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2010 American Institute of CPAs
Accountable Care Organizations and Medical Homes
Updated as of April 2011
Michael M. Fuselier, CPA/CITP, RN, APHN-BC, FACHEHealth Systems Leader
www.MichaelFuselier.com
2010 American Institute of CPAs
Michael M. Fuselier, CPA, CITP, RN, FACHEHealth Systems Leader
www.MichaelFuselier.com
Michael is an experienced healthcare executive with over twenty years’ experience in the industry. As a financial, clinical and information technology professional, he brings a wealth of diverse perspectives to the teams and organizations he is fortunate to lead. He has proven success managing hospitals, outpatient surgical clinics, group medical practices, pharmacies, retail health ventures and more. Michael can be reached at [email protected].
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Today’s Presentation
> History leading to ACOs and Medical Homes
> A Familiar Concept Revisited
> Operationalizing ACOs and Medical Homes
> Critical Success Factors
> Key Performance Indicators
> Dashboards and Scorecards
> Leadership Competencies
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2010 Healthcare Reform Legislation
> Patient Protection and Affordable Care Act
> Health Care and Education Reconciliation Act of 2010
> Legislation’s impact − substantial and long term
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Provisions
> Purchasing care: Quality
> Purchasing care: Accountability
> Cost Savings
> Risk Sharing
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Quality
> Structural Requirements
> Procedural Requirements
> People Requirements
> Outcomes Data-Driven
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Accountability
> Structural Requirements
> Procedural Requirements
> People Requirements
> Finance Data-Driven
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Operations Issues
> Legal Formation and Structure
> Physician-Hospital Collaboratives
> Stark Law & OIG
> State Anti-Kickback Provisions
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Leadership
> Hospitals and Health Systems
> Physicians
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Getting Started
> Immediate Actions
> Strategic Actions
> Strategic Margin Planning
> Physician Alignments
> Cost Reductions
> Information Systems & Reporting
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Building A Team
> Due Diligence Approach
> Clinical and Business Leaders
> Community Leaders
> Programs of Work
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Getting Help
Michael Fuselier is ready to assist with the implementation of early phases of your preparation for ACOs and Medical Homes. Visit www.MichaelFuselier.com and complete the Contact Us form to arrange a meeting or email Michael at [email protected].
2010 American Institute of CPAs
