Complex Care Models to Achieve Accountable Care Readiness: Lessons from Two Community Hospitals

Gabriel Malseptic
Lauren Melby
Kathleen Connolly
Case Study
March 2018

The Massachusetts Health Policy Commission's Community Hospital Acceleration, Revitalization, and Transformation (CHART) investment program has engaged 25 community hospitals to advance readiness for accountable care payment systems. This resource describes the experiences of two of the hospitals and lessons learned.

  • The hospitals implemented strategies to reduce unnecessary hospital utilization; enhance care for individuals with social, behavioral, and medical complexity; and improve post-acute community-based care.
  • Locally derived data enable hospitals to plan and implement initiatives that are tailored to their communities.
  • Investments in appropriate technologies facilitate near real-time patient engagement upon presentation to the acute care setting and/or immediately post-discharge.
  • Non-medical providers are a cost-effective addition to complex care teams.
  • Collaboration with community partners improves care continuity and promotes stability outside the hospital.
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Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Key Questions Answered
  • What are some promising strategies to advance accountable care?
  • What are some lessons learned from the experiences of hospitals?
Level of Evidence
What does this mean?