HIMSS Post Script

Head still spining but lots to say on my trip to HIMSS 2011 in ‘Orlando-topia’! Processing this morning: ‘tough sledding ahead for EHR industry’ a vignette of an overheard conversation between a very smart EHR engineer, and a community hospital CMIO. Crystallizes in my view the ‘dis-connect’ between some in the EHR industry and their …

Leading from the Future: A Thought Leadership Event on Accountable Care Organizations

And so the day/event arrives which brought me from San Diego to HIMSS 2011 Orlando arrives. Leading from the Future kicks off (though apparently there’s been some confusion with the schedule), at 1PM with Lee Sachs, EVP, and Chief Medical Officer, Advocate Health Partners. Advocate is perhaps one of the prototype ‘institutionally lead’, though private …

ACO’s: Now We’re Just Being Silly

By Jeffrey L. Cohen By now, every physician has heard the term “Accountable Care Organization.” They have also heard the term “Irritable Bowel Syndrome,” which elicits similar response. We all know for instance ACOs are being proposed as the new healthcare delivery platform for the masses and that they are more an idea, an experiment, than …

‘Culture Wars’ at CMS?

By Gregg A. Masters, MPH The first declaratory though public announcement on when industry stakeholders could expect the highly anticipated guidance via the first round of a notice of proposed rule making (NPRM) process, was Q4 2010. Subsequent updates has suggested first a January, and now February, release date. Some of the skeptics referring to CMS as a ‘black box’ …

Waiting for CMS

By Gregg A. Masters, MPH While we observe serial revisions in public release dates for the notice of proposed rules on Accountable Care Organizations (ACOs), lets play reading the “Berwick Tea Leaves’ particularly with respect to Administrator Berwick’s recent itemization of ‘the common core’ [of ACO’s] to attendees at the recent Brooking’s Event, ‘Achieving Better Care at …

Virginia Mason’s Clinical Transformation: Hard Work, Big Payoff

By Jeff Goldsmith In the ten months since the passage of health reform, health care managers, particularly those in hospitals and health systems, have struggled to make sense of an onslaught of change in Medicare policy.  The response has been depressing:  an accelerating wave of merger and acquisition activity, both horizontal hospital mergers and an …

6 Reasons Your ACO Will Fail (A Series) – Any One Will Do!

By Gregg A. Masters, MPH No. 1 – The ‘O, G & E’ Card At UC Berkeley in the 70s, the secretary in the Department of Psychology pasted a bumper sticker on her desk positing the humility laced question: ‘…you may be correct [in your storied judgment], but are you asking the right questions?’ For …

ACOs Forging the Links

By Ken Terry for HHN Magazine What hospitals need to know about accountable care; No. 1: Build strong relationships with physicians Building an accountable care organization is viewed by many hospital executives as the holy grail as they try to figure out how to better manage patient care across the continuum and as they brace …

ACOs Can Work with Physicians in Charge | Study Looks at Effectiveness of a Primary Care-Led Accountable Care Organization

By Victoria Stagg Elliott, Amednews A hospital partner may not be necessary for an accountable care organization to be effective, according to a report analyzing a primary care-led ACO. Physicians increasingly are selling their practices to hospitals, which are buying in preparation for the development of ACOs and other aspects of health system reform. People …

An ACO Watch: Mid-Week Review ‘Mea Culpa’!

The brodcast today on ACO Watch: A Mid-Week Review was a, well, d/i/s/a/s/t/e/r: Per Wikipedia: A disaster is a natural or man-made hazard that has come to fruition, resulting in an event of substantial extent causing significant physical damage or destruction, loss of life, or drastic change to the natural environment. A disaster can be …