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Sample Essay on Accountable Care Organizations

Accountable Care Organizations

Introduction

An Accountable Care Organization is a system of doctors, hospitals as well as other health care providers who converge and share the obligation of offering exceptional healthcare to patients at reasonable prices. The objective of forming ACOs by the state is to gain more savings on Medicare costs. Majority of the baby boomers in the U.S are about to retire and are probable to obtain medical care as a result of age connected illness. This liability of offering medical care to aging people affects employed individuals as well as the state (Gold, 2011). Hence, ACOs concept was enacted to attempt to lessen the costs of offering medical care. This kind of medical care service is new and as a result the administrative framework that ought to be adopted is not reputable. The law is as well unclear on the leadership system for ACOs. A number of the groups anticipating to operate the ACOs incorporate insurers, doctors as well as health care centers (Gold, 2011). The rule is ambiguous on who ought to manage Accountable Care Organizations, because it was working on making its administration flexible.

Where Leadership Will Be Needed

The goal of ACOs is to adjust from payment mode that remunerates for huge sum to another one that rewards for worth (Spoerl, 2012). This is projected to meet the goals of an improved prevention of diseases, offering improved patient care experience as well as pulling down cost of health care in case of upsurges. All this is possible whilst ensuring that the corporation is economically stable and flourishing (Spoerl, 2012). In line with CMS, every Accountable Care Organization is anticipated to bear a legal framework that gets and allocates mutual funds impartially amongst all those involved in the Accountable Care Organization. The satisfactorily number of the customers to be served by the ACO need not to go past 5000 participants (AHA, 2010). The ACO need to hire ample number of healthcare experts to take care of all its customers. It needs to accept to be running for a minimum of three years. It need to grow as well as offer ample content on the health experts so as to aid in allocation of beneficiaries as well as in transfer of funds due to shared services (AHA, 2010). Each Accountable Care Organization is anticipated to describe the procedures to practice evidence- based health care, have undertakings to enhance the quality of services whereas the expenses are lessened and offer organized care. Information showing implementation of patient based care is necessary of the Accountable Care Organizations. The administration and guidance of the ACO ought to incorporate clinical and also administrative systems (AHA, 2010).

Clinical leadership and professional leadership will as a result be necessary for Accountable Care Organization to work successfully and meet the mutual funds in Medicare treasuries that makes it a fascinating enterprise. Creating Accountable Care Organizations which have been functioning since the start of January 2012, has not been smooth (AHA, 2010). The procedure has been designated as asset demanding and wastes a lot of time by those working in the sector. Clinical administration will include operation as well as directing of medical experts and healthcare centers as well as the area where medical concerns are demanded. The management part will incorporate the insurance corporations that are linked with Medicare as well as the administration of the assets of the ACO. The management guidance does not require any medical credentials, however they are probable to be successful if focused on business. They will hold the obligation to pursue the associates to be incorporated in the Accountable Care Organization as well as get the beneficiaries offered by ACO.

Primarily, they will take part in the allocation of mutual funds amongst the members. This disparity between clinical leadership and administrative leadership will make sure that the health care experts focus on offering exceptional care to the beneficiaries, who are assured of well cared funds. The interaction between the two bodies of running the Accountable Care Organization ought to be effective. This will aid in assuring productivity of the entire corporation as well as dealing with issues that any of members have. The managers picked to administrative posts ought to be qualified, versatile and creative so as to lead a company whose blueprint is a fresh idea in the market. There are restricted case studies that will provide a comprehension on how to operate Accountable Care Organizations (Spoerl, 2012).

Skills Needed for Leadership

The two divisions necessary in operation of Accountable Care Organizations need diverse collection of abilities so as to run successfully.

Clinical Leadership Skills

Clinical leaders will have the obligation of supervising daily operation of health organizations. They as well have to make sure that the quality of the medical services offered is of best standards. These managers are experienced medical experts as well can have trustworthy perceptions on medical exercises undertaken by the ACO (BMA, 2012). Abilities necessary for clinical experts incorporate political and communication skills as well as clinical trustworthiness.

The communication abilities essential for most of clinical leaders is ability to listen well. Majority of experts in the healthcare sector have uttered disappointments for not being listened by their bosses, in line with research (BMA, 2012). Thus, it is essential as a clinical leader to listen exceptionally well to the opinions and verdicts of corresponding medical experts. The capability to think about the guidance as well as the occasional condemnation is a great facet of a great clinical manager. This presents the idea that the manager is set to work with subordinates (BMA, 2012). Health care experts are indeed connected to managers who are prepared to confess in case of errors as well as improve their tactics as required.

Political skills include the capacity of the manager to agree on as well as develop harmony amongst medical associates. Arbitration, coaxing as well as swaying abilities are not incorporated in majority of health care education programs and this makes it challenging for experts to practice. Health experts go for an open consultative tactic (BMA, 2012). This is due to the fact that attempting to unite the opinions of vast self-governing experts mainly all over the areas of hospital medicine is quite challenging. A clinical manager ought to have the capacity to reinforce his trustworthiness by developing backing from associates. They ought to be capable of working in groups as well as be accountable for decisions settled on. Being responsible for the results experienced from the decisions made is a trait of an excellent clinical chief (BMA, 2012).

Clinical leaders ought to hold as well as sustain clinical trustworthiness among coworkers. They ought to have amassed massive know-how, exposure as well as study clinical abilities upon selection as bosses. They ought to uphold clinical duties and depict incomparable devotion to clients given that they hold their management posts (BMA, 2012). Being a supporter of patients’ wellbeing as well as always keeping in touch with patients is most probable to reinforce the status of a clinical leader among subordinates. A successful clinical manager ought to motivate his or her subordinates by displaying good personality. They have to be spirited and hold an emotional resolve when going through stress caused by coworkers (BMA, 2012). They ought to show exceptional passion from their job and the broad health care career. This optimism and zeal is the gateway to aid them deal with challenges. Majority of health experts have a distinctive aspiration to feel more confident in the obligations and this is anticipated from the leaders. Honesty, decency and responsibility for decision settled on by clinical chiefs are the core non-negotiable principles that define them (BMA, 2012).

Administration leadership skills

A good administration executive ought to be a good listener, ascertain the issues being experienced by the corporation as well as procure possible solutions. Listening makes it easy for employees and customers of a company to be heard as well as clear up their anticipations. Listening without coming up with verdicts makes it easy for the subordinates to trust and treasure their leader (Bairre, 2013). They should be excellent communicators capable of sharing opinions in a simple and neat manner whilst looking at the demands and wishes of the targeted audience. They ought to be candid, optimistic and considerate in their interaction (Bairre, 2013).

Good administrative leaders are exceptional managers who focus beyond the accessible opportunity and offer allowances for occasions that may not be predicted in a short time. They come up with the company’s objectives as well as outline its purposes.  They go on and define how they can be accomplished, promising effectiveness of the corporation. It is their duty to motivate as well as inspire their subordinates in the company (Bairre, 2013). This is possible via acknowledging achievements, praising and appreciating their hard work. The leader ought to easily assign tasks to subordinate workers as well as offer them an opportunity to be the best. This presents the subordinate worker a sense of worth and being trusted with the administration whilst giving the leader time for other important obligations. They ought to be able to create a guiding relation with coworkers as well aid them in grasping and learning up-to-date skills (Bairre, 2013). Being advisors, they have the responsibility to infer advancements, guide as well act as role models. The skills and exposure they possess should aid grow other people.

Administrative leaders ought to be at ease with technology and fathom how to make use of diverse systems (Peacock, 2013). These leaders need to have fundamental monetary as well as budgeting abilities and pay attention to the client. In this situation, they ought to be focused on the requirements of beneficiaries as well as apply this in creation of policies in the company. These managers ought to be versatile but not loose. They as well have to display some firmness to avert making decisions carelessly for the company (Peacock, 2013). They ought to offer the corporation a feeling of direction, give an ear depicting humility, and however be brave and not to dread taking risks for development of the corporation.

Communication Style Required of ACO Leadership

The four communication techniques exercised by people include; passive, passive aggressive, aggressive and assertive communication styles. A passive communicator shuns articulating his or her emotions, ideas as well as perceptions.  When communicating, they do so in a remorseful way and as a result others may not pay attention (Roher, n.d.). Other people may probably misuse them and make them feel worried, desperate and confused. They cannot control their lives. They are vulnerable to being stressed frequently. They as well try to hate other people as they hardly get their necessities fulfilled (Roher, n.d.).

Passive-aggressive individuals are deceitful people who do not succeed to handle openly their issues. They seem to have no problems towards other people, but they hold their anger against others. They regularly embrace cynicism, baffling body language as well as rejection. They chiefly attempt to interrupt or demoralize other people (Roher, n.d.). Because of these conducts, many people do not belief them. Aggressive communicators defend themselves, although in the wrong manner. They regularly tamper with the rights of other people and are rude when conversing (Roher, n.d.). This actions are caused by lack of enough authority. These individuals attempt to rule others via control and have an arrogant body language. They are also bad tempered and have sturdy and irritating feeling of authority. Aggressive individuals isolate other people via these conducts as well as feel powerless as they cannot not have their needs satisfied in a great way (Roher, n.d.).

Assertive communicators are capable of articulating their views in a flawless and decent way. They try to meet their needs without having to infringe or push away the rights of other people. These people are confident and embrace a cool body language as well as a good tone while interacting, they are excellent listeners and utilize strength of their mind (Roher, n.d.). They feel in-charge and others feel comfortable and related to them. These individuals get what they desire thus they have no time to control or overlook other people. These communicators defend themselves, as well as take blame for their mistakes. To successfully meet their obligations, the administration of ACOs is required to adjust with the firm technique of communication. For executives inclined to other techniques of interaction, they ought to improve on specific facets of communication with others to acquire a better style (Roher, n.d.). The passive communicators ought to turn into better communicators by articulating what is their mind regularly. Aggressive communicators ought to articulate themselves in a reliable manner and value other people. The passive aggressive communicator can easily enhance his or her efficiency in interaction by articulating on how to handle difficulties (Roher, n.d.).

Vision and Mission of ACOs

Mission

The mission of an organization is the reason for its existence and it aids in decision making undertaken by the Proofreading-Editingleaders of the company (Goldsmith, 2011). As Accountable Care Organization is an association of medical care providers who focus on offering exceptional healthcare at affordable rates, the mission may be asserted as: “A partnership of health care facilities and physicians dedicated to providing comprehensive, affordable, high quality and sustainable medical care for the patients and community with emphasis in preventive health care”

Vision

The vision asserts that the reason for the success of the company and provides a roadmap on what the corporation hopes to achieve and what to be in future. By alerting clients on the values of the company as well as conveying to investors and associates on how the company will run, it presents a hope for a bright future (Goldsmith, 2011). A sample of a vision statement of ACO looks like: “to be a leader in the transformation of the existing health care system from volume-based system of value-based one by creating a replicable and affordable framework that results in the best possible health for the community at the lowest possible cost whilst strengthening and preserving the health safety net.”

Values

The ethics of a company are the ideologies workers, shareholders and beneficiaries put up with. Together with the mission as well as the vision, they make the company stand out from its competitors. To certain scope, they determine the company’s organization conduct and culture (Goldsmith, 2011). These values that you will find in an ACO incorporate;

  • Enhanced preventive healthcare for the community
  • Patient-oriented care
  • Incessant development
  • Cooperation
  • Invention

Goals

Companies have to express their goals so as to accomplish and fulfill their vision and mission. These goals are well-planned, and aid the medical care planner in focusing on those chores that bring changes to the firm (Goldsmith, 2011). Accountable Care Organizations set the following goals and they are the reason why they were communicated;

  • Lessening the expense of offering medical care
  • Improvement of communication and transparency
  • Enhanced access to healthcare
  • To boost quality of healthcare
  • Enable coordination of healthcare
  • Personality Skills Needed

The character traits of individuals chosen as executives of Accountable Care Organizations are most probable to affect how the firm runs. For instance, communicative executives will be able to share with many doctors as well as be able to sway many other to join hands and build a sturdier Accountable Care Organization. These individuals are also capable of engaging beneficiaries helping the ACO get the necessary least number faster than if not involved in the process. The characters of these individual in the management or leadership group of an ACO ought to be unique, because each has his or her own strong points and flaws (Denham, 2010). The moment the diverse individuals are brought together, they can build a successful management group.

The outgoing persons hold the best abilities and may be used to inspire employees as well as safeguard external undertakings of the firm (Denham, 2010). The shy people are exceptional at analytical abilities and would thus be quite ample to have them run the funds as well as the budget for the firm. They can as well be beneficial when it comes to forecasts and tactical planning. Other characteristics vital for running an ACO are determination, assertiveness, self-consciousness and much more (Denham, 2010).

As much as assertiveness is a core trait, those in the management group ought to be supportive as well as confident to inspire others. Zeal is essential, as it glows out from these individuals to motivate the rest of the team. These individuals ought to also be well-versed with their abilities, desires and charisma. On top of this, besides understanding their capabilities, they ought to have self-esteem in those skills (Denham, 2010). These personnel should be morally upright, goal-oriented as well as have self-control. At last, they ought to exhibit an ability to survive when they encounter devastating issues.

Conclusion

The above discussion makes it clear that Accountable Care Organizations need to be separated when it comes to management. This is due to the fact that ACOs will have both medical and corporate facets. Each will demand experts from particular areas so as to operate competently. Interaction between the two core groups is necessary for easy operation of the firm.

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References

AHA. (2010). “Accountable Care Organizations: AHA RESEARCH SYNTHESIS REPORT.” American Health Association Committee on Research.

Bairre, C. (2013). 7 must-have leadership skills for administrative professionals. [online] Retrieved from: http://www.iaap-hq.org/blog/administrative-professionals/chrysta-bairre/administrative-professionals-week-7-must-have-leade [Accessed: 25 Jan 2014].

BMA. (2012). “Doctors’ perspectives on clinical leadership.” British Medical Association: Health Policy & Economic Research Unit

Denham, D. (2010). The 10 most important personality traits for career success. [online] Retrieved from: http://blog.timesunion.com/careers/the-10-most-important-personality-traits-for-career-success/633/ [Accessed: 26 Jan 2014].

Gold, J. (2011). Accountable care organizations, explained. [online] Retrieved from: http://www.npr.org/2011/04/01/132937232/accountable-care-organizations-explained [Accessed: 25 Jan 2014].

Goldsmith, T. (2011). Accountable care organizations: the key to transforming healthcare?. MHA. Sawyer Business School, Suffolk University.

Peacock, L. (2013). Leadership: the eight essential skills – telegraph. [online] Retrieved from: http://www.telegraph.co.uk/finance/jobs/9920854/Leadership-The-eight-essential-skills.html [Accessed: 25 Jan 2014].

Roher, T. (n.d.). The different types of communication styles | ehow. [online] Retrieved from: http://www.ehow.com/info_7956333_different-types-communication-styles.html [Accessed: 25 Jan 2014].

Spoerl, B. (2012). Advancing accountable care: 5 hospital aco leaders share insight. [online] Retrieved from: http://www.beckershospitalreview.com/hospital-physician-relationships/advancing-accountable-care-5-hospital-aco-leaders-share-insight.html [Accessed: 25 Jan 2014].

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