NUR 621 Topic 6 DQ 1 In an accountable care organization (ACO) insurance companies are looking at how health care organizations care for a specific population

NUR 621 Topic 6 DQ 1 In an accountable care organization (ACO) insurance companies are looking at how health care organizations care for a specific population

NUR 621 Topic 6 DQ 1 In an accountable care organization (ACO) insurance companies are looking at how health care organizations care for a specific population

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Topic 6 DQ 1

GO TO DISCUSSION

Jan 22, 2022, 11:59 PM

Points

5

Status

Published

Assessment Description

In an accountable care organization (ACO), insurance companies are looking at how health care organizations care for a specific population. How do you think this impacts the health of the population?

 

Jan 26, 2022, 5:25 AM

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KNOWLEDGE CHECK

Discuss why population health has become a significant focus of the US health care system. In your opinion, what model is the best option to meet population needs? Present rationale.

REPLY

TF

Jan 24, 2022, 6:22 AM

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Accountable Care Organizations (ACOs) aim to provide well-coordinated, cost-effective care when clients need it. The accountable care model emphasizes population care, value-driven outcomes, emphasis on the point of service at which patient care occurs, protocols for effective hand-offs, and inclusion of the family in decision making (Weberg et al., 2020). The ACO provides Medicare beneficiaries with coordinated care at lower costs. ACOs share the triple aim to improve care for the individual, improve population health, and reduce costs. With the direct link between payment for quality care, providers must ensure the best-coordinated care and services every time, thus improving patient outcomes and population health.

Benefits of coordinated care include less medical errors, improved access to care, reduction in hospital readmission, and prevention of duplicate services. ACOs aim to improve population health by providing high-quality care to improve and maintain health by focusing on prevention and managing chronically ill patients (CDC, n.d.). ACOs are held accountable to patients and payers through a pay-for-performance model where providers share overall savings when population-based performance standards are achieved through quality care, and the costs savings are not at the expense of patient care or population health outcomes (Wilson et al., 2020). Policymakers have increasingly advocated for the ACO model because of the shift from volume-based care to value-based care and the emphasis on population outcomes (CDC, n.d.). ACOs will continue to positively impact patient care, patient experiences, patient outcomes, and population health and outcomes.

 

References NUR 621 Topic 6 DQ 1 In an accountable care organization (ACO) insurance companies are looking at how health care organizations care for a specific population        

                                                                           

Centers for Disease Control and Prevention. (n.d.). Partnering with ACOs for population health improvement- CDC. https://www.cdc.gov/nccdphp/dch/pdfs/partnering-with-acos.pdf

 

Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2019). Leadership in nursing practice: changing the landscape of nursing practice. Burlington, MA: Jones and Bartlett Learning. ISBN:9781284146530

 

Wilson. M., Guta, A., Waddell, J., Lavis, J., Reid, R., & Evans, C. (2020). The impacts of accountable care organizations on patient experience, health outcomes, and costs: a rapid review. Journal of Health Services Research & Policy. https://journals.sagepub.com/doi/10.1177/1355819620913141

 

REPLY

  • BH

Jan 25, 2022, 5:16 AM

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Replies to Tameka Foster

Such a great conversation! Yes – we are spending most money on chronic conditions. Looking at alternative ways to manage are current issues is critical. ACOs is one way that integrates and coordinates care.

Many hospital systems are now integrated; this is being done for efficiency and profitability. Patients like the model because it is one stop shopping. Health care systems like it because they have the ability to keep patients within their “arms” and not lose to the competitors. If you go to Mayo Clinic, for example, you spend a day there; however, you see ALL of your doctors and get your testing done in one day. Multiple appoints are coordinated for enhanced service.

 

Let’s focus on the independent primary care physician. This is one area that is left out the equation. Frequently these practices are not integrated into the system nor do they have access for coordination of care. This has been identified as an area of concern in terms of heath care reform.

 

Phillips, R.L., & Bazemore, A. W. (2010). Primary care and why it matters for U.S health reform. Health Affairs, 29(5), 806-810.

REPLY

  • AJ

 

Jan 26, 2022, 4:13 AM

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Replies to Tameka Foster

Hi Tameka,

You did an excellent overview of Accountable Care organizations (ACOs). Under the Patient Protection and Affordable Care Act (PPACA), ACOs were created with the goal of transitioning from the traditional volume-based, fee-for-service model to a coordinated patient-centered health care delivery system (Lin et al., 2018). Lin et al. (2018), identified the Medicare Shared Savings Program (MSSP), which was authorized under the PPACA, as the framework for the Medicare ACO program. Kliethermes et al. (2019) described an ACO as a group of health care providers who collaborate to provide patient care and receive financial incentives based on quality and performance outcomes achieved. This model results in reduced health care costs, allows patients to receive services that are more streamlined and coordinated, and improves communication and engagement between the patient and their provider.

 

References NUR 621 Topic 6 DQ 1 In an accountable care organization (ACO) insurance companies are looking at how health care organizations care for a specific population

NUR 621 Topic 6 DQ 1 In an accountable care organization (ACO) insurance companies are looking at how health care organizations care for a specific population
NUR 621 Topic 6 DQ 1 In an accountable care organization (ACO) insurance companies are looking at how health care organizations care for a specific population

Kliethermes, M. A. (2019). Value-based payment: Preparing for changes in payment for services. Pharmacy Today, 25(9), 44-53. https://doi.org/10.1016/j.ptdy.2019.08.023

 

Lin, Y., Du, Y., Gomez, C., & Ortiz, J. (2018). Does patient-centered medical home recognition relate to accountable care organization participation? Population Health Management, 21(3), 188-195. https://doi.org/10.1089/pop.2017.0096

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NUR 621 Topic 6 DQ 1 In an accountable care organization (ACO) insurance companies are looking at how health care organizations care for a specific population Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.
  • Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions
  • Evaluates literature resources to develop a comprehensive analysis or synthesis.
  • Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion
  • Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.
  • Evaluates information from source(s) to develop a coherent analysis or synthesis.
  • Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.
  • Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
  • Demonstrates little or no understanding of the topic.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) without any interpretation/evaluation.
  • The posting uses information that is not valid, relevant, or reliable
  • No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
  • Information is not valid, relevant, or reliable
Performance Category  10 9 8 4 0
Application of Course Knowledge –

Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
  • Applies concepts to personal experience in the professional setting and or relevant application to real life.
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.
  • Applies concepts to personal experience in their professional setting and or relevant application to real life
  • Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content
  • Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Does not demonstrate a solid understanding of the principles and concepts presented in the lesson
  • Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.
  • Posts are superficial and do not reflect an understanding of the lesson content
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
  • No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category  5 4 3 2 0
Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)
  • Exceeds minimum post requirements
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.
  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer

Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
  • Does not post to the thread
  • No connections are made to the topic
  Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition
  • 2-3 errors in APA format.
  • Written responses have 2-3 grammatical, spelling, and punctuation errors.
  • Writing style is generally clear, focused, and facilitates communication.
  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
  • Writing style does not facilitate communication.
  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost       -5 points lost
Total Participation Requirements

per discussion thread

 The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement

per discussion thread

 The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

Also Read: NUR 621 Topic 5 DQ 2 Do you think it is important for health care organizations to be paid for quality of performance