Featured Research

from universities, journals, and other organizations

Accountable care at Academic Medical Centers: Lessons learned

Date:
February 2, 2011
Source:
Johns Hopkins Medical Institutions
Summary:
Academic Medical Centers must adjust and adapt to the new U.S. health care reform laws or risk marginalization in the new health care arena, according to a new article.

Academic Medical Centers (AMCs) must adjust and adapt to the new health care reform laws or risk marginalization in the new health care arena, according to a New England Journal of Medicine Perspective article published online February 2.

The authors of the article, Scott A. Berkowitz, M.D., M.B.A., a fellow in cardiology and geriatrics at the Johns Hopkins University School of Medicine, and Edward D. Miller, M.D., dean and CEO of Johns Hopkins Medicine, argue that AMCs can not only remain relevant in the face of sweeping change, but can lead the way by serving as examples of successful transformation while continuing to excel in achieving their mission. For some AMCs, this may take the form of becoming accountable care organizations (ACOs) as established in the Affordable Care Act.

First and foremost, AMCs must have an integrated system of sufficient size and breadth to provide necessary and timely inpatient and outpatient services across the full continuum of care, including primary and specialty care.

Secondly, AMCs need to assess the financial risk associated with pursuing ACO status. The authors note that the Affordable Care Act allows for various ACO payment models based on the level of risk that the health care organization assumes. For example, under partially capitated models, the ACO would be at risk for the cost of some, but not all, of the services covered by Medicare.

Thirdly, AMCs need a robust health information technology platform that captures all patient-encounter information into a standardized system that permits providers to share information, enhances clinical decision making and facilitates rapid analysis of input data.

Lastly, and potentially most challenging, is changing the historic culture of AMCs, which traditionally favor -- in terms of advancement -- faculty grant support, publications and scholarly reputation over contributions to high-quality care.

The authors cite several examples from the Johns Hopkins Medicine experience that illustrate successful components of an accountable care organization-like model, including health system network expansion, increases in primary care capability, and success in managing capitated care programs.

"Despite the barriers to becoming an accountable care organization," says Berkowitz, "health care reform brings great opportunities for academic medical centers to modernize their approaches to research, education and clinical care."

"In many important respects, academic medical centers are ideally positioned to implement meaningful health care reform," says Miller. "They have the requisite infrastructure, intellectual capital and networks to spearhead efforts to develop, pilot and disseminate new patient-focused measures and care models."


Story Source:

The above story is based on materials provided by Johns Hopkins Medical Institutions. Note: Materials may be edited for content and length.


Journal Reference:

  1. Scott A. Berkowitz, Edward D. Miller. Accountable Care at Academic Medical Centers — Lessons from Johns Hopkins. New England Journal of Medicine, 2011; 110202140145017 DOI: 10.1056/NEJMp1100076

Cite This Page:

Johns Hopkins Medical Institutions. "Accountable care at Academic Medical Centers: Lessons learned." ScienceDaily. ScienceDaily, 2 February 2011. <www.sciencedaily.com/releases/2011/02/110202172304.htm>.
Johns Hopkins Medical Institutions. (2011, February 2). Accountable care at Academic Medical Centers: Lessons learned. ScienceDaily. Retrieved August 29, 2014 from www.sciencedaily.com/releases/2011/02/110202172304.htm
Johns Hopkins Medical Institutions. "Accountable care at Academic Medical Centers: Lessons learned." ScienceDaily. www.sciencedaily.com/releases/2011/02/110202172304.htm (accessed August 29, 2014).

Share This




More Science & Society News

Friday, August 29, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Who Could Be Burnt by WHO's E-Cigs Move?

Who Could Be Burnt by WHO's E-Cigs Move?

Reuters - Business Video Online (Aug. 28, 2014) The World Health Organisation has called for the regulation of electronic cigarettes as both tobacco and medical products. Ciara Lee looks at the impact of the move on the tobacco industry. Video provided by Reuters
Powered by NewsLook.com
JPMorgan Chase Confirms Possible Cyber Attack

JPMorgan Chase Confirms Possible Cyber Attack

Reuters - US Online Video (Aug. 28, 2014) Attackers stole checking and savings account information and lots of other data from JPMorgan Chase, according to the New York Times. Other banks are believed to be victims as well. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
CDC Director On Ebola Outbreak: 'It's Worse Than I Feared'

CDC Director On Ebola Outbreak: 'It's Worse Than I Feared'

Newsy (Aug. 28, 2014) CDC director Tom Frieden says the Ebola outbreak is even worse than he feared. But he also said there's still hope to contain it. Video provided by Newsy
Powered by NewsLook.com
UN: Ebola Cases Could Eventually Reach 20,000

UN: Ebola Cases Could Eventually Reach 20,000

AP (Aug. 28, 2014) The Ebola outbreak in West Africa eventually could exceed 20,000 cases, more than six times as many as are known now, the World Health Organization said as the US announced plans to test an experimental Ebola vaccine. (Aug. 28) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins