IU Health Goshen Hospital, area doctors form ACO to improve care
An IU Health Goshen Release
January 18, 2013
GOSHEN, Ind. – The Centers for Medicare and Medicaid Services (CMS) has selected Indiana Lakes ACO as one of 106 new Accountable Care Organizations (ACOs) in Medicare. Indiana Lakes ACO is comprised of IU Health Goshen Hospital and members of its medical staff, with the aim of achieving better health, better care, and lower cost for Medicare beneficiaries.
Doctors and health care providers can establish ACOs in order to manage the health of their patients more effectively through coordination of care, leading to a healthier population and better outcomes for patients. Since passage of the Affordable Care Act, more than 250 ACOs have been established. Beneficiaries using ACOs always have the freedom to choose doctors inside or outside of the ACO. Accountable Care Organizations share with Medicare any savings generated from reducing the growth in health care costs while meeting standards for quality of care, ultimately lowering patients’ costs. Indiana Lakes ACO will serve approximately 7,000 Medicare beneficiaries.
ACOs must meet quality standards to ensure that savings are achieved through improving care coordination and providing care that is appropriate, safe, and timely. The Centers for Medicare & Medicaid Services has established 33 quality measures on care coordination and patient safety, appropriate use of preventive health services, improved care for at-risk populations, and patient and caregiver experience of care.
Even prior to forming Indiana Lakes ACO, IU Health Goshen had established programs and practices to shift toward population health coordination—keeping residents healthy instead of only caring for them when they’re sick. Those programs include:
• Development of Primary Care Medical Homes, which exist to closely monitor patient populations with a focus on wellness and the coordination of care for chronic conditions, including obesity and diabetes.
• Expansion of Mobile Clinics throughout local school districts. These clinics bring care providers directly to the workplace.
• Development of a Health & Wellness Center serving employees of the Goshen Community Schools.
• Employer partnerships resulting in employee wellness programs and on-site clinics at 50 employer locations.
• Clinical integration—collaboration and information sharing among physicians for the patient’s benefit, leading to better care at a lower cost.
• Free and reduced rate screenings and risk assessments for a variety of conditions.
• Nutrition and weight loss programs.
• Diabetes education and support groups.
About Indiana University Health Goshen:
Indiana University Health Goshen is a not-for-profit provider of health care and is recognized nationally for its excellence in patient care and Colleague satisfaction. Committed to the local community, IU Health Goshen has provided approximately $165 million in charity care for Goshen’s neediest residents over the past decade, and has contributed more than $1.5 million in grants to nonprofit organizations in Goshen through the Community Benefit Fund.
IU Health Goshen includes Goshen Hospital, Goshen Center for Cancer Care, Goshen Home Medical, IU Health Goshen Physicians, Team: Bariatrics, The Retreat Women’s Health Center, Goshen Heart and Vascular Center, Goshen Acid Reflux Center, Goshen Wound Center, and Indiana Lakes Managed Care Organization.