ACO Care Coordinators

The ACO Care Coordinator meeting serves as a forum for discussion, collaboration and dissemination of best practices that help the Suburban Health Organization (SHO) hospitals achieve the Triple Aim of improving patient outcomes, improving experience and lowering cost of care. The meeting also serves as a networking opportunity for the care coordinators to discuss their evolving roles and responsibilities. The ACO Care Coordinator meeting focuses on population health initiatives that are applicable across payers and help to ensure their patients are receiving the best care possible.

Topics covered during the meeting include:

• Chronic care management
• Transitional care management
• Social determinants of health
• Disease management
• Increasing continuity of care
• Identification of community resources
• Standardization of care plans
• Strategies for reducing readmissions