Student Pharmacist Session

[SP1] The Pivotal Role of ACOs and IDNs in the Care Delivery System: Impact on Quality and Total Cost of Care

Faculty(s)

• 

  Marylou Buyse, MD, MS

  Chief Medical Officer
  Neighborhood Health Plan of Rhode Island
  Greenville, Rhode Island
• 

  Elizabeth Oyekan, JediMaster, PharmD, FCSHP, CPHQ

  Senior Director, Quality & Population Health Solutions
  Precision for Value, LLC
  Centennial, Colorado

Please note this session is not accredited for continuing pharmacy education credit.

The Institute of Medicine’s (IOM) landmark report “Crossing the Quality Chasm,” along with the Affordable Care Act, and the focus of the health care delivery system’s shift from volume to value, have been key driving forces behind the proliferation of integrated delivery networks (IDNs) and accountable care organizations (ACOs). The primary goal of these entities is to develop, build and create a care delivery system that will reduce the total cost of care, improve quality and patient outcomes, and improve the patient experience.

In this presentation, we will discuss whether these ACOs and IDNs have achieved this goal and their pivotal role in transforming the care delivery system. We will also discuss the ACO and IDN practice model and infrastructure; what has worked and hasn’t; their performance in quality, patient outcomes, patient experience and cost; learnings from successful IDNs and ACOs that are scalable and sustainable; upcoming changes; and other pertinent insights in the quest towards high quality and affordable healthcare.

Learning Objectives:

At the completion of this activity, participants should be able to:

1. Articulate what ACOs and IDNs are and the driving forces behind their creation and proliferation
2. Explain how ACOs and IDNs deliver care differently from traditional fee-for-service entities
3. Describe the pivotal role of these entities have had in impacting quality and total cost of care in healthcare and the key performance measures critical to demonstrating their effectiveness
4. Explain the challenges, lessons learned, and best practices successful IDNs and ACOs have learnt in their quest towards high quality and affordable healthcare