1. The Impact of Accountable Care Organizations in Radiology
Joe Camaratta
General Manager
Category Solutions & Marketing

2. Proven Strategies for Success
Integrated care delivery based on EBM
Coordinate and communicate care information/decisions across multiple care providers
Prioritize coordination, improvements on high cost patients
Reduce costs/increase efficiency throughout system
Find ways to improve care, reduce errors
Manage financial results with mixed reimbursement models

3. Developing & Implementing an ACO
9 job categories span the planning , implementing and operating jobs that a CXOs and Sr. Executives from healthcare organizations want to get done
ACO Job Map
Planning
Jobs
Implementation
Jobs
Operational
Jobs
1) Develop an ACO strategy
2 ) Minimize financial risks of ACO strategy
3) Implement the ACO strategy
4) Create an accountable healthcare culture
5) Standardize the delivery of care
6) Enable information to aid in decision making
7) Coordinate the delivery of care
8) Encourage patients to participate in their health care
9) Track progress towards achieving the ACO’s goals

4. Most of the top 10 ranked opportunities are linked to the ACO strategy implementation jobs
Accountable Care Organization (ACO) Jobs
*Imp %
(Top 2 Box)
*Sat %
Opp
(1-20)
Unmet Need Rank
Job Category
Ensure data collected from multiple sources can be integrated together, i.e., formatted, standardized, processed, etc.
93% 7%
17.9 1
5 : Enable information to aid in decision making
Track actual cost savings generated for each patient population
100%
23%
17.7 2
9 : Track progress towards achieving the ACO's goals
Motivate patients to participate in the management of their care plan
10%
17.6 3
8 : Encourage patients to participate in their health care
Define the appropriate payment terms when contracting with payers, i.e., for shared savings, performance metrics, incentives, etc.
97%
20%
17.4 4
2 : Minimize the financial risks of an ACO strategy
Ensure all healthcare providers have access to the most up to date care plan information for a patient, i.e., assessments, interventions, short/long term goals, patient schedules, etc.
13%
17.3 5
7 : Coordinate the delivery of care
Change physicians' behavior to align with the policies/procedures of the ACO
90%
17.0 6
4 : Create an accountable healthcare culture
Eliminate the barriers that limit healthcare professionals from working as an integrated team, i.e., historical/current institutional culture, healthcare professional culture, data sharing, etc.
17%
16.9 7
Identify opportunities to improve the total cost of treating a patient population 8
3 : Implement the ACO strategy
Define a shared savings disbursement methodology that aligns healthcare providers' incentives with ACO quality metrics goals
27%
16.7 9
1 : Develop an ACO strategy
Encourage physicians to comply with the treatment options that align with the standards/goals set by of the ACO 10
*5-point scale

5. ACO’s & Imaging: A Multi-Year Journey
Optimization
Identify top priorities for ACO
Demonstrate new uses of imaging to reduce costs
Integrate to achieve “comprehensive diagnostics”
Implementation
Implement clinical decision support
Ensure availability of images and information across ACO participants
Provide on-going feedback
Planning & Design
Engage referring physicians
Define appropriateness
Establish utilization benchmarks
Identify gap between “as is” & “best practice”