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Accountable Care Organizations. The Ethical Basis for Creating ACO’s Nelson and Wadsworth, PHD’s Dartmouth. The Ethics of ACO’s. Moral Imperative to deliver cost – effective, high quality, and safe healthcare Fulfillment of an ethical responsibility Bend the Value Curve
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Accountable Care Organizations The Ethical Basis for Creating ACO’s Nelson and Wadsworth, PHD’s Dartmouth
The Ethics of ACO’s • Moral Imperative to deliver cost – effective, high quality, and safe healthcare • Fulfillment of an ethical responsibility • Bend the Value Curve • Foster greater accountability on the part of providers… • Reduce variation • Shared decision making
The Ethics of ACO’s • Social Justice linked to delivering “effective care” with limited resources. • Organizations as moral agents where services are manifest within an ethical framework: • Patients best interest • Respect for patient values • Fostering justice
ACO Discussion Take-Aways • Good article capturing an academic “ethics” perspective of ACO’s. • May be a leap from academia to the pragmatic world of provider organizational function and economic sustainability. • The authors may have made a significant leaps from scientific efficacy to fostering justiceas moral agents.
