On the Frontline
High-Impact Ambulatory Operations
Case Study: University of Alabama-Birmingham
A highly reliable and efficient ambulatory operations model is a critical dimension of transforming care to increase quality, reduce costs and improve patient and provider experience in today’s healthcare environment. Leading provider organizations are developing capabilities to support a seamless, system-wide approach to interacting and communicating with patients beyond an episode or appointment; providing timely and convenient access to services and information across the continuum; and helping patients navigate to the right services for their care needs and preferences. This “next generation” performance supports growth and retention, optimal use of capital, cost-effectiveness and patient engagement – all of which are critical in both traditional payment models and the evolving value-based environment.
Making the Paradigm Shift to an Enterprise-Wide Approach to Population Health
Case Study - Mayo Model of Community Care
Health systems across the United States have started their journeys toward population health management and the future of accountable care. Models of population health management include patient-centered medical homes and private sector accountable care organizations (ACOs). Other models include public sector efforts, such as Physician Group Practice Transition Demonstrations, Medicare Health Care Quality Demonstration Programs, Beacon Communities, Medicare Shared Savings Program, and Pioneer ACOs. As a result, health care organizations often have pockets of population health initiatives that lack an enterprise-wide strategy. The next steps are to build on these efforts, leverage the learnings from these experiences, and incorporate the initiatives into an overarching framework and a road map for the future.
This paper outlines the current challenges many organizations face when implementing an enterprise solution and describes how to transition from existing siloed initiatives. Additionally, it provides a real-world application of a population health transition as seen at the Mayo Clinic.