Are you ready to become an ACO? It is reported that over 160 Accountable Care Organizations (ACOs) are in development right now – So where do you stand?

1. Let’s Talk Healthcare with Informatica and
Edgewater: Analytics for Accountable Care
Richard Cramer Maury DePalo John Schmidt
Chief Healthcare Strategist Director of Healthcare Practice Vice President, Global Integration Services
Informatica Edgewater Informatica

2. “An organization of health care
providers that agrees to be
accountable for the quality, cost, and
overall care of beneficiaries who are
assigned to it.”
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3. Why Accountable Care? -- Mandates & Incentives
 Primary Drivers
Economic &
Market …
• Population Segments & Dynamics
Operational & • Moving from Volume to Value
• Market Structure & Dynamics
Sustainability …
• Cross-Continuum Coordination
Legislative & • Efficiency Performance Measures
Regulatory … • Value / Cost / Risk Sharing
• Primary Quality Performance Measures
• Incentive Timetables & Deadlines
• Penalties & Compliance Constraints
 Progressing to Value-Based Healthcare
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4. How are ACOs supposed to work?
• By analyzing patient experiences across a population
to implement quality improvement strategies.
• Vertical integration of primary care, specialty, hospital providers
who share risk for quality and total healthcare costs.
• ACOs achieve this by addressing 3 barriers:
• Tackle fragmented payment/delivery systems by fostering local,
organizational accountability for continuum of care including
outcomes, quality and costs.
• Focus provider payments on improved health outcomes, better
quality, and reduced costs.
• Support patient choice by providing information on treatment
risks and benefits.
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5. Becoming “ACO – Ready”
► Establishing a Performance Track Record
– Baseline of Effective, Efficient Patient Care & Favorable Outcomes
• Which Patients, Which Services, What Outcomes, What Costs?
– Quality  Efficiency  Value
– Evidence-based Rationale for Components of Shared Value
Proposition
• Value Added at Each Step in Coordinated Process of Encounters to Outcomes
► Primary Building Blocks
– Models: Data, Process, Business, Populations & Practices
– Technology: Data Capture, Quality Control, Integration,
Transformation, Aggregation, Analytics
► Defining Accountability
– Who is accountable, and for what?
– Shared accountability – measure team and individual performance
against industry or institutional standard (structures, processes,
metrics)
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6. Learn More….
• Register for our first webinar in the series:
How to get started on the journey to the future of healthcare
Wednesday, August 1, 2012
11:00am PT /2:00pm ET
http://vip.informatica.com/?elqPURLPage=10261
• To join future webinars in the series, email Jenny
Norwood: jnorwood@edgewater.com
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