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TRANSFORMATION12LeanAphilosophyofstructuredimprovementLeanisaimedatincreasingthevalueofourpatientsexperiencesbyimprovingqualitysafetytimelinesseectivenesssatisfactionandnancialimpact.ConcordElliotACOTheMedicareSharedSavingsProgramacomponentofthe2010PatientProtectionandAordableCareActpromotesthedevelopmentofaccountablecareorganizationstoachievetheInstituteforHealthcareImprovementThreePartAimimprovingtheexperienceofcareimprovingthehealthofpopulationsreducingthecostofhealthcare.Morethan10000MedicareFee-for-ServicebeneciariesinourregionarenowbenettingfromtheConcordElliotAccountableCareOrganizationACOaninitiativedesignedtocoordinateandimprovetheircarewhilehelpingstemtheriseinhealthcarecoststhroughtheirrelationshipwithConcordHospitalMedicalGroupCHMGandElliotHospitalproviders.KeyConcordHospitalachievementsoverthepastyearincludeCreatingNationalCommitteeforQualityAssurancerecognizedpatient-centeredmedicalhomeswithinallprimarycarepracticestofosterteam-basedcareandenhancewellnessEmbeddingnursecaremanagersinourmedicalhomestoworkcloselywithpatientsandtheircareteamstobettermanageillnessavoidunnecessaryhospitalizationsandEmergencyDepartmentvisitsScreeningforpotentialhealthissuessuchassmokinghighbloodpressureobesitycolorectalcancerdiabetesdepressionandriskoffalling.1.7hoursJanuary20121hourorlessSeptember2013TREATMENTTIMEIn2013LeaneortswereimplementedatourWalk-InUrgentCareCenterwithafocusofreducingthelengthoftimeapatientspendsattheCenter.Todaythattimehasbeenreducedby60percentandpatientsarenowtypicallyinandoutoftheCenterinanhourorless.