title: Accountable Care Organization Implementation Experiences and Rural Participation: Considerations for Nurses.
abstract: BACKGROUND
  Little is known about how accountable care organizations (ACOs) participate with rural health providers. This pilot study examines ACO participation with rural health clinics (RHCs).
  
  
  METHODS
  Telephone interviews with 8 ACO administrators were conducted to determine the early implementation experiences of these organizations, and their participation with rural health providers, such as RHCs, using qualitative content analysis, ACO characteristics, and emerging themes from the ACO executive responses was identified.
  
  
  RESULTS
  Three predominant themes emerged: 1) ACOs are growing in size and number and have various organizational structures; 2) there is an expanding emphasis on preventive primary care and chronic disease management for patients; and 3) there is a need for improved information technology integration with clinical services and financial systems.
  
  
  CONCLUSIONS
  Of 8 participants, 7 reported that their ACO was planning to expand into rural areas and partner with rural providers.
authors.affiliation: Author Affiliations: Research Associate (Dr Bagwell), Associate Professor and Director (Dr Ortiz), Rural Health Research Group, College of Health & Public Affairs, University of Central Florida, Orlando; and Professor and the Bert Fish Endowed Chair (Dr Bushy), College of Nursing, University of Central Florida, Daytona Beach.
authors.forename: Matt Thomas
authors.initials: MT
authors.lastname: Bagwell
authors.forename: Angeline
authors.initials: A
authors.lastname: Bushy
authors.forename: Judith
authors.initials: J
authors.lastname: Ortiz
mesh_terms: D060866:Accountable Care Organizations; D005260:Female; D006801:Humans; D008297:Male; D009740:Nursing Staff; D010865:Pilot Projects; D019035:Rural Health Services / Q000458:organization & administration*; D018511:Systems Integration; D014481:United States