BJC Accountable Care Organization
When your doctors can communicate more easily, you’ll receive better care that meets your unique needs. That’s our goal as the first Accountable Care Organization (ACO) in the St. Louis area. We work together with Medicare to provide high-quality service and care at the right time and in the right setting.
A primary goal of the BJC ACO is to improve the quality of care our patients receive under the program. We want to help patients stay healthier, and that means improving our care standards and changing the ways we deliver those services to our patients.
BJC and Medicare track important quality of care measurements to ensure that seniors in the program are receiving quality care. These measures range from nationally recognized standards for heart disease and diabetes treatment all the way to the availability of physicians to see their patients and the overall patient care experience.
Some measures emphasize good preventive care and avoiding health issues, and others track how we care for vascular disease and other important problems. Overall, patients should see an improvement in the coordination and quality of care that they receive from their doctor's office as part of the Accountable Care Organization.
Physicians who participate in the BJC Accountable Care Organization (ACO) are now able to directly admit their ACO Medicare patients into an approved skilled nursing facility to continue their recovery. Normally, Medicare patients are required to have a three-day inpatient hospital stay prior to transferring to a skilled nursing facility for therapy services.
The ruling that began in 2017 allows ACO physicians to admit ACO patients to an approved skilled nursing facility from the patient’s home, the physician’s office, from an emergency room or from the hospital, even when they don’t have a three-day inpatient stay.
This allows doctors to quickly arrange care for their patients for the best results in their recovery.
Only skilled nursing facilities that have received three or more stars under the CMS Five–Star Nursing Home Quality Rating System were approved to affiliate with BJC ACO for patient care.
Yes, our ACO uses the SNF 3-Day Rule Waiver.