CMS is developing a series of toolkits that explore different aspects of Accountable Care Organization (ACO) operations; the first in the series was released April 10, 2019. The toolkit series aims to educate the public about strategies used by ACOs to provide value-based care while also providing actionable ideas to current and prospective ACOs to help them improve or begin operations.

The Care Coordination toolkit explains how ACOs support and coordinate care for beneficiaries who:

  • Receive emergent care in the Emergency Department (ED)
  • Require treatment in a Skilled Nursing Facility (SNF)
  • Have recently been discharged home after a hospital or ED visit
  • Have been diagnosed with a chronic condition
  • Have conditions affected by the social determinants of health

Access the Toolkit: ACO Care Coordination Toolkit

“The examples and ideas provided in the toolkit are approaches that can be adopted to improve care coordination for your beneficiaries and patients. I encourage you to review it and see what ideas might help you to improve your organization’s care coordination efforts,” stated Tammy McNeil, RHIA, CPHIT, CPEHR, LSSGB, Great Plains Quality Innovation Network Quality Improvement Advisor.