Accountable Care Organizations and Clinical Commissioning Groups face an uncertain challenge for improving public health

<p>Accountable Care Organizations (ACO) in the United States of America (USA) and Clinical Commissioning Groups (CCG) in the United Kingdom (UK) are new proposed organizations in health services both tasked with a role which includes improving public health.  Although there are very significan...

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Main Author: Douglas J. Noble
Format: Article
Language:English
Published: SAGE Publishing 2012-04-01
Series:Journal of Public Health Research
Subjects:
Online Access:http://www.jphres.org/index.php/jphres/article/view/9
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author Douglas J. Noble
author_facet Douglas J. Noble
author_sort Douglas J. Noble
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description <p>Accountable Care Organizations (ACO) in the United States of America (USA) and Clinical Commissioning Groups (CCG) in the United Kingdom (UK) are new proposed organizations in health services both tasked with a role which includes improving public health.  Although there are very significant differences between the UK and USA health systems there appears to be a similar confusion as to how ACO and CCG will regard and address public or population health.  The role of ACO in improving population health and evaluating the health needs of their registered and insured patients remains ill-defined and poorly explored.  Likewise, in the current UK National Health Service (NHS) reorganisation, control and commissioning of appropriate local health services are passing from Primary Care Trusts (PCT) to new cross-organizational structures (CCG).  CCG groups aim to be, like ACO, physician led.  They will also assume a role for public or population health, but this role, like that of the newly-forming ACO, is currently unclear.  Lessons learned from the USA and UK experience of new organizations tasked with a role in improving public health may inform mechanisms for physician led organizations in the UK and the USA to assess health needs, monitor population health information and improve population health outcomes.</p>
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spelling doaj.art-27d682d4833c450cb356c3490df351b12023-01-02T18:25:45ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362012-04-0112e16e1610.4081/jphr.2012.e1618Accountable Care Organizations and Clinical Commissioning Groups face an uncertain challenge for improving public healthDouglas J. Noble0Barts and The London School of Medicine and Dentistry<p>Accountable Care Organizations (ACO) in the United States of America (USA) and Clinical Commissioning Groups (CCG) in the United Kingdom (UK) are new proposed organizations in health services both tasked with a role which includes improving public health.  Although there are very significant differences between the UK and USA health systems there appears to be a similar confusion as to how ACO and CCG will regard and address public or population health.  The role of ACO in improving population health and evaluating the health needs of their registered and insured patients remains ill-defined and poorly explored.  Likewise, in the current UK National Health Service (NHS) reorganisation, control and commissioning of appropriate local health services are passing from Primary Care Trusts (PCT) to new cross-organizational structures (CCG).  CCG groups aim to be, like ACO, physician led.  They will also assume a role for public or population health, but this role, like that of the newly-forming ACO, is currently unclear.  Lessons learned from the USA and UK experience of new organizations tasked with a role in improving public health may inform mechanisms for physician led organizations in the UK and the USA to assess health needs, monitor population health information and improve population health outcomes.</p>http://www.jphres.org/index.php/jphres/article/view/9Accountable Care Organizations, Clinical Commissioning Groups, Public Health
spellingShingle Douglas J. Noble
Accountable Care Organizations and Clinical Commissioning Groups face an uncertain challenge for improving public health
Journal of Public Health Research
Accountable Care Organizations, Clinical Commissioning Groups, Public Health
title Accountable Care Organizations and Clinical Commissioning Groups face an uncertain challenge for improving public health
title_full Accountable Care Organizations and Clinical Commissioning Groups face an uncertain challenge for improving public health
title_fullStr Accountable Care Organizations and Clinical Commissioning Groups face an uncertain challenge for improving public health
title_full_unstemmed Accountable Care Organizations and Clinical Commissioning Groups face an uncertain challenge for improving public health
title_short Accountable Care Organizations and Clinical Commissioning Groups face an uncertain challenge for improving public health
title_sort accountable care organizations and clinical commissioning groups face an uncertain challenge for improving public health
topic Accountable Care Organizations, Clinical Commissioning Groups, Public Health
url http://www.jphres.org/index.php/jphres/article/view/9
work_keys_str_mv AT douglasjnoble accountablecareorganizationsandclinicalcommissioninggroupsfaceanuncertainchallengeforimprovingpublichealth