Accountable Care Organizations (ACOs)

Actually; Accountable Care Organization has emerged as a delivery model of integration to support and promote the integration process between medical partners and for example Kaiser’s permanents considered the most successful and integrated care widely known ever. the level of integration is completely differs depending on how far all integration parameters compatible together to produce one package integral system. up or down is not impossible with training to remove obstacles face current systems to be better integrated. ACOs is form of integration should be accountable for care costs and quality of certain community.

ACOs is overall accountable system working with different institutions at the same time to serve and introduce high quality value to an end user with cost control with parallel development. it should provide and manage patient care cross different service providers including out-patient services as ambulance, home visits and analysis. also in many cases care with in-patient services and post-acute cases in order to minimize branched expenditures among different service providers.

Planning and budget control is one of work target and final goal for this form of integration; try to remember one of the main integration object to minimize the expenses and that crucial for appropriate integration. In many present example of integration on purpose have leaded to increase revenue by increasing the volume of services and as a result end receivers found high cost of medications. This rising put the whole system on the fire and involved workers live in big bubble of expenses with moving fixed funds within closed system that why difficult to access and healthcare systems in some countries. 

Building system support leadership and accountability is characteristic features of this form of integration.  If we talking about firm working system; have to exaggerate leadership and empower among medical workers and support them to take the responsibility to achieve. Moreover; the government does strong share to form proper management hierarchy to create the atmosphere which play a role toward proper integration.

Observation of budget and outcome of care that enable to find out early where the defect and alternate with good accepted solutions in complied with formerly planes. these data should be examined regularly with focusing on cost/quality relationship and make feedback comparison with public could easily measure level and degree of quality achieved with demanded needs of patients.

In high advanced theories of integration says that diagnostic services emitted toward certain category of patients to register statistics significant and clinically differences between individuals in order to translate the variances between needs and necessary from desired performance benchmarks.

The integration of medical delivery system is main target for many parties that could serve governments, hospitals, researchers, insurance market and future plans of the state and forming infrastructure future needs to support conversion process from traditional to integral model which mostly important throughout whole articulation. That make data modelling and analysis more fit to focus on outcome of care with minimum level of effort. Full health J