Capabilities Required for Outcome-Based Care Success

This guide outlines the essential capabilities necessary for success under the ACCESS model in outcome-based care. It emphasizes a shift from traditional chronic care payment methods to a focus on measurable outcomes across entire patient populations. The document details five core capabilities crucial for achieving ACCESS success: standards-based interoperability at scale, data governance and accountability, role-specific access and usability, operational readiness to act on insights, and trusted, normalized data. Each capability is described in terms of its function, significance, and readiness signals that indicate the organization's preparedness. The guide stresses that success in outcome-based care relies on having data access, accuracy, and usability to foster improvement and meet the requirements of the new payment structure. The document serves as a roadmap for organizations looking to implement these capabilities effectively to ensure sustained improvements in patient outcomes.