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DiscussionSpecial Reports

Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health

Renuka Tipirneni, Katherine Diaz Vickery and Edward P. Ehlinger
The Annals of Family Medicine July 2015, 13 (4) 367-369; DOI: https://doi.org/10.1370/afm.1813
Renuka Tipirneni
1Robert Wood Johnson Foundation Clinical Scholars Program, University of Michigan, Ann Arbor, Michigan
2Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan
3Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, Michigan
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  • For correspondence: rtipirne@med.umich.edu
Katherine Diaz Vickery
4Department of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota
5Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota
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Edward P. Ehlinger
6Minnesota Department of Health, St. Paul, Minnesota
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    Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health

    Renuka Tipirneni , and colleagues

    Background One of the aims of accountable care organizations (ACOs) is to improve the health of the population. Past efforts to build community-oriented primary care in the United States can offer insights into this process.

    What This Study Found Lessons from community-oriented primary care could move ACOs, which are narrowly health care-focused, toward "accountable communities for health" (ACHs), integrating medical care, public health, and social services. Compared to ACOs, this approach could be more inclusive of the diverse determinants of health, with greater potential to improve population health. There are early examples of ACH models in Minneapolis, MN and Akron, Ohio.

    Implications

    • The authors suggest that by using the ACH model, ACOs have a roadmap for embedding health care in communities in a way that uniquely addresses local social determinants of health.
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The Annals of Family Medicine: 13 (4)
The Annals of Family Medicine: 13 (4)
Vol. 13, Issue 4
July/August 2015
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Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health
Renuka Tipirneni, Katherine Diaz Vickery, Edward P. Ehlinger
The Annals of Family Medicine Jul 2015, 13 (4) 367-369; DOI: 10.1370/afm.1813

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Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health
Renuka Tipirneni, Katherine Diaz Vickery, Edward P. Ehlinger
The Annals of Family Medicine Jul 2015, 13 (4) 367-369; DOI: 10.1370/afm.1813
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Subjects

  • Person groups:
    • Community / population health
  • Other research types:
    • Health policy
  • Core values of primary care:
    • Coordination / integration of care

Keywords

  • community-oriented primary care
  • health reform
  • population health
  • accountable care organizations

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