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The participants in a collaborative care delivery arrangement must explicitly outline the discrete points of contact with the patient, the services delivered at each step in the process, the critical hand-offs of responsibility and associated communications, and the measures of successful execution.
Organizations pursuing this stage are often seeking to answer key analytical questions such as
How do we Implement & Measure Accountability across our ACO Partnerships?
Where and by Whom are Value and Costs Introduced into our Delivery Processes?
The following Action Plans are concrete steps organizations must consider for progressively achieving this stage.
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Achieving Accountable Care Executive Briefing
Analytics for Value-based Care webinar
Ideas from the EDGE podcasts
Define standard processes (and models) for collaborative and coordinated delivery of care services to targeted patients, using the designated resources of the ACO participants
Establish criteria and metrics for formalizing coordinated care delivery
Identify individual processes, entry criteria, observations and data collection, interpretation and assessment, decision criteria, prescribed actions, exit criteria, resource consumption and communications
Define metrics for process and collaboration compliance
Formalize roles and responsibilities of all critical parties, including conditions for substitutability where appropriate
Define performance and compliance criteria, and outline contractual terms and governance for ACO participating entities and parties
Define individual and shared accountabilities, terms and impacts of performance and/or non-performance
Implement measurement programs and tools for monitoring and adjustment as required
Define the core metrics on which both individual party and coordinated ACO performance will be assessed
Identify risk areas that will be shared between and among the participating parties and entities, and define metrics for their allocation
Identify benefit areas to be shared between and among the participating parties and entities, and define metrics for their allocation