ACOs: Core Competencies and Critical Success Factors

	Wednesday, July 28th, 2010 1:00 p.m. to 2:00 p.m. Eastern (10:00 - 11:00 a.m. Pacific) Click here to find out what time your event starts in your time zone.		Register for $195 Call 209.577.4888 or Click here to register
ACO issues, core competencies & critical success factors involved Examination of details incorporated into ACO readiness action plan

Key issues organizations must address in order to consider and develop an ACO plan

Core competencies required for ACO readiness

Critical success factors involved with ACO implementation

Details of ACO readiness action plan including financial, operational, and strategic requirements

Faculty:
Terri L. Welter
Principal
ECG Management Consultants

The accountable care organization (ACO) and other outcomes-based reform models require a high degree of financial and clinical integration. ACOs are designed to encourage providers to think of themselves as a group with a defined patient population, care delivery goals, and performance metrics. Many hospitals and health systems have identified becoming an ACO as a significant part of their future vision and strategic direction. Becoming an ACO will require organizations to shift their focus from care delivery to care management, and will entail taking on greater financial risk.

Despite a lack of clarity regarding the ACO pilot program for Medicare, current legislative details suggest ACOs will need to meet the following criteria:

Agreement to become accountable for the overall care for a designated set of Medicare beneficiaries.
Agreement to a minimum 3-year participation period.
Establish formal management and legal structures that would allow the ACO to provide health services efficiently across the continuum of care.
Include PCPs, specialists, and others to be determined by the Secretary of Health and Human Services (HHS).
Define processes to promote evidence-based medicine, report on quality and cost measures, and coordinate care.
Demonstrate that it meets patient-centered criteria as determined by the HHS.

These standards require a degree of integration that few healthcare delivery systems currently achieve. The session will address the core competencies, critical success factors, and key questions which organizations must address in order to chart their course to achieving their ACO vision. The presenter will also discuss the details of an ACO readiness action plan that includes a review of the financial, operational, and strategic requirements for the creation of an ACO.

Participants will:

Identify the key issues organizations must address in order to consider and develop an ACO plan
Understand the core competencies required for ACO readiness
Ascertain the critical success factors involved with ACO implementation
Examine the details of an ACO readiness action plan
Review the financial, operational, and strategic requirements for ACO creation
Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group

Interested attendees would include:

C-Suite Executives
Strategy and Planning Executives and Staff
Legal, Regulatory and Policy Executives and Staff
Managed Care and Revenue Cycle Executives and Staff
Business Development Executives and Staff
Provider Network Managers and Staff
Provider Contracting Managers and Staff
Medical Directors
Clinical Executives
Care Management Executives

Attendees would represent organizations including:

Hospitals
Provider Networks
Medical Groups
Health Plans
Business Process Organizations
Solutions Providers
Care Management Organizations
Associations, Institutes and Research Organizations
Pharmaceutical Organizations
Media
Other Interested Parties

Individual Registration Fee: $195. Audio Conference CD-ROM: $40 for attendees; $255 for non-attendees after the event.

Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!

Terri L. Welter Principal, ECG Management Consultants, Inc.		Ms. Welter, Principal, leads ECG Management Consultants, Inc.'s Managed Care Services practice. She has extensive experience in the area of managed care, including strategy development, reimbursement, contract negotiations, and operations. She has assisted numerous hospitals and medical groups in the financial planning, assessment, and negotiation of their managed care contracts in various regions of the country and with all of the major national health plans. Her experience includes the analysis and design of risk arrangements and other innovative payment methodologies. Ms. Welter served as a board officer and the managed care committee chairperson for the Healthcare Financial Management Association’s (HFMA’s) Washington Metropolitan Chapter. She is a current member of HFMA’s Virginia Chapter. She holds a master of healthcare administration degree from Villanova University and a bachelor of arts degree in preprofessional studies from the University of Notre Dame. Ms. Welter has been the featured speaker on managed care and provider reimbursement for a variety of national professional associations, including HFMA and the Medical Group Management Association (MGMA). She has also been published in several healthcare journals.

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