ACO ADLS: San Francisco, California
A series of three Accelerated Development Learning Sessions were held in select cities around the country in Minneapolis, MN, San Francisco, CA, and Baltimore, MD. Each Accelerated Development Learning Session (ADLS) was an opportunity for leadership from existing or emerging Accountable Care Organizations (ACOs) to develop a broad and deep understanding of how to establish and implement core functions to improve care delivery and population health while reducing growth in costs.
The second of three Accelerated Development Learning Session was held in San Francisco, CA, on September 15-16, 2011.
All participants in the Accelerated Development Learning Session were asked to be prepared to:
- Conduct pre-session planning,
- Attend an intensive in-person meeting to jump start ACO formation by identifying shared goals, key challenges, and core competencies,
- Participate in follow-on webinars, and
- Complete a comprehensive ACO implementation plan with year-by-year benchmarks over the next
3 years.
Resources from the San Francisco ADLS held September 15-16, 2011:
- Speaker Biographies
- ACO ADLS Planning Tool (PDF)
- Faculty Biographies (PDF)
- Implementation Planning Tool (PDF)
- Resource List (PDF)
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Agenda
Day 1 Morning: Strategy—Goals, Organizational Structure, and Governance
On the morning of Day 1, participants learned from the real-world experience of ACO leaders who have developed and implemented organizations that perform the functions of an ACO. The experience of three different types of organizations, including an IPA, PHO, and IDS, were presented to illustrate different organizational and governance models that pursue broadly similar goals. The private sector perspective was also presented. The participants left Day 1 with a concrete sense of the hard questions their ACO will need to answer concerning leadership and management functions such as priority setting, decision making, and negotiating provider relationships.
8:00 – 8:15 | Welcome & Introductions Herb K. Shultz | |
8:15 – 9:00 | ACOs and Improving Care for Medicare Beneficiaries Peter Lee, JD | |
9:00 – 11:00 | Case Study 1: Building an ACO on the Foundation of an IPA (PDF) Nancy Boerner, MD, MBA Case Study 2: Building an ACO on the Foundation of a PHO (PDF) Mark Shields, MD, MBA Case Study 3: Building an ACO on the Foundation of an IDS (PDF) Jay Crosson, MD Panel Discussion: Common Challenges, Common Solutions/Distinctive Challenges, Distinctive Solutions All Case Study Presenters | |
11:00 – 12:00 | A Private Sector Perspective on ACOs & the Changing Payer-Provider Relationship (PDF) Scott Sarran, MD, MM | |
12:00 – 1:00 | Lunch Break |
Day 1 Afternoon: Learning Modules 1 & 2
The afternoon of Day 1 was structured as a series of learning modules related to core competences essential to becoming an ACO. Each module was broken up into an “A” track and a “B” track. The “A” track was for staff in newly forming ACOs, while the “B” track was for staff in more established ACOs.
1:00 – 5:30 | Learning Modules 1 & 2 | |
1:00 – 3:00 | Module 1: Describing Your Population's Clinical and Risk Profile | |
| Dave Knutson, MS | Matthew Mazdyasni, MS |
3:00 – 3:30 | Afternoon Break | |
3:30 – 5:30 | Module 2: Reshaping Care Delivery | |
| Thomas Bodenheimer, MD | Steve Bernstein, MD, MPH |
6:30 – 7:30 | Reception for Participants |
Day 2 Morning: Learning Modules 3 & 4
As a continuation of the previous afternoon, the morning of Day 2 was also structured as a series of learning modules related to core competences essential to becoming an ACO. Each module was broken up into an “A” track and a “B” track. The “A” track was for staff in newly forming ACOs, while the “B” track was for staff in more established ACOs.
8:00 – 12:30 | Learning Modules 3 & 4 | |
8:00 – 10:00 | Module 3: Connecting Providers and Managing High Risk Beneficiaries | |
| Julie Schilz, BSN, MBA and Patrick Gordon, MPA | Steve Jacobson, MD, and Jennifer Wilson-Norton |
10:00 – 10:30 | Morning Break | |
10:30 – 12:30 | Module 4: Risk Sharing, Incentives, and Startup/Capital Needs | |
| Greger Vigen, MBA | Matthew Mazdyasni, MS |
12:30 – 1:30 | Lunch Break |
Day 2 Afternoon: Putting the Pieces Together and Defining a Path Forward
This afternoon session focused on the organizational and governance challenges that developing ACOs must successfully address. It included an implementation planning exercise designed to enable participants to identify their key priority actions and tasks.
1:30 – 2:30 | The Organizational and Governance Challenge of Meeting Needs While Lowering Costs (PDF) Jay Want, MD | |
2:30 – 5:00 | Putting the Pieces Together for Implementation Planning—Gaps and Priorities Jay Want, MD | |
2:30 – 2:45 | Where do we go from here? | |
2:45 – 4:30 | Implementation planning and breakout groups | |
4:30 – 5:00 | Report from breakout groups: critical capacities and action steps |