To read this content please select one of the options below:

Using health information technology to manage a patient population in accountable care organizations

Frances M Wu (Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Menlo Park, California, USA)
Thomas G. Rundall (School of Public Health, University of California, Berkeley, Berkeley, California, USA)
Stephen M. Shortell (Center for Healthcare Organizational and Innovation Research (CHOIR), School of Public Health, University of California Berkeley, Berkeley, California, USA)
Joan R Bloom (School of Public Health, University of California, Berkeley, Berkeley, California, USA)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 20 June 2016

1122

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

Related articles