Integrated physician model is a chain of partnerships between hospitals and physicians that have developed over time (Harrison, J. P. (2016). These partnerships are connected through common goals to provide coordinated care to a patient throughout the whole continuum of care. One of the goals is to make care safer and better coordinate of patient transitions from hospitals to other settings (cms.gov) All physicians come together are integrated into the joint venture, from home care to hospitals to long-term nursing homes, clinic, outpatient surgery etc. Integrated physician model is a partnership amongst physicians.
2) Explain the importance of clinical integration in the strategic planning process.
Clinical integration is the coordination of patient care between hospitals and physicians across the healthcare continuum. Clinical integration starts with administration to design the strategic plan. Work at pursuing effective clinical integration to build a partnership with the clinical team. Integrating into administration. (Head of dept.) Administration and physicians develop a partnership to make sure the strategic plan is successful including clinical and non-clinical team members. When you have a strong relationship between administration and physicians it results in successful outcomes with the ACO (Accountable Care Organization.).
3) Demonstrate an understanding of the dynamics of and controversies surrounding accountable care organizations and alternative approaches
“An Integrated Physician Model is the result of a series of partnership between hospitals and physician develop overtime” (Harrison, 2016). Primarily, it is a joint venture that has become many joint ventures. In addition, all of this joint ventures are connected through congruent goals, and that is to provide different level of care to all the patients. Integrated physician model also organizing themselves to improve the cost and quality by operating under a clinical guideline. This could include acute care hospital, home care, nursing homes, affiliated medical group, primary care clinics, employed physician and any independent medical groups.
The organization strategic plan consists of addressing clinical quality, growth, and becoming a larger part of the community, and providing long term value. The annual report states the following strategic goals (Bon Secours, 2012):
This week’s assigned readings focus on the importance of inter-professional teamwork and collaboration within the healthcare environment. Porter-O Grady describes in the readings that the complex nature of our healthcare system and the complex needs of patients call for a multifaceted approach to patient care (2013). This is greatly because current healthcare practices often necessitate for patients to obtain care from various care settings and from various specialties, making it nearly impossible for one discipline to effectively meet all of the patient’s needs (Porter-O Grady,2013). Interprofessional collaboration (IPC) supports a multifaceted approach to care and is defined by Kara et al. (2015) as the process through which different discplines
Building upon the knowledge gained in its previous attempts, over the next several years, IHC went about creating the infrastructure necessary to support such a model. IHC reorganized its management teams to include “a clinical administrative structure to be the clinical counterpart of the administrative structure at each level of the organization” (Bohmer, 2002). Guidance Councils (consisting of a physician leader and nurse manager) were formed for each clinical program and were responsible for coordinating program goals, management strategies and data collection across the system. Within the Guidance Councils were interdisciplinary Development Teams who identified “the key work processes and medical conditions for which protocols should be developed”, then created, implemented and refined said protocols (Bohmer, 2002). This was made possible by engaging practicing physicians (who were wisely reimbursed for their time) in the process, which gave them both the direct experience of the systems they created (be it paper or computer) and a provided feedback loop within the clinical community. Furthermore, IHC created a culture around process improvement, organizing “everything around value-added (front line) work processes” while offering “extensive training in clinical process improvement” as well as operational process improvement (Clark, 2010).
Clinical integration has commonly been viewed primarily as a legal concept that allowed unrelated fee-for-service providers to negotiate joint contracts with payers.
Without strategic planning, several things can go wrong including missing out on great opportunities. Strategic planning is an organization’s outline to help achieve its purpose. Although strategic planning begins at the top of the pyramid, it is more effective when it is carry out as a whole among other in the organization. Having a good internal control system in place protects an organization from high risk, fraud, and more. Jackson Memorial Hospital has several weaknesses which are similar to its competitors and other health care organizations. For instance, Mount Sinai Medical Center one of Jackson Memorial’s competitors, encountered lack of strategic planning that led to many issues such as with readmissions, surgical complications,
There are several different reasons as to why a long term care facility would seek to join either an integrated health system (IHS) or an integrated health network (IHN). The motivation to participate typically comes from either a requirement or eagerness to enhance the organization's situation within the long term care environment. Organization chose to incorporate an integrated system or network when the goals of the whole outweigh the goals of the individual organization's current state.
Improve coordination of care through the enhancement of interoperability among internal and external partners in care
Managing a strategic plan is about setting the underpinning aims of an organization, choosing the most appropriate goals and fulfilling them overtime (Masood et al., 1995). Furthermore, managing a strategic plan can be defined as the art of formulating, implementing and evaluating cross-functional decisions that helps as organization to achieve their objectives (Analoui & Karami, 2003, p. 5).
Under Medicare Advantage plan, the insurer gets a fixed capitation payment from Medicare and then it pays to the physicians, hospitals and other providers. The health system executives can coordinate care more effectively. Integrated delivery networks are created by health systems and other providers which includes Acute care hospitals, Primary care physicians, home health care, long-term care etc.
Integrated Managed Care Organization- The organization is properly aligned for the primary driver being cost cutting services. Since all entities within the organization are responsible and affected by any expenses endured on any entity being unfavorable or favorable, the foundation serves as a primary motivator to reduce costs at all levels. This alignment eliminates any financial gains from driving high utilization of services or higher intensity services within the organization. Ultimately, this system allows the physician medical group to drive care, being responsible for the clinical care decisions as opposed to health plan making those decisions as designed in other organizations. This is the preferable model for Medicaid systems as
Involving all parts of the healthcare team will improve the care due to complete access to all resources to prevent implications and promote the ideal outcome for all patients. “By the end of 2013, preventable hospital-acquired conditions would decrease by 40% compared to 2010. Achieving this goal would mean approximately 1.8 million fewer injuries to patients with more than 60,000 lives saved over three years.” (U.S. Department of Health and Human Services, 2011) Health care facilities involved in the partnership
Wow Hospital (WH) managers also called healthcare executives or healthcare administrators, plan, direct, analysis and coordinate medical and health services. They might manage an entire facility or specialize in managing a specific clinical area or department, or manage a medical practice for a group of physicians. Medical and health services managers must be able to adapt to changes in healthcare laws, regulations, and technology.
In business there are strategies that need to be fulfilled. Starting a business or health care organization we need to use strategy planning. In the strategy planning of our business or health care organization we need to map out the mission, vision and goals that we want our business or health care organization to meet. My paper is going to be on the Veterans Health Administration strategy planning. This paper will review their internal and external assessments, competitive marketing analysis, identification of stakeholders, an overview and assessments of services provided, competencies and
Strategic Planning is one of the most fundamental factors in the success of an organization. This research project will discuss the importance of strategic planning as well as the different components of strategic planning. Many organizations fail to accomplish their goals and tasks due to the lacking of strategic planning. In order for their businesses to be successful, organizations need to be well informed about how the strategic planning process works.