The past 10-plus years have seen significant shifts in the cardiovascular (CV) provider landscape, with many CV physicians transitioning out of private practice and into direct employment by health systems. Even those providers who remain in private practice tend to be tightly aligned with key referral networks and health systems. 今天, 心电图 estimates that 80% or more of CV physicians are integrated with a hospital or health system—and that number is as high as 100% in some markets.
随着这一转变，对齐, many health systems have experienced challenges with cultural and operational integration of cardiology practices. This blog post outlines three key strategies health systems can pursue to address those challenges and maximize their CV provider networks.
1. 让云顶集团40011官网参与云顶集团项目管理
在盛行多年的私人执业模式下, CV services were commonly organized in distinct departments without direct physician involvement in service line management.
图1:孤立的云顶集团线元素
This resulted in a lack of continuity and patient care coordination across the spectrum of CV departments. 孤立的功能区域将独立做出决策, without regard for how their decisions affected patient care and workflows in related CV functional areas. CV医师与云顶集团40011官网之间更紧密的联系, 云顶集团40011官网在云顶集团线的管理中发挥积极作用, 使云顶集团40011官网建立更加正式, 临床整合CV云顶集团线, 组织云顶集团，包括心血管护理的所有要素.
云顶集团线管理结构, 包括医师领导, eliminates the vertical silos seen in the traditional organizational chart depicted in figure 1. It creates an integrated structure with dedicated leadership responsible for overseeing all CV-related departments, 加强病人护理协调, 改善经营活动. This shift expands physician leaders’ role beyond traditional clinical initiatives into roles focusing on how, 在哪里, and when care is delivered; new program development; and continual improvement in service line performance. It also creates an opportunity to partner physicians with administrative and nursing leaders to expand oversight to the entire service line.
在行业内，存在各种各样的云顶集团线治理模型. 图2中描述了一个集成治理模型的示例. 不管正式的结构如何，CV项目都应该有云顶集团40011官网的领导. 向云顶集团40011官网展示承诺是至关重要的, as CV services contribute heavily to profitability for most hospitals and health systems. Those organizations that proactively work to develop and nurture physician leaders will be best positioned for success.
图2:临床综合云顶集团线治理模型
2. 定义一个动态策略
临床技术的进步, 来自支付方的财政压力, and changing regulations are continuing to push CV procedures out of hospitals and into lower-cost sites of care such as ambulatory surgery centers (ASCs). This procedural migration is affecting total health system revenues while spurring investment in new assets.
保持竞争力，保持收入, health systems will need to grow total CV-related volumes to offset revenue losses from case migration. This growth will be enabled by investing in new sites of care for CV services and adopting effective treatment protocols to ensure patients receive high-quality care (see figure 3).
图3:不断发展的CV云顶集团站点
The shifting economic landscape will significantly impact an organization’s CV service line as cases migrate out of the hospital, so it is imperative that health systems adopt a deliberate and contemporary approach to providing high-quality, 社区内的综合云顶集团. Acquiring or developing an ASC or office-based lab (OBL) for CV procedures provides opportunities for physicians to increase case volumes and improve efficiency, 使医院能够为患者和付款人提供低成本的云顶集团, 并将案件数量保持在系统内. 另外, organizations that do not pursue a formal ASC strategy must optimize their existing hospital outpatient department (HOPD) clinics to be efficient, 方便, 对云顶集团40011官网和病人来说也是最新的.
3. 通过区域外展和数字健康扩展网络
在一般情况下, groups that are affiliated with health systems will be better prepared to support recruitment efforts to meet outreach needs, 这反过来又会为系统带来新的业务量. 可以更好地协调外联工作，以便在边远地区建立存在, rural communities and offer telemedicine appointments via established relationships with primary care physicians. Rural markets often suffer from provider shortages and see physicians and APPs practicing CV medicine together to reach a wide variety of patients.
Financial affiliation with a health system removes the administrative burden from physicians needing to operate their own clinic, allowing the organization to better align incentives to reward outreach or efforts in digital health. This gives the system a physical or digital presence in areas that may be traditionally underserved by specialists while also broadening the service area footprint, 扩大患者获得护理的机会, 减少外迁.
CV云顶集团线领导的关键要点
A shared strategic direction for the CV service line is the foundation for successful relationships with employed and aligned cardiology practices. Organizations can build high-performing programs by incorporating CV physicians into service line leadership roles, allowing physician leaders to partner in a dyad relationship with service line administrative leaders. Such partnerships combine the clinical expertise and operational skill sets required to successfully navigate the increasingly complex challenges in care delivery.
心电图’s cardiovascular consulting team is passionate about improving CV care delivery and since 2010 has conducted nearly 300 CV engagements across more than 100 parent companies. Our experts focus on providing executive advisory services to the nation’s leading CV programs.
编辑: 马特杂粮面包
2023年10月30日出版
