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organizing principles

We are an emerging alliance of ACOs. Whether on paper, in principle or on the ‘white board’, we intend to add a measure of ‘realism’ into the ACO planning and execution glidepath. By leveraging ‘institutional memory’ of prior integration efforts, and offering insights, context and technical support, we are here to optimize your renewed, if not initial efforts, to effectively integrate ‘dis-connected medicine’.

While still in formation, we’ve articulated some of the key principles that stitch the effort together and add value to the broadly cast ‘ACO community of stakeholders’.
 
Organizing Principles
  • Physicians, with or without an ‘institutional partner’, must lead the ACO process
  • Institutional partner(s) (if any), whether hospital, health system, affilitate integrated delivery system, or MSO, are local market considerations. No single template can apply to each market situation, business model chosen, or preferred organizational strategy
  • The adoption of a ‘shared governance’ model is nothing to fear, but an emerging value to embrace inside the health care innovation journey
  • ‘Patient centricity’ must be a ‘mantra’ both embraced and integrated into an emerging ACO’s culture and operating DNA
  • While the notice of proposed rules released March 31st, 2011, admittedly in a 60 day comment period, are complex and ambitious to implement, the Centers for Medicare and Medicaid have indeed put the health system re-design imperative squarely into the laps of organized medicine and the balance of health care industry stakeholders
  • CMS has challenged primary care physicians, specialists physicians, integrated delivery systems, entrepreneurial management services organizations (MSOs), and information technology platform vendors, and others to step up and innovate. The time is now. The opportunity is real. Where will you put your energy?