Display Settings:


Send to:

Choose Destination
See comment in PubMed Commons below
Health Aff (Millwood). 2007 Jan-Feb;26(1):w44-57. Epub 2006 Dec 5.

Creating accountable care organizations: the extended hospital medical staff.

Author information

  • 1Dartmouth Medical School and the Center for the Evaluative Clinical Sciences, Hanover, New Hampshire, USA. Elliott.Fisher@Dartmouth.edu


Many current policies and approaches to performance measurement and payment reform focus on individual providers; they risk reinforcing the fragmented care and lack of coordination experienced by patients with serious illness. In this paper we show that Medicare beneficiaries receive most of their care from relatively coherent local delivery systems comprising physicians and the hospitals where they work or admit their patients. Efforts to create accountable care organizations at this level--the extended hospital medical staff--deserve consideration as a potential means of improving the quality and lowering the cost of care.

Comment in

[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk