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Evolution of physician-hospital alignment models: a case study of comanagement.
Clin Orthop Relat Res. 2013 Jun; 471(6):1818-23.CO

Abstract

BACKGROUND

Recently, quality, financial, and regulatory demands have driven physicians to seek alignment opportunities with hospitals. The motivation for alignment on the part of physicians and hospitals is now accelerating because the new paradigm under healthcare reform requires an increased focus on improving quality, cost, and efficiency.

QUESTIONS/PURPOSES

We (1) identify the key drivers for physician-hospital alignment models; (2) summarize comanagement as a physician-hospital alignment model; and (3) explore a detailed case study of comanagement as an option to better align physicians with hospital goals on quality, safety, and outcomes.

METHODS

A Medline abstract review was performed that identified 45 references that discuss options for physician-hospital alignment. None of the articles identified provide a detailed example of successful alignment structures. A detailed case study of a successful comanagement alignment program is reviewed.

RESULTS

The key drivers for alignment are inpatient growth rates, declining reimbursements, and the opportunity to improve quality, decrease costs, and increase efficiency. Two general strategies of alignment involve noneconomic and/or economic integration. In our example, comanagement with economic integration was chosen as the preferred structure for physician-hospital alignment.

CONCLUSIONS

The choice of structure will vary depending on the existing relationships and governance of the hospital and the physicians in the targeted area of focus. The measure of success in building physician-hospital alignment is measured in improvements in care for the patient, reduced cost of care delivery, and improved relations between physicians and hospital leadership.

Authors+Show Affiliations

Duke University Hospital, Durham, NC 27710, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23494183

Citation

Sowers, Kevin W., et al. "Evolution of Physician-hospital Alignment Models: a Case Study of Comanagement." Clinical Orthopaedics and Related Research, vol. 471, no. 6, 2013, pp. 1818-23.
Sowers KW, Newman PR, Langdon JC. Evolution of physician-hospital alignment models: a case study of comanagement. Clin Orthop Relat Res. 2013;471(6):1818-23.
Sowers, K. W., Newman, P. R., & Langdon, J. C. (2013). Evolution of physician-hospital alignment models: a case study of comanagement. Clinical Orthopaedics and Related Research, 471(6), 1818-23. https://doi.org/10.1007/s11999-013-2911-0
Sowers KW, Newman PR, Langdon JC. Evolution of Physician-hospital Alignment Models: a Case Study of Comanagement. Clin Orthop Relat Res. 2013;471(6):1818-23. PubMed PMID: 23494183.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evolution of physician-hospital alignment models: a case study of comanagement. AU - Sowers,Kevin W, AU - Newman,Paul R, AU - Langdon,Jeffrey C, PY - 2013/3/16/entrez PY - 2013/3/16/pubmed PY - 2013/6/26/medline SP - 1818 EP - 23 JF - Clinical orthopaedics and related research JO - Clin Orthop Relat Res VL - 471 IS - 6 N2 - BACKGROUND: Recently, quality, financial, and regulatory demands have driven physicians to seek alignment opportunities with hospitals. The motivation for alignment on the part of physicians and hospitals is now accelerating because the new paradigm under healthcare reform requires an increased focus on improving quality, cost, and efficiency. QUESTIONS/PURPOSES: We (1) identify the key drivers for physician-hospital alignment models; (2) summarize comanagement as a physician-hospital alignment model; and (3) explore a detailed case study of comanagement as an option to better align physicians with hospital goals on quality, safety, and outcomes. METHODS: A Medline abstract review was performed that identified 45 references that discuss options for physician-hospital alignment. None of the articles identified provide a detailed example of successful alignment structures. A detailed case study of a successful comanagement alignment program is reviewed. RESULTS: The key drivers for alignment are inpatient growth rates, declining reimbursements, and the opportunity to improve quality, decrease costs, and increase efficiency. Two general strategies of alignment involve noneconomic and/or economic integration. In our example, comanagement with economic integration was chosen as the preferred structure for physician-hospital alignment. CONCLUSIONS: The choice of structure will vary depending on the existing relationships and governance of the hospital and the physicians in the targeted area of focus. The measure of success in building physician-hospital alignment is measured in improvements in care for the patient, reduced cost of care delivery, and improved relations between physicians and hospital leadership. SN - 1528-1132 UR - https://www.unboundmedicine.com/medline/citation/23494183/Evolution_of_physician_hospital_alignment_models:_a_case_study_of_comanagement_ L2 - https://link.springer.com/article/10.1007/s11999-013-2911-0 DB - PRIME DP - Unbound Medicine ER -