在过去的十多年里,心血管(CV)提供者的格局发生了重大变化, 许多CV云顶集团40011官网从私人执业过渡到云顶集团40011官网的直接就业. 即使是那些仍然在私人执业的提供者也倾向于与主要转诊网络和云顶集团40011官网紧密联系. Today, 据ECG估计,80%或更多的CV云顶集团40011官网与医院或云顶集团40011官网整合在一起,在某些市场,这一数字高达100%.
With this shift to alignment, 许多云顶集团40011官网在心脏病学实践的文化和操作整合方面遇到了挑战. 这篇博文概述了云顶集团40011官网可以采取的三个关键策略,以应对这些挑战并最大化其CV提供者网络.
1. Involve Physicians in Service Line Governance
Under the private practice model prevalent for so many years, CV云顶集团通常组织在不同的科室,云顶集团40011官网不直接参与云顶集团线的管理.
Figure 1: Siloed Service Line Elements
这导致整个CV部门缺乏连续性和患者护理协调. Siloed functional areas would make decisions independently, 而不考虑他们的决定如何影响患者护理和相关心血管功能领域的工作流程. Closer alignment between CV physicians and health systems, with physicians taking an active role in the governance of the service line, enables health systems to establish more formal, clinically integrated CV service lines, organizing services to include all the elements of CV care.
A service line management structure, inclusive of physician leadership, 消除了在图1所示的传统组织图中看到的垂直筒仓. 它创建了一个整合的结构,有专门的领导负责监督所有与简历相关的部门, enhancing patient care coordination, and improving operational activities. 这种转变将云顶集团40011官网领导的角色从传统的临床倡议扩展到关注如何, where, and when care is delivered; new program development; and continual improvement in service line performance. 它还创造了一个机会,使云顶集团40011官网与行政和护理领导合作,扩大对整个云顶集团线的监督.
Within the industry, there is a wide range of service line governance models. An example of an integrated governance model is depicted in figure 2. Regardless of the formal structure, the CV program should engage physician leadership. Demonstrating a commitment to physicians is essential, 因为CV云顶集团对大多数医院和云顶集团40011官网的盈利能力贡献巨大. 那些积极发展和培养云顶集团40011官网领导者的组织将最有可能取得成功.
Figure 2: Clinically Integrated Service Line Governance Model
2. Define an Ambulatory Strategy
Advancements in clinical technology, financial pressures from payers, 和不断变化的法规正在继续推动CV程序从医院转移到成本较低的护理场所,如门诊手术中心(ASCs)。. 这种程序性迁移正在影响云顶集团40011官网的总收入,同时刺激对新资产的投资.
To remain competitive and preserve revenues, 云顶集团40011官网将需要增加与cv相关的总量,以抵消病例迁移带来的收入损失. 这一增长将通过投资新的心血管云顶集团护理地点和采用有效的治疗方案来实现,以确保患者获得高质量的护理(见图3)。.
Figure 3: Evolving Sites of Care for CV Services
随着病例移出医院,不断变化的经济格局将对组织的CV云顶集团线产生重大影响, 因此,云顶集团40011官网必须采取审慎和现代的方法来提供高质量的云顶集团, comprehensive services within their communities. 获得或开发用于CV程序的ASC或办公室实验室(OBL)为云顶集团40011官网提供了增加病例量和提高效率的机会, enables the hospital to offer a lower-cost site of service to patients and payers, and keeps the case volume within the system. Alternatively, 不追求正式ASC战略的组织必须优化其现有的医院门诊部(HOPD)诊所以提高效率, convenient, and up to date for providers and patients.
3. Expand Networks through Regional Outreach and Digital Health
In general, 隶属于云顶集团40011官网的团体将更好地准备支持招聘工作,以满足外联需求, which in turn will drive new volumes to the system. Outreach efforts may be better coordinated to establish a presence in outlying, 并通过与初级保健云顶集团40011官网建立的关系提供远程医疗预约. 农村市场经常面临提供者短缺的问题,云顶集团40011官网和app一起实践CV药物,以覆盖各种各样的患者.
与云顶集团40011官网的财务联系消除了云顶集团40011官网需要经营自己诊所的行政负担, 使组织能够更好地调整激励措施,以奖励数字健康方面的推广或努力. 这使得系统能够在传统上专家云顶集团不足的地区提供物理或数字云顶集团,同时也扩大了云顶集团范围, expanding patient access to care, and reducing out-migration.
Key Takeaways for CV Service Line Leaders
心血管云顶集团线的共同战略方向是与受雇和一致的心脏病学实践成功关系的基础. 组织可以通过将CV云顶集团40011官网纳入云顶集团部门的领导角色来建立高绩效的项目, 允许医师领导与云顶集团部门的行政领导建立二元关系. 这种伙伴关系结合了临床专业知识和操作技能,以成功应对医疗云顶集团中日益复杂的挑战.
ECG的心血管咨询团队热衷于改善心血管护理云顶集团,自2010年以来,已在100多家母公司开展了近300次心血管云顶集团. 我们的专家专注于为全国领先的简历项目提供执行咨询云顶集团.
Edited by: Matt Maslin