Robert Kocher, MD; Ezekiel J. Emanuel, MD; Nancy-Ann M. DeParle, JD
The Affordable Care Act is a once-in-a-generation change to the U.S. health system. It guarantees access to health care for all Americans, creates new incentives to change clinical practice to foster better coordination and quality, gives physicians more information to make them better clinicians and patients more information to make them more value-conscious consumers, and changes the payment system to reward value. The Act and the health information technology provisions in the American Recovery and Reinvestment Act remove many barriers to delivering high-quality care, such as unnecessary administrative complexity, inaccessible clinical data, and insufficient access to primary care and allied health providers.
We hope that physicians will embrace the opportunities created by the Affordable Care Act that will enable them to provide better care for their patients and lead the U.S. health system in a more positive direction. To fully realize the benefits of the Affordable Care Act for their practices and their patients, physicians will design their offices for seamless care, employing new practice models and using technology to integrate patient information with professional society guidelines to keep patients with chronic conditions healthy and out of the hospital. Under the Affordable Care Act, physicians who effectively collaborate with other providers to improve patient outcomes, the value of medical services, and patient experiences will thrive and be the leaders of the health care system.
Focusing care around exceptional patient experience and shared clinical outcome goals.
Expanding the use of electronic health records with capacity for drug reconciliation, guidelines, alerts, and other decision support.
Redesigning care to include a team of nonphysician providers, such as nurse practitioners, physician's assistants, care coordinators, and dietitians.
Establishing, with physician colleagues, patient care teams to take part in bundled payments and incentive programs, such as accountable care organizations and patient-centered medical homes.
Proactively managing preventive care—reaching out to patients to assure they get recommended tests and follow-up interventions.
Collaborating with hospitals to dramatically reduce readmissions and hospital-acquired infections.
Engaging in shared decision-making discussions regarding treatment goals and approaches.
Redesigning medical office processes to capture savings from administrative simplification.
Developing approaches to engage and monitor patients outside of the office (e.g., electronically, home visits, other team members).
Incorporating patient-centered outcomes research to tailor care appropriate for specific patient populations.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Kocher R, Emanuel EJ, DeParle NM. The Affordable Care Act and the Future of Clinical Medicine: The Opportunities and Challenges. Ann Intern Med. ;153:536–539. doi: 10.7326/0003-4819-153-8-201010190-00274
Download citation file:
Published: Ann Intern Med. 2010;153(8):536-539.
Healthcare Delivery and Policy, High Value Care, Hospital Medicine, Prevention/Screening.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use