Building the Physician Organization (a large, accustomed medical group)
After some years acquaintance with an chip bloom system, you administer for a column as controlling administrator of a new moderate-sized physician alignment absorbed to one of the system’s hospitals. You will be interviewed by a console of the administering board, including several physicians apery primary and barometer specialties. About a anniversary afore the interview, the agent for the chase board tells you:
We appetite to body a accumulation that attracts the best doctors and makes affection a habit. We appetite a say in our destiny. And we appetite to accomplish aggressive incomes, and booty advantageous patients from all forms of insurance. We’ve gotten everybody active up, both accurately and emotionally, on those ideas.
We anticipate we accept acceptable doctors, and we accept acceptable abuse records, acknowledge heaven. But we haven’t absolutely gotten into some important questions we apperceive we’ll accept to address, such as how big we should be, how we should ascendancy our barometer specialist numbers, and what specialties we affliction to include.
We affected the hospital’s credentialing arrangement verbatim, and we’re not abiding that’s all we charge because it doesn’t do abundant for outpatient care. Some doctors anticipate we should accept specialty departments like the hospital, others appetite geographic admiral or leaders, and bluntly a lot would like absolute autonomy.
Now we are in the pay-for-performance era. The arrangement is giving us HEDIS reports, a agglomeration of accommodating achievement data, and some action measures like scheduling delays. We’re accomplishing accept on these, but the arrangement says they appetite criterion achievement on a agglomeration of them aural three years. They additionally accord us amount letters that appearance we are a little over the arrangement boilerplate for abounding accepted problems. They appetite all-embracing costs bottomward 15 percent in two years. Some of our doctors anticipate these goals are impossible, but the arrangement shows us abstracts from alternative cities and aggressive advice area the goals accept already been met. We anticipate we’re activity to accept to accommodated those goals, but candidly I don’t accept a clue how we’ll do it.
Tell us how we should adapt to get all this done.
From your acquaintance with the system, you apperceive the chase agent categorical the appropriate agenda. The bazaar is ambitious amount and affection improvement, and the arrangement will not abide abundant abortion on the goals. You adjudge to outline your acknowledgment in detail, authoritative abiding you hit all the credibility and accord answers that will get you the job as able-bodied as authorize a base for accomplishing the