Accountable Care Organization (ACO) Integration

Clinical integration and accountable care organizations (ACOs) are really two sides of the same coin. These new words define how to think and act to become more effective and efficient in delivering value-based care.

 

Clinical integration is the process – or the “way” – and an ACO is the structure.

 

We help you define the “why, how, and what” needed to become clinically integrated and the ACO structure to support integration. Our approach considers the unique internal characteristics and culture of your structure, providers, medical groups, post-acute services and hospital as well as your competitive and payer environment.

Change Management in ACO Integration - Full Risk Asumption

Long-term structural transformation has four characteristics: scale (the change affects all or most of the organization), magnitude (it involves significant alterations of the status quo), duration (it lasts for months, if not years), and strategic importance (consistency with our mission, vision and values).

 

Some changes require us to review our mission and vision to align the changes to your culture.  The bottom line is that if the front line employees don't embrace the change and accept it as the "new normal" organizations will have difficulty with implementing the solutions for change.  



Change requires the use of many tools and techniques as there is no one size fits all; but there is a set of practices, tools, and techniques that can be adapted to a variety of situations and customized to deal with the specific dynamics of an organization to ensure personal change and engage the entire organization in the process.

 

We have assisted many clients with successful applications to the Medicare Shared Savings Program, strategies for and implementation of commercial ACO participation, and Medicaid risk arrangements. Our services include gap assessment and implementation, shared savings program development, payer/health plan strategy, clinical metrics design and performance standards, and provider contracting and incentive program design.

 

What makes us different? We have implementation experience.  Our team includes individuals who are seasoned change experts and have led some of the most complex delivery systems as executives and have the practical expertise in aligning and leading physicians, coordinating and managing clinical care across a continuum, designing and integrating the IT supporting care management, negotiating with payers, and managing risk pools and the financial operations specific to a clinically integrated organization.

 

Many members of our senior management team have served in clinical leadership roles in managed care environments. With nearly 20 ACO clinically integrated clients, and as leaders in care model development that takes full risk effective integration, our multidisciplinary team has firsthand experience and success with ACOs.

 

The process of change is difficult if not approached in a precise and methodical manner.  The fact is that in order for change to occur there must be support from senior leadership to drive the change and cascade the need and urgency to mid-level, then front line managers down to the employee.  StratiHealth has developed a proprietary solution called Prissence and along with our considerable knowledge and expertise in transforming organizational focus of doing business, we help providers and organizations emphatically transform their culture.

Cultural Transformation

 

StratiHealth helps position your organization to successfully lead cultural transformation.  The culture of the organization is the personality of the organization and is comprised of the assumptions, values and behaviors of the organization’s employees. 

The culture drives the action in your organization. Creating any kind of organization-wide change must start with cultural change.  Change efforts fail when the culture is such that there is lack of shared vision or if the employees are not fully engaged, when there are frequent resignations from key and high performing employees or if the organization lacks innovation to deal with environmental and competitive forces.

 

StratiHealth and our partners will work with you to create a powerful and enduring transformation in the culture of your business. 

Employee Engagement & Alignment

 

The most effective way to ensure employee engagement and alignment with the organization's mission, vision and values is through performance measurement and goal setting.  Goal setting as part of employee performance evaluations and periodic performance reviews allows for a quicker execution of company strategy.

Without effective employee alignment to strategy, every bit of forward motion is a struggle.  With everyone working together towards the same objectives, your company can execute strategy faster, with more flexibility and adaptability. Essentially, goal alignment strengthens your leadership and creates organizational agility as well as bench strength for promotion opportunities for the employee as well as the organization.  It also allows you to identify strengths and weaknesses in your human capital to make the appropriate changes and ensure the right people are in the right jobs for the right purpose.

StratiHealth Change Management

The time for change and the timing for change can be a delicate balance. Many leaders arrive at a point when they know that they have more value to contribute, if only they could transform the culture . They recognize what’s working and what’s not, they can see what could make their company better or their services that much greater. They are ready to lead the the culture lacks the capacity for change.