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Accountable Care Units (ACUs)

ACU Standard Routines & Flex Time, SIBR Rounds, Flex time

Making proactive care the new standard of care

Clinical effectiveness and productivity are enhanced when high-performance SIBR® rounds become routine in an Accountable Care Unit.

With 1Unit’s solution, hospitals have the only approach ever developed and proven to make proactive care standard across hospital units and professional staff.

With 1Unit’s solution, hospitals have a powerful grassroots approach to earn front-line loyalty, actively manage performance, and put units on a fast track to better outcomes. Relative to concurrent controls, outcomes achievable with the ACU® care model include:

  • 25% reductions in in-hospital mortality
  • 25% reductions in complications of care
  • 10-20% reductions in length of stay
  • 10-50% reductions in 30-day re-admissions
  • $100-1,500 reductions in direct variable costs per hospitalization
  • 2-3x increases in patient satisfaction scores
  • 2-3x increases in employee engagement and teamwork scores
  • 10-25% reductions in nursing turnover

“This is the best model for coordinating care that I’ve ever seen. Patients spend less time in the hospital, get better quicker, and don’t bounce back. Our Accountable Care Unit helped us establish a culture of safety. Now we have a unit where patients don’t die and don’t even fall.”

ACU Physician Leader 

“Strangely, the chaos in traditional hospitals is still considered normal. Leaders seem genuinely surprised by complications and delays. So many resources and hours are wasted recovering from what could’ve been prevented in the first place. Our ACU reverses all that and the difference is profound. Every hospital unit should work this way.”

ACU Physician Leader

“The ACU difference is dramatic. It’s like we have twice the number of hands on deck, but we haven’t hired anyone new. We’ve just trained everyone to coordinate with each other and with greater purpose. You can see this remarkable belief here now. We know we’re delivering the care we’d want for our family members or ourselves.”

ACU Physician Leader

Accountable Care Units are defined as geographic care areas consistently responsible for the clinical, cost, and satisfaction outcomes they produce.

Accountable Care Units have four complementary design features:

  1. Unit-based physician teams
  2. Structured Interdisciplinary Bedside Rounds (SIBR® rounds)
  3. Unit-level performance reporting
  4. Unit-level physician and nurse co-leadership

The ACU® care model has grown to more than 100 hospital units in 16 U.S. states and 4 continents, including the widest range of inpatient units, from medical, pediatric, geriatric, and cardiology units to intensive care, progressive care, long-term acute care, and general surgery, neurosurgery and orthopedic surgery units.

Stakeholder Benefits

Hospital Leaders

Accountable Care Units give hospital leaders a powerful platform to control outcomes and costs. Hospital leaders can ensure proactive care becomes the standard of care by providing doctors and nurses with the practice-based training and performance transparency required to make high-performance Structured Interdisciplinary Bedside Rounds routine.


Accountable Care Units allow doctors to combine the attention, effort, and skills of the entire care team. Face-to-face coordination results in a much more efficient and rewarding hospital practice, with better patient outcomes and fewer pages, phone calls, and missed signals.


Nurses in Accountable Care Units benefit dramatically with better and more timely information about their patients. The coordination that happens during high-performance Structured Interdisciplinary Bedside Rounds results in more time spent caring for patients and less time chasing down doctors or struggling to decode jargon in the chart.

Case Managers, Pharmacists, and Therapists

In Accountable Care Units, hospital support staff gain a valuable way to contribute to patient care and recovery. By integrating their vital inputs, the care team can help the patient reach their potential sooner and with greater certainty.

Unit Managers

In Accountable Care Units, unit managers can recruit, retain, and develop a more stable and high-performing workforce. Managers gain a powerful way to set expectations and hold teams accountable to individual and unit outcomes.


Because Accountable Care Units are designed to help patients and families actively participate in their care plan and recovery, they gain greater control, more confidence in their care team, and a better overall hospital experience.

Contact us: launch@1unit.com

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