title: Harnessing the Affordable Care Act to catalyze delivery system reform and strengthen emergency care in America.
abstract: As health care reform in the US evolves beyond insurance reform to encompass delivery system reform, the opportunity arises to harness the Affordable Care Act to strengthen patient care in America. One area for dedicated individuals to lead this effort is by improving transitions in patient care across the continuum of team members, specialties, settings, and systems. This article will describe innovations of the surgicalist and acute care surgeon that have emerged in response to the challenges facing surgery in specialization, geography, and the need to comply with health care reform mandates. Three ways will be described to integrate these innovations with pilot programs in the Affordable Care Act: to promote teamwork, to reduce readmissions, and to strengthen emergency care because the key location where the joint efforts intersect most acutely with patient need is in our nation's Emergency Departments.
authors: Immediate Past President of the Northern California Chapter of the American College of Surgeons and a General Surgeon at Marin General Hospital in CA. maaj@maringeneral.org.
authors: John
authors: J
authors: Maa
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D004632:Emergency Medical Services / Q000458:organization & administration / Q000592:standards*; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D058991:Patient Protection and Affordable Care Act; D014481:United States