Establishing a culture of transparency and collaboration
Transparency at all levels of the accountable delivery system is fundamental to the success of the enterprise — but historically adverse incentives among participants in the system have resulted in widespread distrust and adversarial positioning. This course explores what it takes to move beyond the tensions of the past and build a culture of transparency and collaboration.
Payer-provider partnering to coordinate care in a virtual integrated delivery network
Population management has historically fallen under the domain of health plans, but in an accountable delivery system population and quality management activities are shared among all participants. This course examines how health plans and provider organizations can work together to effectively manage the cost and quality of care provided to the population of patients for which they are accountable.
Population health management for accountable care
This course teaches participants to identify a population, interpret an analysis of the makeup and performance of the population, and identify opportunities to improve clinical and financial outcomes. Participants will learn population management methodologies and how the accountable care enterprise can use clinical and financial metrics to drive performance.
Transforming payer operations for accountable care
In an accountable delivery system, even the role of traditional payer operations — such as claims processing and customer service — is transformed. This session explains how health plan operations can be reconfigured to meet the distinct needs of an accountable delivery system and its participants.
Using process improvement to improve the quality of care…and the bottom line
In this session, participants will learn the importance of process improvement activities in an accountable delivery system, including process improvement methodology, its impact on the accountable care enterprise, and the metrics used to execute a process improvement program.
Accountable delivery system fundamentals and the Essence experience
In this course, participants will learn about the fundamental features of accountable delivery systems though the experience of the executives who founded and operate the high-performing accountable delivery system Essence Healthcare. This session provides an overview of Essence’s learnings, with insight into the fundamental characteristics of accountable delivery systems, potential pitfalls, and best practices.
Accountable delivery system structures
This session provides an overview of emerging forms of accountable delivery systems — including bundled payment programs, exchanges, and more — and describes the implications for accountable provider organizations. The course will identify the economic drivers and legislative policies behind the reimbursement and care models that underlie each type of accountable delivery system.
Coordinated care delivery in an accountable delivery system
This course examines the various dimensions of care coordination in an accountable delivery system, with emphasis on population management, quality outcomes management, and clinician-to-clinician care coordination. Participants will learn about programs for improving patient care management — including transition management, recognition of gaps in care, and identification of outreach opportunities — and the tools that support those programs.
Information technology for clinical integration and accountable care delivery
This course examines the information technology needed to enable the delivery of accountable care without requiring an enterprise to own all the organizations participating in the system. Hospitals, ambulatory care providers, and health plans have a variety of systems in place, making comprehensive data aggregation, analytics, and production of actionable intelligence a challenge. This course examines the latest developments in IT that address those challenges and demonstrates how that IT can enable accountable decision management and support care coordination, as well as delivering the role-based clinical and financial actionable intelligence needed in an accountable delivery system.
Provider engagement and incentive alignment for accountable care
In this module, participants will learn how to develop a culture that supports accountable care and implement contracting methodologies to align incentives across the health care continuum. The course will describe proven methodologies to achieve adoption of the accountable care enterprise’s tools and programs, without requiring all participants in the enterprise to be owned by the system.