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Survey Results: Hospital Readiness for ACOs

The Health Research and Educational Trust, an affiliate of the American Hospital Association, conducted a survey of US hospitals in 2011 to determine their readiness for the development of accountable care organizations. A small percentage of hospitals was currently participating in an ACO [3%] or preparing to participate [10%]. Three-quarters of hospitals were not exploring the ACO model at the time.

The report also discusses the following, based on survey findings on hospital ACO activity:

  • ACO governance structure, including physician relationships
  • Legal structure of ACOs, including risk management ability and arrangements
  • ACO payment models, including capitation and pursuit of bundled payments
  • Partnerships and ability to provide primary, acute, and post-acute care
  • Care management, including patient population identification and assignment, population management, care coordination and transitions, and clinical information exchange
  • Performance reporting and quality improvement
  • Challenges and perceived barriers

Appended to the report is an ACO readiness assessment checklist to help organizations determine their progress on the ACO development journey.

Source: Hospital readiness for population-based accountable care. Health Research and Educational Trust, May 2012. http://www.hpoe.org/resources-and-tools/resources/Accountable_Care.pdf

Related source: Audet AJ and others. Hospitals on the path to accountable care: highlights from a 2011 national survey of hospital readiness to participate in an accountable care organization. Commonwealth Fund Issue Brief, vol. 22, Aug. 2012. http://www.commonwealthfund.org/Publications/Issue-Briefs/2012/Aug/Hospitals-on-the-Path-to-Accountable-Care.aspx

Posted by AHA Resource Center, (312) 422-2050, rc@aha.org

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