Publisher's Synopsis
The Healthcare Executive's Guide to Physician-Hospital Alignment
With millions of dollars riding on a hospital's quality and patient satisfaction scores, hospitals and physicians need to work together to succeed. But how best to align? The Healthcare Executive's Guide to Physician-Hospital Alignment is an essential resource to develop your own roadmap, overcome common roadblocks, and choose the right alignment model and strategies for each service line.
This comprehensive look at the drivers of physician-hospital alignment will help you and your organization:
- Understand key drivers of alignment from the physician and hospital perspective
- Identify common roadblocks and challenges of various physician-hospital alignment strategies
- Examine alignment models
- Create alignment strategies based on service line
Introduction
Chapter 1: Overview of Alignment
- Reasons for alignment
- Hospitals' interest in aligning with physicians
- Current trends
- Summary
Chapter 2: Strength in Numbers and Other Alignment Benefits
- Strength in numbers' impact on health systems
- Strength in numbers' impact on physicians
- Strength in numbers' impact on patients
- Overarching pros and cons of alignment
- Summary
Chapter 3: Impact of Healthcare Reform and New Structures on Alignment
- Accountable care organizations
- Patient-centered medical homes
- American Recovery and Reinvestment Act
- Patient Protection and Affordable Care Act
- Summary
Chapter 4: Alignment Models
- Limited integration models
- Moderate integration models
- Full integration models
- Summary
Chapter 5: Alignment Strategies
- Continuum of alignment strategies
- Employment as an alignment strategy
- Professional services agreements as an alignment strategy
- Other alignment strategies
- Summary
Chapter 6: Physician Practice Perspective
- Security and stability
- Respect and appreciation
- Adequate market share
- Continuing education and training
- Participation in managed care plans
- Financial support and compensation
- Access to capital
- Work-life balance
- Summary
Chapter 7: Hospital Perspective
- Quality care
- Satisfactory margins
- Market share
- Physician collaboration
- Partnership against the competition
- Positioning for the ACO criteria
- Decreased HIT costs and improved efficiencies
- The continual process--dealing with reality
- Summary
Chapter 8: Compensation Strategies
- Limited integration strategies
- Moderate integration strategies
- Full integration strategies
- Summary
Chapter 9: Legal and Regulatory Considerations
- Economic issues
- Structural issues
- Unwind mechanics
- Do your due diligence
- Summary
Chapter 10: Financial Considerations
- Key terms
- Standard of value
- Valuation approaches
- Summary
Chapter 11: Information Technology
- Driving forces for IT
- Clinical HIT integration
- Designing the model
- The economics of aligning
- The role of electronic health records
- Procuring alignment-enabling technology
- Summary
Chapter 12: Alternatives to Physician Alignment Strategies
- Practice-based quality collaboratives/clinically integrated networks
- Quality collaboratives and clinically integrated networks within a physician-hospital alignment strategy
- How do quality collaboratives differ from clinically integrated networks?
- Summary
Chapter 13: Mergers and Acquisitions
- Types of mergers
- Why merge?
- Merger process
- The four-stage process
- Summary
Chapter 14: Comparative Case Studies: Real Life Alignment Experiences and Outcomes
- Case study #1: Multiple service locations as a driver for a global payment PSA
- Case study #2: Securing a primary care base through employment
- Case study #3: Selecting a full form of alignment for strategic partnership
- Case study #4: Using moderate forms of alignment to develop service line cohesion
- Case study #5: Utilizing "new" forms of employment
Chapter 15: Where Do We Go From Here?
- Preparing for alignment through clinical integration
- Population health planning and management
- Behavioral adjustments
- Fiscal considerations
- Final takeaways
