White Paper AGA: An Episode-of-Care Framework for the Management of Obesity-Moving Toward High Value, High Quality Care: A Report From the American Gastroenterological Association Institute Obesity Episode of Care and Bundle Initiative Work Group.

Joel V Brill, Jamile A Ashmore, Matthew L Brengman, Daniel E Buffington, S David Feldshon, Kelli E Friedman, Peter S Margolis, Danielle Markus, Leslie Narramore, Amita Rastogi, Anthony A Starpoli, Kenneth Strople, Jane V White, Sarah E Streett

Journal: Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2018;15(5):650-664.e2

PMID: 28238952

Full Text on Elsevier Science View on PubMed

Abstract

The American Gastroenterological Association acknowledges the need for gastroenterologists to participate in and provide value-based care for both cognitive and procedural conditions. Episodes of care are designed to engage specialists in the movement toward fee for value, while facilitating improved outcomes and patient experience and a reduction in unnecessary services and overall costs. The episode of care model puts the patient at the center of all activity related to their particular diagnosis, procedure, or health care event, rather than on a physician's specific services. It encourages and incents communication, collaboration, and coordination across the full continuum of care and creates accountability for the patient's entire experience and outcome. This paper outlines a collaborative approach involving multiple stakeholders for gastrointestinal practices to assess their ability to participate in and implement an episode of care for obesity and understand the essentials of coding and billing for these services.

Address: Predictive Health LLC, Paradise Valley, Arizona.; Baylor Scott and White Medical Center, Plano, Texas; Representative of the American Psychological Association.; Advanced Surgical Partners of Virginia, Richmond, Virginia; Representative of the American Society for Metabolic and Bariatric Surgery.; Clinical Pharmacology Services, Tampa, Florida; Representative of the American Pharmacists Association.; Minnesota Gastroenterology, St Paul, Minnesota.; Duke University School of Medicine, Durham, North Carolina; Representative of the American Psychological Association.; University Gastroenterology, Providence, Rhode Island.; OutcomesMTM, West Des Moines, Iowa.; American Gastroenterological Association, Bethesda, Maryland.; Altarum Institute, Center for Payment Innovation, Newton, Connecticut.; Greenwich Village Gastroenterology, New York, New York.; Palisades Healthcare Solutions, Camarillo, California.; University of Tennessee, Knoxville, Tennessee; Representative of the Academy of Nutrition and Dietetics.; Stanford University School of Medicine, Stanford, California.

DOI: 10.1016/j.cgh.2017.02.002