Sara Singer's and Stephen Shortell's 10 Potential Mistakes in Implementing ACOs

1. Overestimation of Ability to Manage Risk.
2. Overestimation of Ability to Use Electronic Health Records.
3. Overestimation of Ability to Report Performance Measures.
4. Failure to Balance the Interests of Hospitals, Primary Care Physicians, and Specialists in Creating Governance and Management Processes to Adjudicate Differences.
5. Failure to Sufficiently Engage Patients in Self-care Management and Self-determination.
6. Failure to Make Contractual Relationships With the Most Cost-Effective Specialists.
7. Failure to Navigate the New Regulatory and Legal Environment.
8. Failure to Integrate Beyond the Structural Level.
9. Failure to Recognize the Interdependencies and Therefore the Potential Cumulative “Race to the Bottom” of the Above Mistakes.

Notes: Authors - Sara Singer, PhD, MBA; and Stephen M. Shortell, PhD, MPH, MBA
Source: Journal of the American Medical Association
Source URL: http://jama.ama-assn.org/content/306/7/758.full

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