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Published byBennett Knight Modified over 9 years ago
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Organizational Strategies for Engaging Providers ACORN Meeting – Salt Lake City, UT February 6, 2009
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Why Isn’t Outcomes Informed Care a Routine Practice? Threatens clinician autonomy Doubts about its validity and utility “My outcomes really can’t be measured.” “I know how my patients are doing.” You get what you pay for Not mandated Multiplicity of tools and approaches EBP Myth: Good Practices = Good Results
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Current Strategies to Promote OIC Encourage Use: Education and promote benefits Appeal to clinician’s ego and self-interest Profiles and reports Offer Incentives: Recognition and preferential status Eligibility for higher rate structure, or increases Require: Integrate as part of administrative processes
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How well is it working? (IMHO) Encouragement: 10-35% participation Upper end possible for organizations with significant market presence Most incentive strategies, short of direct financial rewards: up to 50% Requirement (short of withholding claims payments): up to 70%
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Where do we go from here? Find ways to lower the barriers Integrate into administrative processes/systems Collaboration across manage care systems Develop stronger incentives Financial rewards, free CEUs, etc. Broaden the range of voices calling for it Academia, professional associations, government Develop patient awareness and expectation
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Roundtable Discussion: The Future of ACORN ACORN Meeting – Salt Lake City, UT February 6, 2009
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Stone Soup or Tragedy of the Commons? Stone Soup: Combined efforts result in better product (also cheaper) Flexibility for organization choose their level of involvement The “Tragedy”: Each individuals interest is to contribute minimum and extract maximum, but this ultimately destroys the “commons” Regulatory and/or economic structure required Other issues: intellectual property, competitor collaboration
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Areas for Collaboration Development of assessment technology New tools, analysis of existing instruments Interchangeable assessments Benchmarks Computerized Adaptive Tests Provider Engagement Relationships with professional associations Training opportunities Identification of effective providers
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Questions for ACORN Members How to ensure equitable funding? How to overcome intellectual property concerns? How to address organizational concerns about collaboration among competitors?
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