Executive Summary Essay Example



Capstone ACO has been recognized as Chicago’s “largest Accountable Care Organization, with the main stakeholders as the providers, payers, and patients. It has contributed to improved quality of care through the integration of all the stakeholders or participants. The system guarantees each of the participants’ voice in the decision-making process of Capstone ACO. In addition to improvement in health care, ACO has been associated with reduced cost of care as well as well as an increase in finances allocated by financiers such as the Medicare scheme. This RSSV consultant report therefore provides in depth analysis of OpenNotes implementation in Capstone ACO’s. This report also provides in-depth analysis of clinical and financial rewards to Capstone ACO.

Purpose / Objective:

The purpose of this project is to provide an assessment of the current state of the Capstone COA, its operations, strengths, weaknesses, and opportunities for improvement. The project identifies OpenNotes as a possible solution to the shortcomings or challenges in the existing system. The proposed application is supported by evidence-based research of OpenNotes in clinical settings with financial data is generated based on current healthcare trends and realistic based on the analysis of Capstone ACO.


RSSV survey of current state provides a detailed analysis of the current state of the Capstone COA including its workflow and related challenges. The RSSV survey provides an account of the experiences in the application of the COA, strengths, weaknesses, and opportunities or areas of improvement through application of the OpenNotes program.

Key Findings and Conclusions

The RSSV survey revealed that ACO members currently use several diverse EMR systems. The Capstone COA allows limited data sharing, existence of and ADT alert system, clinicians receive hospital bills, imaging studies, laboratory reports and discharge notes via fax, and patients can call medical officers for medical fills, ask questions, and raise concerns about their care. Shortcomings identified in the cureent system include difficult in sharing data electronically, delays in transmission via fax, failure by patients to get their notes, human errors arising from scanning of large documents, delayed communication, and failure by the ADT alert system to prevent admissions and readmissions.


The proposed workflow involving OpenNotes is designed to enhance current workflow by bridging gaps between clinics and patients as well as gaps between clinics. Patients will have the ability to share their data electronically by means of OpenNotes and the system will prevent unnecessary outpatient visits and readmissions. The OpenNotes will particularly facilitate after hours’ communication between patient and providers. It will be further integrated with current EMR systems portals; thus, data transfer patient OpenNotes to EMR will reduce scanning and related errors. It is expected that as OpenNotes initiative progresses to the advanced phase of implementation, such as remote monitoring of patients, management of chronic medical conditions will improve.


As such, OpenNotes or any similar concept is not an option for Capstone ACO, It is a necessity. RSSV consultants promote and support any initiative that improves clinical quality and reduces cost of care.
We encourage full participation of all stakeholders in this project as it would benefit them on the long run.
We recommend phased approach of OpenNotes implementation as it would create least amount of disruption to current workflow and higher acceptance from providers and patients