title: Making the Paradigm Shift from Siloed Population Health Management to an Enterprise-Wide Approach.
abstract: Health systems across the United States have started their journeys toward population health management and the future of accountable care. Models of population health management include patient-centered medical homes and private sector accountable care organizations (ACOs). Other models include public sector efforts, such as Physician Group Practice Transition Demonstrations, Medicare Health Care Quality Demonstration Programs, Beacon Communities, Medicare Shared Savings Program, and Pioneer ACOs. As a result, health care organizations often have pockets of population health initiatives that lack an enterprise-wide strategy. The next steps are to build on these efforts, leverage the learnings from these experiences, and incorporate the initiatives into an overarching framework and a road map for the future. This paper describes the current challenge many organizations face to implement an enterprise solution, describes how to transition from existing siloed initiatives, and shares a case study of how Mayo Clinic launched its Mayo Model of Community Care.
authors.affiliation: 1 Department of Family Medicine, Mayo Clinic , Rochester, Minnesota.
authors.forename: Marc R
authors.initials: MR
authors.lastname: Matthews
authors.affiliation: 2 The Chartis Group , Chicago, Illinois.
authors.forename: Claudia
authors.initials: C
authors.lastname: Miller
authors.affiliation: 3 Division of Primary Care Internal Medicine, Mayo Clinic , Rochester, Minnesota.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Stroebel
authors.affiliation: 4 Family Medicine, Mayo Clinic Health System , Owatonna, Minnesota.
authors.forename: Kari S
authors.initials: KS
authors.lastname: Bunkers
mesh_terms: D060866:Accountable Care Organizations; D018166:Health Care Reform; D006801:Humans; D000075485:Population Health; D011320:Primary Health Care; D014481:United States
keywords: accountable care; community care; health care reform; primary care