Using health information technology to manage a patient population in accountable care organizations
Journal of Health Organization and Management
ISSN: 1477-7266
Article publication date: 20 June 2016
Abstract
Purpose
The purpose of this paper is to describe the current landscape of health information technology (HIT) in early accountable care organizations (ACOs), the different strategies ACOs are using to develop HIT-based capabilities, and how ACOs are using these capabilities within their care management processes to advance health outcomes for their patient population.
Design/methodology/approach
Mixed methods study pairing data from a cross-sectional National Survey of ACOs with in-depth, semi-structured interviews with leaders from 11 ACOs (both completed in 2013).
Findings
Early ACOs vary widely in their electronic health record, data integration, and analytic capabilities. The most common HIT capability was drug-drug and drug-allergy interaction checks, with 53.2 percent of respondents reporting that the ACO possessed the capability to a high degree. Outpatient and inpatient data integration was the least common HIT capability (8.1 percent). In the interviews, ACO leaders commented on different HIT development strategies to gain a more comprehensive picture of patient needs and service utilization. ACOs realize the necessity for robust data analytics, and are exploring a variety of approaches to achieve it.
Research limitations/implications
Data are self-reported. The qualitative portion was based on interviews with 11 ACOs, limiting generalizability to the universe of ACOs but allowing for a range of responses.
Practical implications
ACOs are challenged with the development of sophisticated HIT infrastructure. They may benefit from targeted assistance and incentives to implement health information exchanges with other providers to promote more coordinated care management for their patient population.
Originality/value
Using new empirical data, this study increases understanding of the extent of ACOs’ current and developing HIT capabilities to support ongoing care management.
Keywords
Acknowledgements
The authors wish to acknowledge the financial support from the Commonwealth Fund and the Agency for Healthcare Research and Quality under Grant No. 1T32HS022241-01 and a T32 award to Frances Wu. The authors would also like to acknowledge their colleagues at The Dartmouth Institute: Carrie Colla, Elliott Fisher, and Valerie Lewis, for their valuable contributions to this work.
Citation
Wu, F.M., Rundall, T.G., Shortell, S.M. and Bloom, J.R. (2016), "Using health information technology to manage a patient population in accountable care organizations", Journal of Health Organization and Management, Vol. 30 No. 4, pp. 581-596. https://doi.org/10.1108/JHOM-01-2015-0003
Publisher
:Emerald Group Publishing Limited
Copyright © 2016, Emerald Group Publishing Limited