It's vital that we maintain this level of trust in our profession with each and every healthcare encounter. Accountability has become a major issue in health care. Accountability entails the procedures and processes by which one party justifies and takes responsibility for its activities. Integrity and accountability are fundamental to ensuring trust between the public and healthcare professionals. An accountable care organization (ACO) is a group of doctors, hospitals, and other health care providers that work together on your care. Accountability entails the procedures and processes by which one party justifies and takes responsibility for its activities. “It is a readiness to have one’s actions judged by others and, where appropriate, accept responsibility for errors, misjudgments and negligence and recognition for … The goal of coordinated care is to ensure that patients get the right care at the right time, while avoiding unnecessary duplication of services … As the concept of healthcare value becomes more prominent, healthcare providers will increasingly need to focus on the whole patient or on populations of patients, encouraging and requiring teamwork among clinicians across specialties, as well as coordination among clinical care units and healthcare … Accountability is the readiness or preparedness to give an explanation or justification to stakeholders for one’s judgments, intentions and actions. In a health care organization, patients, medical professionals, and the government employ a system of checks and balance to ensure the responsibility and accountability of each agent that plays important role in the advancement of healthcare system and promotion ad enhancement of individual’s well being. This means being accountable for our practice, work environment, and patient safety. The American Nursing Association's Code of Ethics defines professional accountability as being “answerable to oneself and others … A recurrent issue during our discussions was the lack of accountability at all levels of the health system. The concept of accountability contains three essential components: 1) the loci of accountability-health care consists of at least 11 different parties that can … The concept of accountability contains three essential components: 1) the loci of accountability -- health care consists of at least 11 different parties that … Integrity and accountability form the basis of the “social contract” between physicians … What is an ACO? Accountability has become a major issue in health care. Although definitions of accountability vary, Marcia M. Rachel, writing for American Nurse Today, states that accountability in nursing must include five concepts: Obligation: a duty that … Healthcare administrators also have to contend with more people involved in the decision making process, such as insurance providers, public officials, stakeholders, doctors and other healthcare professionals, making it difficult to instill corporate accountability practices throughout the organization. Healthcare leaders should provide the training, tools, resources and performance feedback that nurses need to succeed. ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients. Physicians' integrity forms a foundation for patients' trust and fosters healthy therapeutic relationships that promote healing.

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