Sara Singer's and Stephen Shortell's 10 Potential Mistakes in Implementing ACOs
Submitted By Kevin Gemulla, Created 08/24/2011 - 14:46
- Overestimation of Ability to Manage Risk.
- Overestimation of Ability to Use Electronic Health Records.
- Overestimation of Ability to Report Performance Measures.
- Failure to Balance the Interests of Hospitals, Primary Care Physicians, and Specialists in Creating Governance and Management Processes to Adjudicate Differences.
- Failure to Sufficiently Engage Patients in Self-care Management and Self-determination.
- Failure to Make Contractual Relationships With the Most Cost-Effective Specialists.
- Failure to Navigate the New Regulatory and Legal Environment.
- Failure to Integrate Beyond the Structural Level.
- Failure to Recognize the Interdependencies and Therefore the Potential Cumulative “Race to the Bottom” of the Above Mistakes.
Source: Journal of the American Medical Association
Source URL: http://jama.ama-assn.org/content/306/7/758.full
Notes: Authors - Sara Singer, PhD, MBA; and Stephen M. Shortell, PhD, MPH, MBA