Question

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

The concept of an "integrated physician model"

It is a generic term referring to at least a mutual effort of physician and hospital integration for a range of purposes i.e. to access the market on a wide basis, optimize cost and clinical outcomes, recognize and manage a complete series of financial arrangements to offer a set of defined advantages to a distinct population, line up financial incentives of participants and work under a cohesive structure

The importance of clinical integration in the strategic planning process

1.    It provides a specific model of organization and cooperation of medical doctors that allocates tasks and defines roles in a different way for essential medical services and for specialized medical services within the hospital

2.    It provides centralized Performance Management Unit carrying out the core roles of patient advocacy, quality management and productivity management

3.    It ensure Medical Coordination Units that synchronize the delivery of specialized medical care along clinical pathways and carry out administrative tasks for the Medical Service Units and Medical Specialist Units

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

These organizations might be dynamic and change over time through having a plan and forecast areas where they can have prospective to grow thus through the application of predictions organizations are may have the ability to start obtaining the relevant resources they require to become dynamic and change over time thus the approaches to the current health system include:

1.    Keeping healthy or prevention

2.    Detecting health problems

3.    Diagnosing diseases

4.    Treating diseases

5.    Proving for a good end of life

One of the models for hospital-physicians integration and the advantages and disadvantages for hospitals and physicians under this model

Physician leadership model

physician decisions drive about a proportion of 80% of all healthcare expenditures including primary care network, Information systems, Re-engineering and CQI, Continuum of Care in order for the patients to move easily from one site of healthcare service to another within the system thus an organized management function need to track the cost and quality of care in every site and synchronize the progress of patients and resources across all sites.