Accelerating Reform Initiative (ARI)

NIATx Accelerating Reform Initiative (ARI)
Preparing for Reform

NIATx has identified seven areas where organizations will need to change to adapt to a new care delivery model, described in the table below. Participants in the NIATx Accelerating Reform Initiative will select the area(s) that are most critical for their agency to address and develop strategies to implement change.

NIATx Seven Systemic Conditions for Integrated Holistic Care and Health Care Reform

Conditions for Reform What Exists What's Needed
Patient Identification Primarily through criminal justice referral Referrals from all health care systems and non-traditional health systems and population centers
Accountability for patient care and outcomes Specialty care focus Integrated health services, seamless handoffs, and follow up
Treatment technology Mix of personal experience, evidence-based practices and self help National Quality Forum Evidence Based Practices

Data driven treatment planning
Patient and Family Role Dependent on clinician for treatment and care management

Family has no formal role		 Goal of self-care that is technology enabled

Family and peer support or knowledge exchange
Workforce Sparse MD, sparse RN; up to 50% licensed More MDs, more RNs; 70% licensed, and trained peers
Technology Limited to billing systems Need for follow up and track across the continuum; EMR, patient self management
Infrastructure (Business system) Separate registration, appointment and follow up systems

Difficult to accept new payers		 Integrated patient and business management systems

Easy to accept new payment sources

A data repository for evaluation or ongoing assessment of business operations

NIATx Seven Systemic Conditions for Integrated Holistic Care and Health Care Reform

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