Report cites four obstacles for ACO development

A report from the National Institutes for Health Care Reform cites four challenges common to ACO setup. 

The report  examined seven healthcare organizations that are involved in efforts to improve care coordination and quality, all of which are key activities pursued by ACOs, and found that all of the organizations faced four major obstacles for ACO development: 

  • Funding and the business case for change - ACO- like improvements required substantial investment, both in time and money. 
  •  Resistance to change – Fear and resistance to change can be an obstacle to ACO development.  
  • Potential disruptions to productivity - Many of the care-delivery and infrastructure improvements required changes in workflow that affected productivity of clinical and administrative staff. 
  • Limited infrastructure to pursue change - To improve care coordination and quality, whether through new HIT initiatives, disease management programs or corporate restructuring, all organizations required reliable data to measure and track performance.

(Sources: Accountable Care Bulletin,, February 10, 2011; National Institute for Health Care Reform,, February 2011)