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Ansell and Gash (2008) define collaborative governance as follows: [7] 'A governing arrangement where one or more public agencies directly engage non-state stakeholders in a collective decision-making process that is formal, consensus-oriented, and deliberative and that aims to make or implement public policy or manage public programs or assets'.
Collaborative care is a related healthcare philosophy and movement that has many names, models, and definitions that often includes the provision of mental-health, behavioral-health and substance-use services in primary care. Common derivatives of the name collaborative care include integrated care, primary care behavioral health, integrated ...
Nursing ethics is a branch of applied ethics that concerns itself with activities in the field of nursing. Nursing ethics shares many principles with medical ethics, such as beneficence, non-maleficence and respect for autonomy. It can be distinguished by its emphasis on relationships, human dignity and collaborative care.
Clinical governance is a systematic approach to maintaining and improving the quality of patient care within the National Health Service (NHS) and private sector health care. Clinical governance became important in health care after the Bristol heart scandal in 1995, during which an anaesthetist, Dr Stephen Bolsin , exposed the high mortality ...
Group decision-making (also known as collaborative decision-making or collective decision-making) is a situation faced when individuals collectively make a choice from the alternatives before them. The decision is then no longer attributable to any single individual who is a member of the group.
Payment reform was also recognized as important to the implementation of the model. [22] IBM and other organizations started the Patient-Centered Primary Care Collaborative in 2006 to promote the medical home model. [23] [24] As of 2009, its membership included "some 500 large employers, insurers, consumer groups, and doctors". [24]
The history and theory of multistakeholder governance however departs from these models in four ways. The earlier theories describe how a central institution (be it a business, a project, or a government agency) should engage more formally with related institutions (be it other organizations, institutions, or communities).
In a two-sided model, ACOs shared in savings and losses for all three years. In both cases, ACO savings must exceed 2% in order to qualify for shared savings. The maximum sharing percentage for this model was 60%. In both models the shared loss cap was 5% in the first year, 7.5% in the second year, and 10% in the third year.