{"id":4714,"date":"2023-06-15T14:15:41","date_gmt":"2023-06-15T14:15:41","guid":{"rendered":"https:\/\/annualreport.mainehealthaco.org\/?page_id=4714"},"modified":"2023-08-01T13:58:12","modified_gmt":"2023-08-01T13:58:12","slug":"looking-ahead","status":"publish","type":"page","link":"https:\/\/annualreport.mainehealthaco.org\/annual-report-2022\/looking-ahead\/","title":{"rendered":"Looking Ahead"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:rgba(255,255,255,0);border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center\" style=\"max-width:1193.4px;margin-left: calc(-2% \/ 2 );margin-right: calc(-2% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_5 2_5 fusion-flex-column fusion-flex-align-self-flex-start\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-1{margin-top:20px!important; margin-right:0px!important;margin-bottom:0px!important;margin-left:0px!important;}}@media only screen and (max-width:640px) {.fusion-title.fusion-title-1{margin-top:0px!important; margin-right:0px!important;margin-bottom:0px!important; margin-left:0px!important;}}<\/style><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"margin-top:20px;margin-right:0px;margin-bottom:0px;margin-left:0px;\"><h1 class=\"title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:40;line-height:1.25;\"><h1>Looking Ahead<\/h1><\/h1><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:40% !important;margin-top : 5%;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 2.45%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 2.45%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_3_5 3_5 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-1{width:60% !important;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.6333333333333%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.6333333333333%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 120px;margin-top : 0px;padding-right : 30px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 30px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #ffffff;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:rgba(255,255,255,0);border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center\" style=\"max-width:1193.4px;margin-left: calc(-2% \/ 2 );margin-right: calc(-2% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_4_5 4_5 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 50px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><h3>Thoughts from Our Board Chair<\/h3>\n<\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center\" style=\"width:102% !important;max-width:102% !important;margin-left: calc(-2% \/ 2 );margin-right: calc(-2% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_2_3 2_3 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2 fusion-text-no-margin\" style=\"margin-bottom:0px;\"><p>In past years, the ACO and its participants have made progress in improving clinical documentation and performance on a number of quality measures. This progress is due in great part to care teams\u2019 concerted efforts to influence performance in these areas \u2013 efforts that are now well established and supported across the ACO.<\/p>\n<p>Confident in the ongoing stability and success of the clinical documentation and quality improvement work, the ACO is now turning its attention to a third area of concern with implications for both patient outcomes and total cost of care: unwarranted variation in clinical practice. Such variation can be reduced through standardized clinical criteria and clear decision processes, among other interventions.\u00b9<\/p>\n<p>The ACO\u2019s Value Oversight Committee has recommended focusing variation reduction efforts on end-of-life care and transitions of care, two areas with significant impact on total cost of care and clinical outcomes. Additional areas of focus will be identified in the future.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-nested-column-0{width:66.666666666667% !important;margin-bottom : 0px;}.fusion-builder-nested-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 50px;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.47%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-nested-column-0{width:100% !important;order : 0;}.fusion-builder-nested-column-0 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-nested-column-0{width:100% !important;order : 0;}.fusion-builder-nested-column-0 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_3 1_3 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;background-color:var(--awb-color2);padding: 10px 20px 10px 20px;\"><div class=\"fusion-text fusion-text-3\"><h4>Reducing Unwanted Care Variation<\/h4>\n<p>Chief Operating Officer Shannon Banks discusses MHACO-endorsed initiative to reduce unwarranted care variation.<\/p>\n<\/div><div style=\"text-align:center;\"><style>.fusion-button.button-1{border-radius:0px 0px 0px 0px;}<\/style><a class=\"fusion-button button-flat fusion-button-default-size button-default button-1 fusion-button-default-span fusion-button-default-type\" target=\"_self\" href=\"https:\/\/www.mainehealth.org\/MaineHealth-Accountable-Care-Organization\/Provider-Resources\/BACON-Podcast\/Episode-48\" style=\"margin-bottom:15px;\"><span class=\"fusion-button-text\">Listen Now<\/span><\/a><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-nested-column-1{width:33.333333333333% !important;margin-top : 25px;}.fusion-builder-nested-column-1 > .fusion-column-wrapper {padding-top : 10px !important;padding-right : 20px !important;margin-right : 2.94%;padding-bottom : 10px !important;padding-left : 20px !important;margin-left : 2.94%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-nested-column-1{width:100% !important;order : 0;}.fusion-builder-nested-column-1 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-nested-column-1{width:100% !important;order : 0;}.fusion-builder-nested-column-1 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}<\/style><\/div><\/div><div class=\"fusion-text fusion-text-4\" style=\"margin-top:0px;\"><h3>Supporting Patients<\/h3>\n<p>Our focus on transitions of care will be supporting patients in that critical, and high-risk, time between a hospital or rehab discharge and getting in to see their PCP or specialist for a follow-up visit.<\/p>\n<p>Our focus on end-of-life care will be to increase the number of patients dying from cancer who receive at least 10 days of hospice care \u2013 an accepted metric of high quality end-of-life care. Because many patients wish to have care focused on their comfort at end-of-life, involvement of specialty palliative care early in the disease course will also be a focus. Palliative care has been shown to increase duration of hospice care, notably without changing how long a patient lives.<\/p>\n<h3>Supporting ACO Participants<\/h3>\n<p>The ACO\u2019s governing board, leaders and team members are excited to partner with participants to make real improvements in care variation reduction. The ACO has developed powerful resources to help ensure progress in these areas, including the newly-released Value Report analytics tool and the solution-oriented conversations it makes possible.<\/p>\n<p>There is no doubt we\u2019ve entered a time of sudden and radical change in health care. With the close collaboration of the ACO and participating practices, that change can be transformed into an opportunity \u2013 an opportunity to improve patient outcomes and lower total cost of care. I look forward to what we can achieve together in the consequential years to come.<\/p>\n<p><strong><img decoding=\"async\" class=\"alignleft wp-image-4747\" src=\"https:\/\/annualreport.mainehealthaco.org\/wp-content\/uploads\/sites\/17\/2023\/06\/2022-Carl-DeMars-Headshot.jpg\" alt=\"Carl DeMars, MD\" width=\"125\" height=\"188\" \/>Carl DeMars, MD<\/strong><br \/>\nVP. Physician and APP Services, Coastal Region, MaineHealth<br \/>\nMHACO Board Chair<\/p>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:25px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#e0e2e4;border-top-width:1px;\"><\/div><\/div><div class=\"fusion-text fusion-text-5\" style=\"margin-top:10px;\"><p>\u00b9Atsma F, Elwyn G, Westert G. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Int J Qual Health Care. 2020 Jun 4;32(4):271-274. doi: 10.1093\/intqhc\/mzaa023. PMID: 32319525; PMCID: PMC7270826.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-2{width:80% !important;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 50px !important;padding-right : 0px !important;margin-right : 1.225%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.225%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 0px;margin-top : 2%;padding-right : 10%;padding-bottom : 0px;margin-bottom : 5%;padding-left : 10%;}<\/style><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":16,"featured_media":0,"parent":4677,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/annualreport.mainehealthaco.org\/wp-json\/wp\/v2\/pages\/4714"}],"collection":[{"href":"https:\/\/annualreport.mainehealthaco.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/annualreport.mainehealthaco.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/annualreport.mainehealthaco.org\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/annualreport.mainehealthaco.org\/wp-json\/wp\/v2\/comments?post=4714"}],"version-history":[{"count":13,"href":"https:\/\/annualreport.mainehealthaco.org\/wp-json\/wp\/v2\/pages\/4714\/revisions"}],"predecessor-version":[{"id":4939,"href":"https:\/\/annualreport.mainehealthaco.org\/wp-json\/wp\/v2\/pages\/4714\/revisions\/4939"}],"up":[{"embeddable":true,"href":"https:\/\/annualreport.mainehealthaco.org\/wp-json\/wp\/v2\/pages\/4677"}],"wp:attachment":[{"href":"https:\/\/annualreport.mainehealthaco.org\/wp-json\/wp\/v2\/media?parent=4714"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}