Hospital ACO model saved $400k, cut readmissions
Do accountable care organizations (ACOs) produce better patient outcomes? That's still up for debate in the hotly contested issue with some supporting coordinated care and others slamming the financial incentives.
At Jackson Memorial Hospital in Florida, a care coordination pilot program to reduce readmissions through follow-up care has shown promising results in improved outcomes. For example, after discharge, patients are visited by nurses at home who provide healthy frozen meals and ensure they are adhering to their medication. Since implementation, readmission rates in heart patients dropped by a third, reports the Miami Herald . The $81,000 investment also saved the hospital $400,000 in readmission charges.
"It's a wave that's occurring," according to University of Miami health policy professor Steven Ullmann, who said the ACOs are still up for debate. "You're starting to see the preliminary adjustment going on. The jury is still out on how much it's going to do."
Organizations and providers, alike, however, still remain skeptical about the benefits and costs savings of ACOs that may have yet to prove themselves.
"My concern is that the larger hospitals are going to be at the front of this, because they have the capital," said Bernd Wollschlaeger, a family practice physician in North Miami Beach and former president of the Dade County Medical Association. "A group of physicians may not reach a critical mass."
With allusions to the failed HMOs and managed care organizations of the past, the cost incentives for care poses a conflict of interest, said Dr. Steven Horvitz in an editorial on phillyBurbs.
Health Care Conflict Outcome - News
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Join 50000+ healthcare industry insiders who get via daily email. Sign up today! Do accountable care organizations (ACOs) produce better patient outcomes? That's still up for debate in the hotly contested issue with some supporting
Thomas Huntley, DFL-Duluth, the ranking DFLer on Abeler's House Health and Human Services Finance Committee, said he does not think Abeler had an ethical conflict because the provisions benefit all chiropractors, not just Abeler.
California officials appealed to the US Supreme Court, arguing that health care providers and beneficiaries do not have the right to sue a state for allegedly violating federal Medicaid rules. The Supreme Court agreed to hear the case in January and
The exemption offers no protection for the personal conscience rights of individual health care providers or subscribers. Furthermore, the HHS definition of “religious employers,” covers only organizations with the specific purpose to instill
Learn Conflict Resolution Tools for Nurses in American Sentinel's ...
Aurora, CO (PRWEB) August 03, 2011
The nursing profession is based on collaborative relationships between nursing staff and colleagues. How nurses maintain relationships and resolve conflict in the workplace are considered two of the most important skills for nurses today.
American Sentinel University launched a new nursing blog series: ‘Nursing Strategies: Conflict Resolution Tools for Workplace Success’, a four-part series available at http://www.americansentinel.edu/blog/2011/07/20/nursing-strategies-understanding-the-sources-costs-of-conflict/ to educate nurses about the best ways to managing conflict resolution in the workplace and achieve positive outcomes.
The blog series, to be published through early-August, covers such topics as:
Learn More About Countering Conflict – Join Live Chat on August 9 Dr. Catherine Garner, DrPH, MSN, RN, FAAN, dean, health sciences and nursing at American Sentinel University, and Pam Broyles, MSN, senior manager for education and training at Sarah Cannon Research Institute and DNP student at American Sentinel University, will be hosting a live online chat, ‘Countering Conflict in the Workplace,’ on NurseTogether.com on August 9, 2011 from 1-2 p.m. EST. To participate in this event, log in with your user name and password at the following link: http://www.nursetogether.com/Home/Events/do301/true/vw/3/itemid/296/d/20110809/NurseTogether-Community-Chat-.aspx. If you’re not a NurseTogether.com member, you can register for a free, no-obligation membership at http://www.nursetogether.com/Home/Registration.aspx?returnurl=/MemberLogin/tabid/146/Default.aspx.
As health care organizations dramatically change the way they operate due to initiatives to increase productivity and the quality of services provided, these initiatives are forcing hospitals to break down traditional hierarchical structures and move toward a team-managed environment. As a result, nurses no longer function on nursing units in subordinate roles, but are finding themselves in new roles where they are participating as part of a multidisciplinary team improving the overall delivery of care.
“Conflict requires energy – physical and psychological – and when you are burdened with the time and energy it takes to avoid or confront colleagues, it becomes a distraction which has clear physical affects and also spills into your stress outside of work. You have less positive energy for your family, yourself and the everyday life,” says Dr. Garner.
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