Journal of Healthcare Management - July/August 2013 - (Page 267)

s T U D E N T E s s A y From Acute Care to Home Care: The Evolution of Hospital Responsibility and Rationale for Increased Vertical Integration Prashant K. Dilwali, Johns Hopkins Bloomberg School of Public Health E X E C U t i V E S U M M a r Y The responsibility of hospitals is changing. Those activities that were once confined within the walls of the medical facility have largely shifted outside them, yet the requirements for hospitals have only grown in scope. With the passage of the Patient Protection and Affordable Care Act (ACA) and the development of accountable care organizations, financial incentives are focused on care coordination, and a hospital’s responsibility now includes postdischarge outcomes. As a result, hospitals need to adjust their business model to accommodate their increased need to impact post– acute care settings. A home care service line can fulfill this role for hospitals, serving as an effective conduit to the postdischarge realm—serving as both a potential profit center and a risk mitigation offering. An alliance between home care agencies and hospitals can help improve clinical outcomes, provide the necessary care for communities, and establish a potentially profitable product line. For more information about the concepts in this essay, contact Mr. Dilwali at pdilwali@alum.mit.edu. Mr. Dilwali is the first-place winner of the graduate division of the 2013 ACHE Richard J. Stull Student Essay Competition in Healthcare Management. For more information about this competition, contact Sheila T. Brown at (312) 424-9316. 267

Table of Contents for the Digital Edition of Journal of Healthcare Management - July/August 2013

Journal of Healthcare Management - July/August 2013
Interview With Wayne M. Lerner, DrPH, FACHE, Past President and Chief Executive Officer, Holy Cross Hospital
Culturally Competent Care
An Argument for the Integration of Healthcare Management With Public Health Practice
The Patient-Centered Medical Home Solution to the Cost–Quality Conundrum
From Acute Care to Home Care: The Evolution of Hospital Responsibility and Rationale for Increased Vertical Integration
Hospital Commitment to Community Orientation and Its Association With Quality of Care and Patient Experience
Innovative Human Resource Practices in U.S. Hospitals: An Empirical Study
Abstract from the Academy of Management

Journal of Healthcare Management - July/August 2013