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.
Provides an accessible introduction to the different types of healthcare delivery models Covers the various types of integration-starting with the simplest and evolving into full employment models with full integration Includes helpful information for doctors considering a transition to physician employment Highlights emerging trends in healthcare 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.
Introduction: How We Got Here Historical Perspective Economic Imperatives Bibliography Overview of the Future Introduction Physician and Hospital Trust Bibliography Traditional Integration Models Medical Staff Medical Directorships Call Coverage Bibliography Revenue of the Acronyms: Co-management, IPA, and PHO Integration Structure Introduction Clinical Co-management: Share the Gain Co-management Example The Independent Practitioners Association: How Exclusive Is the Club? The Physician Hospital Organization: Venus and Mars Form a Company Bibliography Physician Employment What Is Old Is New: Employment Employment Considerations Changing World: Making the Decision Physician Employment Agreements From the Physician Side From the Hospital Side Physician View It Is All About Integration Foundation Model Physician Service Agreements Clinical Institutes Governance Physician Payment Models Appendix: Cultural Assessment Tool Bibliography Clinical Integration What Is Clinical Integration? Bundled Payments Legal Limitations to Integration Information Technology Bibliography Accountable Care Organizations and the Patient-Centered Medical Home Introduction Accountable Care Organizations Patient-Centered Medical Home How Doctors Want to Be Paid for Providing a Medical Home Bibliography Assessing Your Current Alignment Strategy Examples of Systems Strategic Alignment Initiatives Methodist Le Bonheur; William Breen , Jr. Bibliography Putting It All Together: Full Integration Introduction Blurring of Boundaries Health versus Healthcare Performance-Based System Demographic and Environmental Factors Legal Environment Metrics and Transparency Population Health Physician Leadership Patient Engagement Transformation Bibliography