Frontiers of Health Services Management - Summer 2014 - (Page 27)

established and approved by the innovation center through the grant. UHrcc's board of directors did not need to conform to the governance requirement of the Medicare Shared Savings Program that it include physician representation, but in an effort to ensure that the board was engaged and provided active supervision, it did so. While the inclusion of physicians-who may be eligible for incentives-requires the careful implementation of conflict-of-interest protocols, it allows the availability of valuable guidance regarding the strategy and practical implementation of the pediatric aco's initiatives. additionally, the program has established informal mechanisms for feedback on structuring new initiatives through medical and community advisory councils. the strategic and operational alignment across all the acos is facilitated by all three acos being governed by the same president and chair of the board. By structuring each as an independent service line (exhibit 2), we have created the flexibility Exhibit 2 to contract with the appropriate complement of high-quality independent physicians, create nonreimbursement arrangements with managed care and government payers, and provide rigorous protection around sensitive data. UHaco, and its initial experience of population health management within the employee health plan, serves as the parent to anchor the more defined and regulated demonstration projects of the Medicare and pediatric acos and to gain from the successful initiatives formulated in its subsidiaries in the next stages of its development. through the governance structure, the acos are able to operate independently while sharing and incorporating all the successful strategies. Creating an Organizational Structure to Support Coordinated Care UH organized and developed its aco infrastructure and organizational model to focus on providing patient-centered care management through a multiphased University Hospitals Health System ACO Organizational Chart University Hospitals Accountable Care Organization University Hospitals Coordinated Care Organization University Hospitals Rainbow Care Connection Source: 2012 University Hospitals Health System, Inc. Reprinted with permission. All rights reserved. Thomas F. Zenty III, FACHE; Er ic J. Bieber; and Eliza beth R. Hammack * 27 f e a t u r e University Hospitals Health System, Inc.

Table of Contents for the Digital Edition of Frontiers of Health Services Management - Summer 2014

Table of Contents

Frontiers of Health Services Management - Summer 2014