问责照顾机构
必威体育betway登录- ACO/IRCCO
Gibson Area Hospital and Health 服务 belong to the Illinois Critical Access Hospital Network (ICAHN). 该组织成立于2002年. The Illinois Rural Community Care Organization (IRCCO) was initiated by ICAHN as an LLC in 2014. 一年后, in 2015, the IRCCO became an established 问责照顾机构 (ACO) with Medicare. Gibson Area Hospital and Health 服务 is committed to delivering high-quality care to our patient population while reducing the cost of health services. Our value-based programs reward health care providers with incentive payments for the quality of care they give to people with Medicare. These programs are part of our larger quality strategy to reform how health care is provided and paid for. The goal of care coordination is to ensure that patients, 尤其是那些有慢性疾病的人, get the right care at the right time while avoiding medical errors and unnecessary duplication of services. Gibson Area Hospital and Health 服务 are closing the gap in communication between healthcare providers and the care coordination team for our patients to receive the highest quality of care.
什么是ACO?
The Centers for Medicare and Medicaid 服务 defines 问责照顾机构s (ACO) as groups of doctors, 医院, 以及其他医疗保健提供者, 谁自愿走到一起提供协调, 为他们服务的医保患者提供高质量的医疗服务. ACOs致力于改善慢性疾病管理, 确保从医院到家庭的平稳过渡, 促进预防保健，使病人保持健康.
Gibson Area Hospital and Health 服务 strive to bridge specialty health care to the rural communities we impact. Our coordinated care will continue to be “accountable” for high-quality and low-cost care.
谁是IRCCO ?为什么他们对我很重要?
Illinois Rural Community Care Organization (IRCCO) is an 问责照顾机构 (ACO). IRCCO是一群医生, 医院, and clinics that voluntarily work together with Medicare to provide high-quality services and care through the Medicare Shared Savings Program (MSSP). The following video summarizes why Gibson Area Hospital and Health 服务 participates in IRCCO for our patients that reside in rural Illinois.
ACO可获得哪些健康信息?
成为负责任的医疗机构的参与者, Gibson Area Hospital and Health 服务 receive their patients’ billing history from Medicare. Our Electronic Health Record (EHR) ensures that our patient's health information is safe, 担保, 在一个地方，从你访问的所有提供者. This includes provider notes from a different hospital or area. Your Primary Care Physician (PCP) will have access to the health information they need to provide the best quality of care to you.
我的健康信息会永远被共享吗?
你的健康信息不会永远被共享. You can always decline or change how you want Medicare to share your health information with an ACO.
- If you want Medicare to share your health information with Gibson Area Hospital and Health 服务, call Medicare at 1-800-MEDICARE (1-800-633-4227) and tell them that you would like to share your claims data with the ACO.
- If you do NOT want Medicare to share your health information with Gibson Area Hospital and Health 服务, call Medicare at 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 一周7天, and tell them you are calling about ACOs to decline your health information.
谁可以访问我的健康信息?
The Gibson Area Hospital and Health 服务 local care coordination team, 包括我们的初级保健提供者, and office staff are authorized to help personalize your health care plan.
Can I continue to visit my Primary Care Physician or will I have to switch to a provider in the ACO?
ACOs are person-centered organizations where the patient and providers are true partners in care decisions. 病人 of ACOs maintain all of their original Medicare benefits and are able to see any Medicare provider.
How do I know if I am eligible or qualified for Chronic Care Coordination or 过渡关心 Coordination?
病人 eligible for separately payable Chronic Care Coordination (CCC) services are people with Medicare and dual eligible (e.g. Medicare and Medicaid) individuals with two or more chronic conditions expected to last at least 12 months or until the death of the patient, when those conditions place the patient at significant risk of death, 急性恶化/代谢失调, 或功能衰退. 这些是唯一的诊断标准. 慢性疾病的例子包括, 但并不局限于, 阿尔茨海默病及相关痴呆, 关节炎, 哮喘, 心房纤颤, 自闭症谱系障碍, 癌症, 心血管病, 慢性阻塞性肺疾病, 抑郁症, 物质使用障碍, 糖尿病, 高血压, 以及艾滋病毒/艾滋病等传染病.
**CONNECTED CARE: The 慢性护理管理 Resource Updated Information Coming Soon!** Check back here as we update this important information!
How do I schedule my Annual 健康 Visit and who do I contact if I have questions?
You can contact your primary care physician’s office to schedule your annual wellness visit and ask questions. 我们是来帮忙的!
额外的资源
- http://www.medicare.gov/manage-your-health/coordinating-your-care/accountable-care-organizations
- http://www.iruralhealth.org/
- http://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/transitional-care-management-services-fact-sheet-icn908628.pdf
- http://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/chroniccaremanagement.pdf
