PMID- 24050053 OWN - NLM STAT- MEDLINE DCOM- 20131219 LR - 20130920 IS - 0735-0732 (Print) IS - 0735-0732 (Linking) VI - 67 IP - 9 DP - 2013 Sep TI - From medical home to ACO: a physician group's journey. PG - 38-42 AB - The Medical Clinic of North Texas (MCNT) launched a population health initiative in 2010 that has involved working with self-insured companies to manage the health of their employee populations. To achieve the goals of providing high-quality care at a low cost, MCNT uses historical electronic health record and claims data to calculate state-of-health (SOH) scores for a company's individual employees and for the entire employee population. SOH scores reflect risks related to chronic conditions for each patient, thereby providing clinical teams and care coordinators with the information they need to design and execute patient-specific care plans. FAU - Reddy, Jay AU - Reddy J AD - PSCI Solutions, Allen, Texas, USA. jreddy@pscisolutions.com FAU - Kennedy, Karen AU - Kennedy K LA - eng PT - Journal Article PL - United States TA - Healthc Financ Manage JT - Healthcare financial management : journal of the Healthcare Financial Management Association JID - 8215859 MH - *Accountable Care Organizations MH - Group Practice/*organization & administration MH - Models, Organizational MH - Organizational Case Studies MH - Organizational Innovation MH - *Patient-Centered Care MH - Texas EDAT- 2013/09/21 06:00 MHDA- 2013/12/20 06:00 CRDT- 2013/09/21 06:00 PHST- 2013/09/21 06:00 [entrez] PHST- 2013/09/21 06:00 [pubmed] PHST- 2013/12/20 06:00 [medline] PST - ppublish SO - Healthc Financ Manage. 2013 Sep;67(9):38-42.