According to a recent report was developed by the Accountable Care Council, a multi-stakeholder group led by representatives from eHealth Initiative, Truven Health Analytics, and Humana Inc. in 2013. The report examines how accountable care organization models are approaching health IT infrastructure and capabilities, and the unique challenges and opportunities encountered in different settings.

Most Accountable Care Organizations (ACO) haven’t yet incorporated any data beyond immediate clinical or claims-based records. Only a small number of ACOs are offering the more advanced capabilities such as revenue, population health, or customer relationship management.

The eHealth survey found that larger, more mature organizations pull data from more platforms and participate more actively in HIEs than smaller ACOs. Although 100% of those who participated in the survey stated gaining access to data from external organizations was a considerable challenge, only 24% of those surveyed participate in HIEs at an enterprise, community, or state level.

The survey also found that while most ACO patients are able to use Internet-based tools, mobile trends are still rather limited.

Provider satisfaction is falling, and cost and return-on-investment have become increasingly worrisome. Interoperability and workflow integration have also become a challenge, with concern growing from 50% in 2013 to over 90% in 2014.

The survey suggests that the lack of IT growth is most likely due to the current reimbursement structure.

Author: Lauren Daniels

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