Respond to this class mates post. Use sources 5years old or less. Several factor

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Respond to this class mates post. Use sources 5years old or less.
Several factors related to the quality of care and patient safety have been associated with high rehospitalizations and emergency room visits (Dong et al., 2017). These factors include medication discrepancies, inaccurate information transfer, and lack of care coordination with primary care providers. Emily et al. (2018) indicated that more than half of patients have at least one medication discrepancy at discharge. Hence, patients with medication discrepancies are at least twice as likely to be re-hospitalized. In addition, re-hospitalizations are estimated to cost healthcare payers billions of dollars in potentially avoidable spending (Emily et al., 2018).
The term Accountable Care Organization (ACO) was initially coined by researchers and policy experts to describe entities consisting of healthcare providers working toward achieving a common clinical goal and outcome (Valerie et al., 2017). The typical clinical goal includes high-quality patient care while utilizing a common clinical pathway that incorporates principles of treatment and therapeutic modalities in a multifaceted provider setting. ACO has been conceived as groups of primary care physicians, specialists, and sometimes hospitals joined together to integrate a system or networks that are accountable for improving the quality of patients care (Emily et al., 2018). Gaps, such as the lack of connectivity between providers contributing to fragmented and suboptimal patient care, can be resolved in this platform. Valerie et al. (2017) indicate that the three core Affordable Care Organizations principles include:
Provider-led organizations with a strong base of primary care that is accountable for the quality and per capita costs
Payments linked to improvement in quality and reduced costs
Reliable and increasingly sophisticated performance measurement to support improvement and provide confidence care is improved, and cost savings occur.
The role of the Accountable Care Organization differs from the Patient-Centered Medical Home (PCMH) in ways that the PCMH approach significantly increased access to primary care, reduced hospitalizations, and emergency room visits in moderate and high-risk patients (Dong et al., 2017). A multidisciplinary outpatient-based care transitions program embedded in a primary care PCMH model. Also, Emily et al. (2018) reported given the complexity of medication changes often made during hospitalization, the high rate of medication errors, and other medical issues after discharge, medication management is critical to transition care effectively and improve patient care. Additionally, teaching a patient medication self-management, timely follow-up with primary care, improving patient knowledge about symptoms and warning signs may help prevent the rehospitalization of accountable care. Thus, as mentioned earlier, teaching a patient to address these problems can help improve care quality.

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