Moving Organizational Culture from Volume to Value: A Qualitative Analysis of Private Sector Accountable Care Organization Development.

ABSTRACT:

Objective

The concept of shifting from volume (i.e., billing for as many patients and services as possible) to value (i.e., reducing costs while improving quality) has been a key underpinning of the development of accountable care organizations (ACOs), yet the cultural change necessary to make this shift has been previously unexplored.

Data sources/study setting

Primary data collected through site visits to four private sector ACOs.

Study design

Cross-sectional, semi-structured interview study with analysis done at the ACO level to learn about ACO development.

Data collection

One hundred and forty-eight interviews recorded and transcribed verbatim followed by rigorous qualitative analysis using a grounded theory approach.

Principal findings

The importanc

SUBMITTER: McAlearney AS 

PROVIDER: S-EPMC6232497 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature