Accountable Care in Early Stage Development around the Globe | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Accountable Care in Early Stage Development around the Globe

September 9, 2014
by Gabriel Perna
| Reprints

Accountable care programs and initiatives are forming across the globe, but most are still in the early stages of development, a new research article reveals.

Researchers for the article developed a framework for characterizing and assessing reform in accountable care. They then took this framework, which consists of population, outcomes, metrics and learning, payments and incentives, and coordinated delivery, and looked at examples of accountable care initiatives across the world and how they aligned with this framework.

In Spain, an accountable care model has reduced costs by 75 percent per resident in Valencia and improved outcomes through lower readmission rates, while reducing waiting times. In Singapore, elderly patients are assigned to two accountable care initiatives through the use of EHRs. Readmission rates have gone down by 40 percent for one group and another group has halved the number of emergency visits among its population. Savings in the program is estimated at U.S. $11 million.

In the eyes of the authors, a collection of researchers from the Qatar Foundation, Boston Consulting Group, Imperial College London, Primary Health Corporation, and Brookings Institution, there is enough evidence to suggest accountable care can succeed in improving the quality of care in a variety of settings. Not enough evidence suggests that there are cost-savings from these programs over the long-term, the researchers say. They cite several reasons for the delay in cost savings, including high transaction fees in the early stages of development.

At the end of the article, the authors include suggestions for policy makers to spur the growth of accountable care initiatives. This includes applying episode-based models for measuring quality, outcomes, and resource use for high-impact diseases; creating a favorable environment for collaboration; and encouraging the adoption of interoperable systems.

“To achieve clinically integrated care and help stratify the patient population by risk category, it is essential that information systems allow multiple providers and patients to share data and access them in real time,” the authors write in the study.

The research was published in a recent issue of Health Affairs.

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More



KLAS Research: Small Hospitals’ Buying Decisions Impacting EMR Market Share

A new KLAS Research report tracks shifts in electronic medical record (EMR) vendor market share among acute care hospitals, and finds that smaller hospitals are seeking technology solutions that meet their needs and limited budgets, and these contracts are making a mark on the EMR market.

Survey: Majority of Providers Predict Success for New Generic Drug Company, Project Rx

Back in January, four health systems, in consultation with the VA, announced a collaboration to develop a new, not-for-profit generic drug company. A survey has found that 90 percent of providers say they would become customers of the new venture.

Personalized Medicine Awareness Low Among U.S. Adults, Survey Finds

Genetics and personalized medicine are not top of mind for the general public in the U.S., according to a recent survey from GenomeWeb and the Personalized Medicine Coalition.

Industry Organizations Praise Senate Passage of VA Mission Act

The U.S. Senate on Wednesday passed, by a vote of 92-5, a major Veterans Affairs (VA) reform bill that includes health IT-related provisions to improve health data exchange between VA healthcare providers and community care providers.

NIH Issues Funding Announcement for All of Us Genomic Research Program

The National Institutes of Health’s (NIH) “All of Us” Research Program has issued a funding announcement for genome centers to generate genotype and whole genome sequence data from participants’ biosamples.

MGMA: Physician Compensation Data Illustrates Nationwide PCP Shortage

Primary care physicians’ compensation rose by more than 10 percent over the past five years, representing an increase which is nearly double that of specialty physicians’ compensation over the same period, according to the Medical Group Management Association (MGMA).