Accountability for Community-Based Programs for the Seriously Ill

Joan M. Teno, Russ Montgomery, Tom Valuck, Janet Corrigan, Diane E. Meier, Amy Kelley, J. Randall Curtis, Ruth Engelberg

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Innovation is needed to improve care of the seriously ill, and there are important opportunities as we transition from a volume-to value-based payment system. Not all seriously ill are dying; some recover, while others are persistently functionally impaired. While we innovate in service delivery and payment models for the seriously ill, it is important that we concurrently develop accountability that ensures a focus on high-quality care rather than narrowly focusing on cost containment. The Gordon and Betty Moore Foundation convened a meeting of 45 experts to arrive at guiding principles for measurement, create a starter measurement set, specify a proposed definition of the denominator and its refinement, and identify research priorities for future implementation of the accountability system. A series of articles written by experts provided the basis for debate and guidance in formulating a path forward to develop an accountability system for community-based programs for the seriously ill, outlined in this article. As we innovate in existing population-based payment programs such as Medicare Advantage and develop new alternative payment models, it is important and urgent that we develop the foundation for accountability along with actionable measures so that the healthcare system ensures high-quality person-and family-centered care for persons who are seriously ill.

Original languageEnglish (US)
Pages (from-to)S81-S87
JournalJournal of palliative medicine
Volume21
Issue numberS2
DOIs
StatePublished - Mar 2018

Keywords

  • accountability system
  • community-based palliative care programs
  • value-based payment system

ASJC Scopus subject areas

  • Nursing(all)
  • Anesthesiology and Pain Medicine

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  • Cite this

    Teno, J. M., Montgomery, R., Valuck, T., Corrigan, J., Meier, D. E., Kelley, A., Randall Curtis, J., & Engelberg, R. (2018). Accountability for Community-Based Programs for the Seriously Ill. Journal of palliative medicine, 21(S2), S81-S87. https://doi.org/10.1089/jpm.2017.0583