Health Affairs, 26, no. 1 (2007): w44-w57 (Published online 5 December 2006) doi: 10.1377/hlthaff.26.1.w44 © 2007 by Project HOPE	New Online   House Health Reform Bill   Paying for Reform   Vetting AHIP's Report   HIV/AIDS Costs   Brief: Insurance Reform   HA Blog Top 10

This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Fisher, E. S. Articles by Gottlieb, D. J. Search for Related Content PubMed PubMed Citation Articles by Fisher, E. S. Articles by Gottlieb, D. J. Related Collections Hospitals Business Of Health Physicians Consumer Issues Related Blog Posts

Web Exclusives

Creating Accountable Care Organizations: The Extended Hospital Medical Staff

Many current policies and approaches to performance measurement and payment reform focus on individual providers; they risk reinforcing the fragmented care and lack of coordination experienced by patients with serious illness. In this paper we show that Medicare beneficiaries receive most of their care from relatively coherent local delivery systems comprising physicians and the hospitals where they work or admit their patients. Efforts to create accountable care organizations at this level—the extended hospital medical staff—deserve consideration as a potential means of improving the quality and lowering the cost of care.

                      What's this?

Related Blog Posts:

This article has been cited by other articles:

				A. Marcus Bending The Curve: The Twists And Turns Health Aff., September 1, 2009; 28(5): 1256 - 1258. [Full Text] [PDF]

				M. Bebinger Mission Not Yet Accomplished? Massachusetts Contemplates Major Moves On Cost Containment Health Aff., September 1, 2009; 28(5): 1373 - 1381. [Abstract] [Full Text] [PDF]

				P. S. Hussey, M. E. Sorbero, A. Mehrotra, H. Liu, and C. L. Damberg Episode-Based Performance Measurement And Payment: Making It A Reality Health Aff., September 1, 2009; 28(5): 1406 - 1417. [Abstract] [Full Text] [PDF]

				D. R. Rittenhouse and S. M. Shortell The Patient-Centered Medical Home: Will It Stand the Test of Health Reform? JAMA, May 20, 2009; 301(19): 2038 - 2040. [Full Text] [PDF]

				R. E. Mechanic and S. H. Altman Payment Reform Options: Episode Payment Is A Good Place To Start Health Aff., March 1, 2009; 28(2): w262 - w271. [Abstract] [Full Text] [PDF]

				J. E. Wennberg, K. Bronner, J. S. Skinner, E. S. Fisher, and D. C. Goodman Inpatient Care Intensity And Patients' Ratings Of Their Hospital Experiences Health Aff., January 1, 2009; 28(1): 103 - 112. [Abstract] [Full Text] [PDF]

				J. C. Robinson Value-Based Purchasing For Medical Devices Health Aff., November 1, 2008; 27(6): 1523 - 1531. [Abstract] [Full Text] [PDF]

				J. C. Lerner, D. M. Fox, T. Nelson, and J. B. Reiss The Consequence Of Secret Prices: The Politics Of Physician Preference Items Health Aff., November 1, 2008; 27(6): 1560 - 1565. [Abstract] [Full Text] [PDF]

				M. B. Rosenthal Beyond Pay for Performance -- Emerging Models of Provider-Payment Reform N. Engl. J. Med., September 18, 2008; 359(12): 1197 - 1200. [Full Text] [PDF]

				E. S. Fisher Building a Medical Neighborhood for the Medical Home N. Engl. J. Med., September 18, 2008; 359(12): 1202 - 1205. [Full Text] [PDF]

				L. P. Casalino, E. A. November, R. A. Berenson, and H. H. Pham Hospital-Physician Relations: Two Tracks And The Decline Of The Voluntary Medical Staff Model Health Aff., September 1, 2008; 27(5): 1305 - 1314. [Abstract] [Full Text] [PDF]

				S. M. Shortell and L. P. Casalino Health Care Reform Requires Accountable Care Systems JAMA, July 2, 2008; 300(1): 95 - 97. [Full Text] [PDF]

				M. C. Shields, L. B. Sacks, and P. H. Patel Clinical Integration Provides the Key to Quality Improvement: Structure for Change American Journal of Medical Quality, June 1, 2008; 23(3): 161 - 164. [PDF]

				J. F. Wilson Vermont Health Care Reform Aims for More Coverage, Less Expense, and Better Care Ann Intern Med, May 20, 2008; 148(10): 797 - 800. [Full Text] [PDF]

				J. D. Ketcham and M. F. Furukawa Hospital-Physician Gainsharing In Cardiology Health Aff., May 1, 2008; 27(3): 803 - 812. [Abstract] [Full Text] [PDF]

				J. E. Wennberg, E. S. Fisher, J. S. Skinner, and K. K. Bronner Extending The P4P Agenda, Part 2: How Medicare Can Reduce Waste And Improve The Care Of The Chronically Ill Health Aff., November 1, 2007; 26(6): 1575 - 1585. [Abstract] [Full Text] [PDF]

				C. K. Cassel and T. E. Brennan Managing Medical Resources: Return to the Commons? JAMA, June 13, 2007; 297(22): 2518 - 2521. [Full Text] [PDF]

				K. Davis Paying for Care Episodes and Care Coordination N. Engl. J. Med., March 15, 2007; 356(11): 1166 - 1168. [Full Text] [PDF]

				D. Cortese and R. Smoldt Taking Steps Toward Integration Health Aff., January 1, 2007; 26(1): w68 - w71. [Abstract] [Full Text] [PDF]

				K. Smithson and S. Baker Medical Staff Organizations: A Persistent Anomaly Health Aff., January 1, 2007; 26(1): w76 - w79. [Abstract] [Full Text] [PDF]