title: Achieving accountability for health and health care.
abstract: There is no well-established mechanism at the local level to discuss or manage the balance of investments in health care and the other social determinants of health. We propose the development of voluntary regional organizations and/or use of current organizations to work with stakeholders of the health system to 1) review local data on health, experience and quality of care, and costs of care (Triple Aim); 2) create shared goals, actions and investments to meet the Triple Aim; and 3) involve citizens in local delivery system reform and stewardship of financial resources. These accountable health communities (AHCos) would contribute to co-creating a sustainable health system.
authors.forename: Sanne
authors.initials: S
authors.lastname: Magnan
authors.forename: Elliott
authors.initials: E
authors.lastname: Fisher
authors.forename: David
authors.initials: D
authors.lastname: Kindig
authors.forename: George
authors.initials: G
authors.lastname: Isham
authors.forename: Doug
authors.initials: D
authors.lastname: Wood
authors.forename: Mark
authors.initials: M
authors.lastname: Eustis
authors.forename: Carol
authors.initials: C
authors.lastname: Backstrom
authors.forename: Scott
authors.initials: S
authors.lastname: Leitz
mesh_terms: D060866:Accountable Care Organizations / Q000458:organization & administration* / Q000639:trends; D005544:Forecasting; D006801:Humans; D008910:Minnesota; D058991:Patient Protection and Affordable Care Act / Q000458:organization & administration* / Q000639:trends; D011320:Primary Health Care / Q000458:organization & administration* / Q000639:trends; D058996:Quality Improvement / Q000458:organization & administration* / Q000639:trends