Delivering Value

It is my great pleasure to be presenting to you the new website for the Delaware Valley ACO (DVACO).  As President and CEO of DVACO, I am passionate about improving population health outcomes, the care experience for patients and providers, and healthcare that is economically sustainable for our country. I came to DVACO to be able to do this work in my home community, with five outstanding health systems that are committed to community health improvement, a strong primary care focus, and a powerful size out of the gate. The DV in our name stands not only for our geography, but also our commitment to building regional care models that “Deliver Value” to all of our stakeholders.   This is a great moment in history where the business model of healthcare (i.e. how we get paid) can align with our founders’ century (plus) old missions of improving the health of the communities we serve. I’ve learned from 15 years of doing this work in care transformation, that it’s impossible to over-communicate; thus DVACO is redoubling its efforts to connect with you at every opportunity, to explain our current and future activities and how you can become engaged. Our revamped website reflects this commitment to communication to our multiple constituents in the communities we serve through our Member Health Systems and their affiliated physicians, who are all listed throughout our website. If you want to find out more about DVACO and/or you have specific questions, comments and concerns, please do not hesitate to contact us. 2015 will continue to bring breakneck-speed changes in healthcare, particularly here in the Philadelphia region, and...

DVACO Care Coordination: Supporting Primary Care

The Care Coordination department launched in the fall of 2014, with the addition of the Director of Care Coordination, Ann Marks, RN, who brings over 25 years of experience within payer and provider sectors serving special needs populations. In October 2014, the DVACO added two of its first RN care coordinators, who have since assisted over 500 patients with complex care needs. The DVACO’s care coordination team works with patients in collaboration with their primary care providers, specialists, hospital-based care managers, practice-based care coordinators, and a multitude of agencies, in an effort to reduce fragmentation of patients’ care. Our care coordinators complement existing care coordinators within the health systems’ employed practices or other ambulatory settings. Our goal is to serve as an extension of the primary care providers’ staff.   As the DVACO evolves, we seek ways to improve patient care. This requires utilizing experienced care coordinators who are primarily registered nurses or social workers, along with standardized processes for identifying patients within the population who are most likely to benefit from enhanced care coordination. Technology to support a standardized care coordination process is imperative, and includes patient identification, stratification, data analysis, care planning, alerts about gaps in care, and documentation of the overall care coordination process. A key component of the quality measures we use to evaluate the success of care coordination is continuous monitoring of emergency department utilization and inpatient hospital admissions rates. DVACO also helps monitor the patient’s transition of care from hospital to nursing home or home health, as well as to and from the patient’s own home setting. This includes evaluation of access and adherence...