Accountable Care Organizations (ACOs)

It's so easy to go straight to quotes from classic movies, isn't it? On the other hand, this one from Bette Davis just seems to fit perfectly, right now: "Fasten your seat belts. It’s going to be a bumpy night!" But the uncertainly in Washington shouldn’t delay healthcare IT leaders' work building the new healthcare.

What an exciting year we had in health IT. It was my first complete one at Healthcare Informatics and I think I picked a good one. There was big-time policy news, a record-breaking HIMSS conference, and a plethora of interesting health IT leaders and cutting-edge projects, all helping push this industry into a new direction where quality is the standard. Looking back at the year that was, I think five moments stand out for me personally.

As I write this, President Barack Obama and Speaker of the House of Representatives John Boehner are involved in complex, perhaps rather tense, negotiations over the so-called fiscal cliff and what to do about federal taxes, revenues and programs. In the past couple of days, the news reports and rumors have changed almost hourly, with estimates of possible Medicare cuts to providers shifting quite frequently. Whatever the end result of this process, analytics-facilitated continuous clinical performance improvement will soon be crucial to provider survival.

Earlier this month, Jane Metzger, principal researcher in the Waltham, Mass.-based Global Institute for Emerging Healthcare Practices within the Falls Church, Va.-based CSC, authored a new white paper, "Preparing for Accountable Care: Coordinated Care." With the healthcare delivery system facing unprecedented foundational challenges moving into the new environment of accountable, coordinated care, Metzger spoke recently with Mark Hagland about the reality of what providers face going forward.

With the rapid adoption of audiovisual technology into healthcare, healthcare CIOs and other healthcare IT leaders face the difficult decision of how to balance their organizations’ investment dollars against budgetary constraints, security, and selection of technology that is appropriate to the provider organization’s IT infrastructure. At a roundtable discussion, “Balancing Innovation, Budget Constraints, and Network Security,” part of the Technology Crossroads Conference that was put on by the National eHealth Collaborative in Washington, D.C., last week, expert panelists discussed wide-raging topics confronting provider organizations against the backdrop of the fast-changing technology landscape, including technology investments, cost pressures, health information exchange, network security, cloud computing, and the Health Insurance Portability and Accountability Act.