"It is increasingly difficult in health care to navigate a course between the competing interests of providing high-quality care for our community of patients and maintaining fiscal responsibility. Consumers must be able to afford quality medical care, and health systems must be able to provide it in a fiscally prudent manner. The Baylor Scott & White Quality Alliance is transforming its system and relationships with providers and setting a benchmark for other health systems to attain, including population health accountability and pay for performance. This book maps a pathway to successful implementation."
--J. Lindsey Bradley, Jr., FACHE
Trinity Mother Frances Hospitals and Clinics
"This is a very complete, yet concise story of the Baylor Scott & White Health accountable care journey. This book is a must read for any health care system leader or physician leader who is developing or serving as a leader in an accountable care organization."
--Paul B. Convery, MD, MMM
Clinical Professor of Healthcare Leadership & Management
Naveen Jindal School of Management
University of Texas Dallas
Former Chief Medical Officer
Baylor Health Care System
"The transformation of the U.S. health care delivery system to one based upon value and accountability is one of the compelling stories of our time. To undertake this transformation requires building a culture of accountability. And that requires leadership. This compelling book tells the story of how an already renowned institution built an organization to deliver better care for the patients it serves. Others attempting this task will find this invaluable."
--Joe Cunningham, MD
"In a time of consolidation and turmoil in health care, Couch and his colleagues provide a clear and concise game plan for bringing organizations together around real performance – improving outcomes and efficiency. This is a forward-looking yet practical book that touches on the full range of issues that come up in a typical day and a typical decade for emerging accountable care organizations. It is well-written, thoughtful, and credible – an important contribution."
--Thomas H. Lee, MD
Chief Medical Officer
Press Ganey Associates, Inc.
Professor (Part Time)
Harvard Medical School
"Dr. Couch and his team have upheld the profound Baylor Scott and White Health tradition of passionate leadership in Patient Care, Community Service, Education and Research through this new book outlining responsible disruptive innovation to take us to Value-Based Care. With the foundation of the Hippocratic Oath to the work of the Institute of Medicine to STEEEP (safe, timely, effective, efficient, equitable, patient-centered care), they chart a comprehensive, practical and personal journey for all of us in leadership, and those we serve, to replicate and scale. The Health Employer Exchange members will be enlightened and inspired to adapt it throughout our nation."
--Stephanie S. McCutcheon
Health Employer Exchange
"Accountable is nothing less than a clarion call for accelerating the transformation from provider-centric volume to patient-centric value in health care. The description of BSWQA’s journey, which includes governance, care delivery innovations, process, staffing, and payment models creates a readable and engaging “ACO primer” which is timely and unique. BSWQA’s story represents a rare, honest “look under the hood” of what it takes to make an ACO and its tenets of population health actually happen – and in the near term. This book should be widely read for its leadership vision, practical perspective, and operational considerations applicable to every provider and delivery system. This “ACO parable in real life” has lessons for even the most established medical group or health system."
--Michael Parkinson, MD, MPH, FACPM
Senior Medical Director of Health & Productivity
UPMC Health Plan
"Most large health care organizations today are re-imagining the delivery of and payment for health care services. The Baylor Scott & White Quality Alliance (BSWQA) has actually started the process and is demonstrating impressive preliminary results. Texas Health Care is proud that many of our physicians are affiliated members of the BSWQA."
--Larry Tatum, MD
President & CEO
Texas Health Care, P.L.L.C.
"This is the definitive primer and ‘user’s guide’ for health care executives and operating leaders who are designing, developing, or deploying an ACO. It is equally valuable for industry stakeholders as they partner and collaborate with ACOs. Invaluable insights, strategies, and tactics from an industry pioneer that will enable you to move forward effectively and efficiently."
President & CEO
"Dr. Couch and his colleagues provide a valuable resource for anyone seeking to understand accountable care and population health. The story of the Baylor Scott & White Quality Alliance’s journey provides an excellent model with practical examples for others to learn from. This book is a must read for anyone whose organization is seeking to achieve the Triple Aim."
--Gary Yates, MD
Sentara Quality Care Network
Healthcare Performance Improvement, LLC
Former Senior Vice President and Chief Medical Officer