Question

Explain the importance of clinical integration in the strategic planning process.

Demonstrate an understanding of the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system.

Choose one of the models for hospital-physicians integration and discuss the advantages and disadvantages for hospitals and physicians under this model. (Medical foundations, hospital-owned group practices, hospitalists, joint venture initiatives, equity-based joint ventures, etc.)

Answer 1

CLINICAL INTEGRATION IMPORTANCE 100 KON 400 das 100 Kino - It is a physican led program, which creats a high degree of co-operation morder to control cost and quality of the services. dan - This Network of physicians shares data and chold each other accountable for performance against phyican development and agreed upon' dempel peformance and efficing standard. ACCOUNTABLE CARE ORGANISATION - Acountable core organisation P5 a network of physicians, upecialists, surgcons and hospitals who agree to co-ordinare care for a patient population, with the objective of raising the quality care by reducing the lost. It communicates the medical - Core efforts and chelps to treat patients -100 low PIDG JDW Pipa ՀԱՆՐ

and help them stay healthy in future. - It bridges the different component parts of patient care il primary care specialists, hospitals, home health care. slow - It supply the network with technology to efficiently communicate and co-ordinat patient care locatoin sint - It clooks for all the possible ways to bos to reduce spendings and overall cost of health Care for its patients. borge CONTROVERSICA SURROUNDING ACCOUNTABLE CARE ORGANISATION : - Design of Aco's is based on sharing of information for organisations that are already wing some soot of EMR this information sharing is easy but for those organisations who lack EMR, resource cost may increase - Pritially it was thought that physician- led ACO's would be at disadvantage because

of cure. pasts realists, their smaller size versus chospital - led ACO! In ist few years of their existance. it showed that physician - driven groups showed manive expansion but it is said that through studies) older phiniuans are choosing retirement due to change over from how they have practiced in past. leading to lack of necemary efficient nate to physicians in future. DIRECT EMPLOYMENT MODEL FOR HOSPITAL- PHYSICIANS INTEGRATION : - It has a principal advantage of chaving the most flexidety from fraud and Abuse - Under this model, payments to the physician will meet "bona fide cmployce Exception" to fraud and Abure statuc. - This is less complex than others and nose cost led fully integrated - Employment agreemente can ensure that aure

bogo Values based needed Services de provided to persons in need. DISADVANTAGES. - Physicians are reluctant to become hospital employees. - When physicians are hospital employces, they will not have a board seperate from hospital board. - lelhen physicians are hospital workers they office locations may have difficult with hospital licensure fasues. lo logia