Accountable Care Case Studies
Preventive Care and Disease Management Programs
The Everett Clinic
The Everett Clinic's prevention and disease management programs are resulting in early detections, improved quality of life for their patients, reductions in hospitalizations and an overall decrease in the cost of care. The Everett Clinic is piloting several prevention programs in their organization that show real promise. The Clinic urges healthy adults to get cholesterol screenings so early detection and treatment can lower their future risk of heart attack and stroke. They have an outreach program to encourage immunizations, both for children and high-risk patients for pneumonia. They also provide ongoing patient education to encourage patients to take a proactive role in their health. In addition, the Clinic sends out letters to patients on key birthdays to remind them of needed health maintenance tests. Preventive health programs result in early detections and better outcomes for patients. More
Categories: Evidence-Based Treatment, Prevention, Team-Based Care, Value
ACO Types: Multispecialty Medical Group
Primary Care Teams that Include Behavioral Health Specialists Manage Both the Mental and Physical Conditions of Patients
Kaiser Permanente
Kaiser Permanente's Northern California region has integrated behavioral health care within its primary care offices, which improves their patients' access to mental health services and provides a wider perspective on the patient's health. More
Categories: Day And Night Access, Evidence-Based Treatment, Health Information Technology, Prevention, Team-Based Care
ACO Types: Integrated Delivery System (IDS), Multispecialty Medical Group
Proactive Office Visit Program Significantly Improves Quality of Care
Kaiser Permanente
Kaiser Permanente’s Southern California region has increased the use of preventive cancer screenings and effectively encouraged improved maintenance of cholesterol by coordinating care across all who touch patient’s lives and integrating incentives and information technology. More
Categories: Evidence-Based Treatment, Health Information Technology, Prevention, Team-Based Care, Value
ACO Types: Integrated Delivery System (IDS), Multispecialty Medical Group
Reclaim Your Health: Cleveland Clinic's Lifestyle 180 Program
The Cleveland Clinic
Lifestyle choices that include poor nutrition and a lack of physical activity are key contributors to the development of chronic illnesses, such as heart disease, diabetes and cancer. Furthermore, these two lifestyle choices – in addition to tobacco use – account for 40 percent of all health care expenses in the United States. More
Categories: Prevention, Team-Based Care
ACO Types: Multispecialty Medical Group, Physician-Hospital Organization (PHO)
Shared Medical Records Engage Patients and Manage Populations
Group Health Cooperative
Group Health Cooperative, a large, integrated health care system, facilitates patient-provider communication and empowers its patients to share responsibility for their health and health care by offering an array of interactive services and tools on its Web site. As part of a secure member portal, a system-wide online shared health record allows patients to access medical records online; provides secure e-mail access to physicians; and offers the ability to complete an interactive electronic health-risk assessment. The system also allows patients to easily access relevant educational information, obtain test results, and schedule appointments. More
Categories: Health Information Technology, Prevention, Team-Based Care, Value
ACO Types: Integrated Delivery System (IDS), Multispecialty Medical Group
TeleStroke: Using Technology to Facilitate Care
The Cleveland Clinic
Approximately 60 percent of stroke patients access their initial medical care within three hours of the onset of symptoms. The TeleStroke program of Cleveland Clinic is a distance health application that will address the issues surrounding time-critical therapeutic intervention. More
Categories: Day And Night Access, Evidence-Based Treatment, Health Information Technology, Team-Based Care
ACO Types: Multispecialty Medical Group, Physician-Hospital Organization (PHO)
The Henry Ford MyHealth Patient Portal with eVisits
Henry Ford Medical Group
Henry Ford Health System continually works to integrate web technologies into health care delivery. More than 80,000 patient appointments are scheduled by patients online annually. For personalized management of health services, Henry Ford offers patients the MyHealth web portal, a secured site to access test results, to renew and refill prescriptions, and to perform other tasks including eVisits. More than 65,000 requests for test results and prescription renewals are received each year, and more than 3,000 eVisits have occurred since the pilot study in 2006. An eVisit offers patients easy access to health care by providing virtual clinical consultations for non-emergent conditions. Patients with chronic disease especially benefit from eVisits through increased interaction with their physicians for better management of their conditions between office visits. More
Categories: Day And Night Access, Health Information Technology, Prevention, Team-Based Care, Value
ACO Types: Integrated Delivery System (IDS), Multispecialty Medical Group
Tracking, Measuring, Studying and Searching Patient Care Data Over Time
The Cleveland Clinic
The Cleveland Clinic Knowledge Program allows physicians and researchers to electronically follow, measure, study and search patient health data over time. The program can be used to track individual patient medical histories, as well as broader patient populations, using electronic medical records, a database of anonymous health information, and an innovative search engine. This ability--called the Knowledge Program--creates a complete health biography of each patient, compiling information across specialties and locations (in-patient, outpatient, rehab, etc.), medications, self-assessments, and follow-up. More
Categories: Evidence-Based Treatment, Health Information Technology, Prevention, Team-Based Care, Value
ACO Types: Multispecialty Medical Group, Physician-Hospital Organization (PHO)
Virginia Mason Provider-Employer-Payer Collaboratives Target Common Medical Conditions
Virginia Mason Medical Center
Virginia Mason Medical Center in Seattle has worked in collaboration with health plans and employers to develop standardized approaches to the care of patients with common medical conditions. Called marketplace collaboratives, these efforts have eliminated unnecessary treatment and decreased costs to employers, health plans, patients, and providers while improving quality and value. To date, Virginia Mason has implemented clinical value streams for low back pain, headache, large joint pain, and breast concerns not related to cancer screening. The strides made in quality by this approach have been impressive. More
Categories: Day And Night Access, Evidence-Based Treatment, Health Information Technology, Prevention, Team-Based Care, Value
ACO Types: Health Plan, Multispecialty Medical Group, Physician-Hospital Organization (PHO)
Virginia Mason's Hospital Team Reduces Bedsores and Costs
Virginia Mason Medical Center
Hospital-acquired pressure ulcers (HAPU), commonly known as bedsores, are increasingly common in hospitalized patients. To address this issue at Virginia Mason, the Zero Hospital-Acquired Pressure Ulcers team was established. The team reviewed guidance materials and brainstormed how to improve the HAPU program already in place at VM. They used the tools of the Virginia Mason Production System. They streamlined the display of the wound/skin assessment forms on the electronic medical record so a patient's skin status is more apparent. VM recently celebrated 298 days since its last incidence of Stage 3-4 HAPU (the most serious form of bedsore), and their work met the Leapfrog Group’s high standards for reducing preventable medical errors in hospitals. More
Categories: Health Information Technology, Prevention, Team-Based Care, Value
ACO Types: Multispecialty Medical Group, Physician-Hospital Organization (PHO)
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