Through healthcare reform, payment modifications, transparency, and a renewed focus on value, the healthcare industry is changing its organizational structure from one of a multitude of individual entities to one of a system-of-care model. This restructuring and subsequent alignment of information presents new risks and opportunities for physicians, hospitals, and other healthcare providers.
Emphasizing effective interactions between physicians and the health system, Physician Alignment: Constructing Viable Roadmaps for the Future examines the different ways physicians and hospitals can create systems to not only survive, but thrive through the changes facing healthcare. It draws on experienced authors in the area of physician purchasing to explain the various integrative models for physicians and hospitals.
Explaining how these systems should be constructed and aligned, the book provides healthcare organizations with a roadmap for planning for the future. The book concludes with a chapter on accountable care organizations and patient-centered medical homes that moves from the conceptual to administrative embodiments of the principles of an integrated health system as we now know it.
As one who participates in medical school and health system administration, I recommend this volume for its emphasis on understanding and creating the health system of the future.
—David Stern, MD, Executive Dean, Vice Chancellor of Clinical Affairs, UT College of Medicine
Introduction: How We Got Here
Overview of the FutureIntroduction
Physician and Hospital Trust
Traditional Integration Models
Revenue of the Acronyms: Co-management, IPA, and PHO Integration Structure
Clinical Co-management: Share the Gain
The Independent Practitioners Association: How Exclusive Is the Club?
The Physician Hospital Organization: Venus and Mars Form a Company
What Is Old Is New: Employment
Changing World: Making the Decision
Physician Employment Agreements
From the Physician Side
From the Hospital Side
It Is All About Integration
Physician Service Agreements
Physician Payment Models
Appendix: Cultural Assessment Tool
What Is Clinical Integration?
Legal Limitations to Integration
Accountable Care Organizations and the Patient-Centered Medical Home
Accountable Care Organizations
Patient-Centered Medical Home
How Doctors Want to Be Paid for Providing a Medical Home
Assessing Your Current Alignment Strategy
Examples of Systems Strategic Alignment Initiatives
Methodist Le Bonheur; William Breen , Jr.
Putting It All Together: Full IntegrationIntroduction
Blurring of Boundaries
Health versus Healthcare
Demographic and Environmental Factors
Metrics and Transparency