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ETTINGREADYforHealthReformG7BONSECOURSHEALTHSYSTEMFiscalYear2012AnnualReporttotheCommunityPartneringwithOtherProvidersPartothereormprovisionsincludethevoluntarydevelopmentoAccountableCareOrganizationsACOstoparticipateintheMedicareSharedSavingsProgram.AsagroupoprovidersandsupplierscoordinatingcareorspecifcpatientpopulationsanACOisaccountableormeetingorexceedingsetqualityperormancestandardstobeeligibletoreceiveanysharedsavings.BonSecoursappliedtotheCentersorMedicareandMedicaidServicestodevelopanACOcalledGoodHelpcare.GoodHelpcareisdesignedtomanageapopulationoatleast5000Medicarebenefciariesandconsistsoanumberophysicianpracticeshospitalsambulatorycareprovidersandotherhealthcareprovidersandservices.Otherlocalsystemshavealsoinitiatedpartnershipswithotherareaproviderstoimprovethecoordinationocareandtoprepareorhealthcarereorm.ForexampleOurLadyofBellefonteHospitalpartofBonSecoursKentuckyHealthSystemAshlandKentuckyhaspartneredwithHighlandsRegionalMedicalCenterPrestonburgKentuckyandSt.ClaireRegionalMedicalCenterMoreheadKentuckytoformaclinically-integratednetworkcalledtheEasternKentuckyHealthcareCoalition.Eachacilitywillmaintainitsautonomywhileworkingtogetheronselectprojectsthatprovidecollectiveefcienciesorthehospitalsandimprovepatientaccess.InAprilBonSecoursMedicalGroupthephysicianpracticeoBonSecoursVirginiaHealthSystemRichmondVirginialaunchedanAccountableCareOrganizationACOwithCigna.Themodelisbasedonthepatient-centeredmedicalhomemodelocareunderwhichprimarycarephysiciansarerewardedorimprovedoutcomesandloweredmedicalcosts.Theinitiativecoversapproximately8000Cignabenefciaries.BonSecoursMedicalGrouppartoBonSecoursSt.FrancisHealthSystemGreenvilleSouthCarolinaandBlueCrossBlueShieldoSouthCarolinadevelopedanewhealthcaremodelinupstateSouthCarolinacalledapatient-centeredmedicalhome.ThenewmodelwillinitiallyocusonpatientswithdiabeteshypertensionorcongestiveheartailureoracombinationoftheseconditionswhoareBlueCrossmembersormembersoBlueChoiceHealthPlanoSouthCarolinaortheStateHealthPlan.AspatientcaremedicalhomestheBonSecoursMedicalGrouppracticeswillputtheprimarycareproviderinchargeocoordinationoallservicestoensurethatallothepatientsproblemsareaddressed.BonSecoursCharityHealthSystemPortJervisSuffernandWarwickNewYorkhaspartneredwithSt.LukesCornwallHospitalCornwallandNewburghNewYorkandSt.FrancisHospitalandHealthCentersPoughkeepsieNewYorktoormHudsonHealthPartners.Thenewentitywillocusonclinicalcollaborationssuchaswellnessinitiativesandhomehealthcarequalityinitiativesthatensureexceptionalcareorarearesidentsandphysicianservicesincludingrecruitmentandpracticemanagementservices.