In this 6 A's blog series, we have started to outline our proven process to successfully re-architect an organization's care delivery IT infrastructure to adopt new, value-based payment and care delivery models. So far, we have discussed the first two A's: acquisition of data and aggregation of data – which leads us into our third A – access to data by all stakeholders in the patient's care.

In a successful ACO, several types of stakeholders need secure access to the various types of data that are collected in order to optimize patient outcomes and reduce risk. Of course, a wide variety of providers need access to information, but so do care coordinators, administrators, health information management (HIM) professionals, patients, families, insurers and others. Access to this data must be as seamless as possible, even with each constituency's unique set of priorities and levels of technical and clinical sophistication. Providers for example will typically be best served by having access to ACO data within the EHR itself. Community-based care coordinators need web-based access with a view into their patients, which may be defined as patients of a certain physician, payer, diagnosis, admission status, etc. Patients and family will need a web-accessible secure patient portal where they can access their health information and communicate with their care providers and really take responsibility for their health.

To support effective and comprehensive access to data, organizations will need some or all of the following components as part of their IT infrastructure: direct EHR integration, personal health record (PHR), multi-stakeholder portal, mobile application, secure messaging, single sign on (SSO) and workflow integration for care managers and other professionals.

With this access to ACO data in a meaningful and convenient way, the next step is the adoption of the technology by users – learn more about this critical element in our next post!