UK Metrics Show Gains: Great news for ACOs

Date: 06.07.2013 | Anna Abraham

“Imitation” is the powerful ability to learn behavior from observing the actions of others. Health care professionals look to the UK and other countries as leaders in privately and publicly funded health care systems. The U.K. system now ranks 2nd among top seven first world health care systems according to the Commonwealth Fund. This is the result of 65 years of experience since the birth of England’s National Health Service (NHS) in 1948. Clearly there’s much to be said.

A study was recently published by Mede Analytics part the NHS attending Health Datapalooza IV led by U.K. Health Minister. The study reveals pivotal information essential for the U.S. health care system and the relatively new Accountable Care Organizations (ACOs), which bear a strong resembles to the Clinical Commissioning Groups (CCGs) in England.  Key metrics of the study advise how “Bending the Cost Curve Through Reduced Variation” will generate substantial government savings. CCGs like ACOs are also part of a new reform happening simultaneously across the ocean.

The eight key metrics identified in the study are:

  • Emergency admissions with 0-1 day length of stay
  • Inappropriate admissions
  • Readmissions within 30 days
  • Outpatient procedures carried out as inpatient same-day procedures
  • Follow-up outpatients to first outpatients visits ratio
  • Walk-in/inappropriate accident and emergency visits during general practitioner clinic hours
  • Admissions for long-term conditions
  • Fall

“To put this in perspective, gains of this amount (1.4 percent of total current hospital expenditures) would allow England to achieve more than 10 percent of its annual savings target. If the best (upper quartile) levels of performance were achieved everywhere, the savings would exceed £1.6 billion (2.5 percent of total current hospital spend).” – Ken Perez, MedeAnalytics’ senior vice president of marketing and director of health care policy

Mede Analtycis Study: The Challenge Facing Clinical Commissioning Groups: Reducing Variation in Use of Resources


continue reading | via MedeAnalytics

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