0
Editorial |

ACOs—Promise, Not Panacea

Donald M. Berwick, MD, MPP
JAMA. 2012;308(10):1038-1039. doi:10.1001/2012.jama.11486.
Text Size: A A A
Published online

Extract

In its landmark 2001 report, Crossing the Quality Chasm, the Institute of Medicine not only documented high rates of defect in American health care but also wrote, stunningly, “In its current form, habits, and environment, American health care is incapable of providing the public with the quality care it expects and deserves.”1

The term incapable is an indictment: profound, uncomfortable, and warranted. America's forms of care are largely soloists, but patients need symphonies; its habits of care are of excess, but society needs elegance; the environment preserves the status quo, instead of encouraging change. That US health care nonetheless manages to work as well as it does is testimony to the dedication of professionals and to a workforce that somehow makes the best of a bad situation.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 4

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
An agent-based simulation model to study accountable care organizations. Health Care Manag Sci Published online Apr 9, 2014.;
Jobs
brightcove.createExperiences();