Question

ade Dorton -'lle, t e ceus to |mprove me exs1ng relationsnip between the nospital and physicians. In 400 words or less, prepare a response to the CEO in Table format that.(1)Provides your professional opinion on the current status of hospital-physician relations, (2)identifies three current issues that impact hospital - physician professional collaboration, and (3)recommends a strategy for each issue the CEO might consider to better align hospital-physician collaboration within the context of declining Medicare reimbursement and health reform initiatives Provide supporting rationale with at least two outside scholarly sources for why you believe each strategy would work Overall professional opinion on current status of hospital -physician collaboration (150 words or less) Issues (one to two sentences) Strategy (one to two sentences Supporting Rationale (one to two paragraphs) References

Case 30: Where the Rubber Hits the Road: Physician-Phelps Hospital Relationships

From Health Services Management: A Case Study Approach (11th ed) by McAlearney & Kovner

Answer 1

Professional Opinion on the current status of the hospital: Phelps is one of the large or leading hospitals they now participate only in Medicare and workers' compensation. A current problem is that Phelps can't get subspecialists to take the call in the ED. Phelps should strengthen the hospitalist system, Views on Medicare and Hospital Adaptation Medicare has become a two-tier system—those who can afford it and those who cannot. Hospital reimbursement is down and costs are increasing. Doctors used to build their practice by taking the call. Physicians do not get paid sufficiently. Lifestyle is an issue for younger physicians. They do not see the profession as an all-encompassing lifestyle as the older physicians might have. The medical staff bylaws should be changed so that physicians still have to take the call, even if they are 55 years old and have worked at Phelps for 20 years

Issues	Strategy	Supporting Rationale
* The hospital has physician issues. Specialists want to be paid to be on call for the ED. Phelps can't get subspecialists to take the call in the ED.	* Phelps should be innovative in forming relationships with physicians. Phelps should not look only at volume but also emphasize ethical and expert care.	Most of the physicians having high experience in the hospital, but the organization is treating them fairly.
* The CMO, faces is to help with the implementation and enforcement of compliance. The Stellaris computer system is a handicap because "the computer system doesn't adapt to the physicians	*Putting new innovations for the medical database that will help the physician to work smoothly	*Whatever decisions are made by the administration, they must be worked out so that physicians also benefit. Putting of new innovations will improve the present condition of the hospital
*The reimbursement for the physician is very less	*Should strengthen the hospitalist system and should have to improve the reimbursement.	*Pay for the performance and give rewards