2207 Title: From Managed Care to Accountable Care, A Journey to Organizational Integration Date / Time: Thursday, June 10, 2010 at 04:15 PM - 05:45 PM Type: CONCURRENT Level: INTERMEDIATE Sponsor(s): - Speaker(s): Victoria Choate This presentation will tell the story of how a small health plan, a regional medical center, and community-based provider group planned to combined vision and talent to create a single, state-of-the-art accountable care system. The "big picture" organizational infrastructure transformation plan and specific accountable care management programs will be illustrated through the lens of care management. On the strategic level, while Washington calls for health care reform, the care delivery system in Southeast Wyoming is being redesigned to reduce the fragmentation, waste, and variation in quality of care. Plans to provide responsible, accountable, quality care for an entire community are actively under way. Investments in state-of-the-art, provider-based technology, and interfaces are being considered; and provider reluctance and skepticism is being addressed. Elements such as the patient-centered medical home, bundled payments based on quality outcomes, evidence-based decision making, and comprehensive and collaborative management of care across the continuum are being integrated into the vision of this new healthcare delivery system. On the care management level, this session will describe the methods used to develop and engage accountable, collaborative care management programs. Examples include:  An Inpatient Care Management Program, a Surgical Alternative Back Program, and a Wellness Program with health coaching. Our path to the Population Health Impact Institute’s Methods Evaluation Process™ (MEP) accreditation for our programs will be discussed and available outcomes based on MEP will be reported. Participants who attend this session will be able to define the elements of an accountable care organization – care integration via a medical home, global payments based on quality outcomes, valid methods of attribution, and an ability to make evidence-based improvements over time.  Participants will be able to describe how the accountable care organizational infrastructure was designed. They will also be able to describe, using an accountable care approach, how a variety of care management programs were implemented and relate how their outcomes were accurately reported. Objectives: Define an accountable care organization. List 3 elements of an accountable care organization. Describe how care management programs contribute to an accountable care approach.