Partners in Health : How Physicians and Hospitals Can Be Accountable Together.
- 1st ed.
- 1 online resource (269 pages)
- New York Academy of Sciences Series ; v.44 .
- New York Academy of Sciences Series .
Partners in Health: How Physicians and Hospitals Can Be Accountable Together -- CONTENTS -- FIGURES AND TABLES -- ACKNOWLEDGMENTS -- THE EDITORS -- THE CONTRIBUTORS -- FOREWORD -- PARTNERS IN HEALTH -- CHAPTER ONE: INTRODUCTION AND VISION -- Introduction -- Delivery System Reform Proposals -- Physician-Hospital Integration as Central to Delivery System Reform -- About This Book -- Notes -- CHAPTER TWO: HISTORY OF PHYSICIAN-HOSPITAL COLLABORATION: Obstacles and Opportunities -- Introduction -- Historical Development of Physician-Hospital Relationships -- The Hospital's Growing Responsibility for Clinical Risk and Cost -- Conclusion -- Notes -- CHAPTER THREE: ACHIEVING THE VISION: Structural Change -- Introduction -- Challenges in Hospital-Physician Relationships -- Accountable Care Organizations (ACOs) -- Four ACO Models -- Promoting Hospital-Physician Collaboration -- Addressing the Redesign Imperatives -- A Supporting Framework for Developing ACOs -- Conclusion -- Notes -- CHAPTER FOUR: ACHIEVING THE VISION: Payment Reform -- Introduction -- Evolution of Payment Methods and the Hospital-Physician Relationship -- Moving Toward New Incentives -- Conclusion -- Notes -- CHAPTER FIVE: ACHIEVING THE VISION: Operational Challenges and Improvement -- Introduction -- Operational Value of Physician-Hospital Integration -- Operational Barriers to Improved Integration -- Operational Changes to Encourage Integration -- Case Study: Saint Joseph Mercy Hospital -- Conclusion -- Notes -- CHAPTER SIX: OVERCOMING BARRIERS TO IMPROVED COLLABORATION AND ALIGNMENT: Legal and Regulatory Issues -- Introduction -- Antitrust -- Fraud and Abuse -- Tax Exemption -- State Laws -- Conclusion -- Notes -- CHAPTER SEVEN: OVERCOMING BARRIERS TO IMPROVED COLLABORATION AND ALIGNMENT: Governance Issues -- Introduction -- Historical Development of Modern Hospital Governance. Medical Staff Governance -- Additional Challenges to Governance and Alignment -- The Board of the Future: Moving Beyond Oversight to Collaborative Leadership -- Conclusion -- Notes -- Commentaries -- CHAPTER EIGHT: OVERCOMING BARRIERS TO IMPROVED COLLABORATION AND ALIGNMENT: Cultural Issues -- Introduction -- Key Differences Between Hospital and Physician Cultures -- Simple Rules for Engagement -- Case Study: Middlesex Hospital -- Conclusion -- Notes -- CHAPTER NINE: SPECIAL ISSUES FOR SAFETY NET HOSPITALS AND CLINICS -- Introduction -- Public Safety Net Hospitals and Clinics-A Training Model of Care -- Current Models of Physician Staffing in Public Hospitals and Health Systems -- Core Considerations for Physician-Hospital Integration in Public Safety Net Institutions -- Examples of Tighter Physician-Hospital Integration in Safety Net Institutions -- What Can We Learn from Public Safety Net Hospitals and Clinics? -- Implications for Non-Safety Net Institutions -- Conclusion -- Notes -- CHAPTER TEN: SPECIAL ISSUES FOR ACADEMIC MEDICAL CENTERS -- Introduction -- Organization and Management of AMCs -- Financial Challenges for AMCs -- Unique Role of the Medical School -- Advantages and Challenges to Collaboration in AMCs -- Case Study: Vanderbilt University Medical Center -- Conclusion -- Notes -- Commentary -- CHAPTER ELEVEN: WHAT NEEDS TO HAPPEN NEXT? -- Physicians -- Existing Multispecialty Group Practices -- Hospitals -- Payers, Plans, Employers, and Government as Payer -- Government as Lawmaker and Regulator -- Patients, Patient Advocates, and the Media -- Conclusion -- Notes -- INDEX.
9780470626573
Health care reform-United States. Hospital-physician joint ventures-United States.