title: Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health.
abstract: Lessons from community-oriented primary care in the United States can offer insights into how we could improve population health by integrating the public health, social service, and health care sectors to form accountable communities for health (ACHs). Unlike traditional accountable care organizations (ACOs) that address population health from a health care perspective, ACHs address health from a community perspective and consider the total investment in health across all sectors. The approach embeds the ACO in a community context where multiple stakeholders come together to share responsibility for tackling multiple determinants of health. ACOs using the ACH model provide a roadmap for embedding health care in communities in a way that uniquely addresses local social determinants of health.
authors.affiliation: Robert Wood Johnson Foundation Clinical Scholars Program, University of Michigan, Ann Arbor, Michigan Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, Michigan rtipirne@med.umich.edu.
authors.forename: Renuka
authors.initials: R
authors.lastname: Tipirneni
authors.affiliation: Department of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota.
authors.forename: Katherine Diaz
authors.initials: KD
authors.lastname: Vickery
authors.affiliation: Minnesota Department of Health, St. Paul, Minnesota.
authors.forename: Edward P
authors.initials: EP
authors.lastname: Ehlinger
mesh_terms: D060866:Accountable Care Organizations / Q000458:organization & administration*; D003153:Community Health Services; D006801:Humans; D010342:Patient Acceptance of Health Care; D018802:Patient-Centered Care; D011787:Quality of Health Care / Q000592:standards*; D014481:United States
keywords: accountable care organizations; community-oriented primary care; health reform; population health