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Overview

Data monitoring, from the highest level down to the patient level is critical to identifying trends, gaining insights, and communicating transparently with staff and stakeholders. Data monitoring approaches such as dashboarding are used to display data in a simple and intuitive way, allowing a snapshot of performance on selected measures to see changes or areas for improvement. Business intelligence systems such as population health management analytics allows for the monitoring of the health of a whole patient population, stratified by various characteristics, thereby supporting care planning, resource allocation, and training opportunities. Resources in this section include tools to begin dashboarding, considerations for taking the next step with population health management and guidance on how to navigate the many factors of any data monitoring approach.

Monitoring and Communicating with Data
The ACO Conundrum
John Snow, Inc.
/ Categories: Value Based Payment, Engaging in Value Based Payment Models

The ACO Conundrum

Safety-Net Hospitals in the Era of Accountable Care

Serving a similar disenfranchised population, safety net hospitals can be a natural fit with health centers seeking the improve the health care system. This paper provides a unique perspective from safety net hospitals facing the conundrum of adding value to the health care system with the ACO model while taking losses for reducing inpatient days, emergency room visits, and imaging services. Funded by the Robert Wood Johnson Foundation, this paper drafted by John Snow, Inc. and Bailit Health, discusses the role health centers have played for safety net hospitals navigating accountable care development efforts.  The paper highlights efforts from four safety net hospital systems: AltaMed Health Care Services in Los Angeles, CA; Baystate Health in Springfield, MA; Commonwealth Care Alliance in Boston, MA; and Hennepin Health in Minneapolis, MN.

Resource Links

  • Link to the original ACO Conundrum documentThe following conundrum emerged as a significant challenge: if the promise of ACOs proves successful, the result will be reduced hospital revenues resulting primarily from the reduction of inpatient days, emergency department utilization, and technical fees associated with imaging and outpatient procedures. This prospect leaves hospitals, especially those already operating on low Medicaid reimbursement rates and decreasing Disproportionate Share Hospital (DSH) funds, facing a future where fewer
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Tags: value evidence data health centers research AltaMed Health Care Services-CA Baystate Health-MA Commonwealth Care Alliance-MA Hennepin Health-MN

Related Resources

Acknowledgements

This resource collection was compiled by the HITEQ Center staff with guidance from HITEQ Advisory Committee members and collaborators of the HITEQ Center.

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Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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