shared savings to providers. The survey will be sent to all U.S. hospitals and health systems in April 2011.

In addition to submitting findings for journal publication, project staff will produce a tool that allows hospitals to assess their ACO readiness, a guide detailing the steps to take in preparation, and a webinar to share findings with policymakers, state hospital associations, and health system leaders.

As the Centers for Medicare and Medicaid Services implements its ACO program, the survey findings will provide the agency with information about hospital system capabilities that may need to be strengthened.

For more information, please contact Maulik Joshi, at (312) 422-2622 or mjoshi@aha.org

Supported by the Commonwealth Fund, a national, private Foundation based in New York City that supports independent research on health care issues and makes grants to improve health care practice and policy.

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