Integrated Physician Advantages And Disadvantages

The institute of Medicine (IOM) has defined quality healthcare as safe, effective, timely, efficient and patient-centered care that is given to an individual regardless of their race, gender, financial status or health status (Wood & Haber, 2014). Quality initiatives are designed to help maximize efficiency; decrease poor work performance and resolve workforce problems through leadership, commitment and involvement (Abdallah, 2014). Abdallah (2013) also noted that trained physicians can help with the implementation of quality culture and employee morale, and it can help with the collaboration of ACNP and physician management. According to Chorostecki et al. (2015), interprofessional (IP) care includes shared decision-making, collaborative problem solving, respect in the work field, and equal contribution among all healthcare team members. Implementing effective interprofessional collaboration can help enhance quality care in hospital, acute, home or office settings (Chorostecki et al.,

The health care industry is an environment that is competitive and expensive. To be a patient receiving care the urgency is high and at a very critical point to trust a team of strangers with your care possibly even your life. On the other side of that coin, treating and interacting with patients is a part of the health care industry because providing care does not end with the physician. In the middle of these two different side of health care is where management steps in and takes over the middle ground.

Preferred provider organizations offer flexibility in benefit design and allow patients flexibility to choose from a list of in-network providers for their care. Care provided in-network typically is discounted with out of network services resulting in higher out of pocket expenses to the patient (Hirth, Grazier, Chernew and Okeke, 2007). Clinically integrated networks are a more recently developed managed care structure. In this model, independent practitioners form a virtual network as a means of increasing capacity for contracting with payers of healthcare whether commercial insurance or for self-insured organizations. Physicians recognize advantages to collaborative contracting and the increase in coordinating care of patients through the network (Kaplan and Guest, 2012). Commercial insurance companies are looking to clinically integrated networks as another mechanism to control the costs of healthcare delivery. Accountable care organizations, as with clinically integrated networks, are fairly recent phenomenon with similar but more formalized characteristics. An accountable care organization is a structured network of healthcare entities which have united and are responsible for the health of an identified population. The accountable care organization shares the risk of meeting the health needs of

Involving all parts of the healthcare team will improve the care due to complete access to all resources to prevent implications and promote the ideal outcome for all patients. “By the end of 2013, preventable hospital-acquired conditions would decrease by 40% compared to 2010. Achieving this goal would mean approximately 1.8 million fewer injuries to patients with more than 60,000 lives saved over three years.” (U.S. Department of Health and Human Services, 2011) Health care facilities involved in the partnership

“All health care disciplines share a common and primary commitment to serving the patient and working toward the ideal of health for all.” (American Association of Colleges of Nursing, 2014, p. 1) There are many different professional members in the healthcare system. Each of them, have a specific specialty and responsibility to the patient and play an important role in the patient’s overall plan of care. “The scope of health care mandates that health professionals work collaboratively and with other related disciplines. Collaboration emanates from an understanding and appreciation of the roles and contributions that each discipline brings to the care delivery experience.” (American Association of Colleges of

Integrated Managed Care Organization- The organization is properly aligned for the primary driver being cost cutting services. Since all entities within the organization are responsible and affected by any expenses endured on any entity being unfavorable or favorable, the foundation serves as a primary motivator to reduce costs at all levels. This alignment eliminates any financial gains from driving high utilization of services or higher intensity services within the organization. Ultimately, this system allows the physician medical group to drive care, being responsible for the clinical care decisions as opposed to health plan making those decisions as designed in other organizations. This is the preferable model for Medicaid systems as

In this context, partnership exists not only between nurses and physicians, but also among patients, healthcare educators, other health practitioners, administrators and relevant social networks. These “team members” of health care services shall share responsibility of a common and ultimate goal, a goal of generating better health and well-being with fairness, justice and equality based on humanness. From my point of view, all forms of knowledges, skills, technologies and other resources shall be deemed as means to reach that goal rather than as references or as

Many examples of innovative professional practice have been highlighted throughout recent literature; which suggest that the needs of a patient are best met by an interprofessional team. (Caldwell & Atwal, 2003) Benefits from effective interprofessional practice include improved health outcomes, interprofessional team effectiveness and efficiency, job satisfaction among interprofessional team members, cost efficiency and respect for the roles of other health professionals and colleagues. (McNair, Brown, Stone & Sims, 2001) Interprofessional practice is critical to the provision of effective and efficient health care; given the complexity of patient's healthcare needs and the range of health providers and organisations. (Reeves et al.,

It is true that collaboration between healthcare leaders and providers is essential for effective and efficient care delivery. However, “the ability to collaborate consistently, and in a way that ensures quality care, continues to elude” (Bankston & Glazer, 2010, p.1). This is as a result of insignificant interdisciplinary challenge for nurses, providers, and leaders in today’s healthcare. The openness and autonomy of bringing healthcare leaders, and healthcare professionals is to achieve positive patient outcomes. Bankston et al. declared that “one approach to bridging this interprofessional-collaboration gap could be the development of partnerships to facilitate the creation of interdisciplinary laboratories, sometimes called “collaboratories,”

In Clinical Integration in Strategic Planning “providers can track the patient across the continuum, coordinate care across the continuum and make sure the patient is getting the most appropriate care in the most appropriate environment” (Karash & Larson, 2016). It is needed to simplify the direction/coordination of patient care through any circumstances, providers, sceneries, and time in order to attain care that is harmless, appropriate. effectual, well – organized, reasonable and patient-focused. In addition, clinical integration also develops the partnership with the physician, an administrator developing the partnership with the team. Clinical integration starts from the top board of

The purpose of this paper is to discuss how true clinical integration of hospitals and physicians is impacted by The Federal Trade Commission policy statements. In this context, the term true clinical integration is used to describe engagement and alignment among hospitals and physicians to achieve meaningful clinical process redesign that can change culture and lead to lasting differences in the way care is delivered. This is to differentiate the term clinical integration as an alignment vehicle principally for antitrust liability avoidance purposes.

A managed care organization is a collection of clinics, doctors, hospitals, pharmacies and other healthcare providers who come together to offer health care to persons who are sign up for the services. In many cases, managed care organizations operate and are referred to as networks of health care providers. Managed care organizations are comprised of health care experts from different fields who come under an agreement to offer health care services to members. Once a member signs up, all their heath care needs are covered by the managed care organizations. Access to care outside the organization is restricted. Members under managed care organizations are usually assigned a primary care physician (PCP) who is the

In today’s complex world, business issues in the medical industry can take preference in determining the sustainability of a medical practice. One of the biggest challenges facing physicians today is not only concerned with patient

Each department works together to create a smooth streamline transition for every patient. The employees, from customer service to administration to physicians, work on the same level with one another and share in the passion of treating and healing their patients. The employees continue their focus of their patients to the patient’s family as well.

Teamwork is vital in healthcare.  When all participants are engaged in a program, goals are successfully achieved. Being able to communicate and work collectively as a team requires an appreciation for each other’s area of practice.  Every team member has an important role and being acknowledged provides a sense of responsibility and accountability. Essentially, inter-professional collaboration helps ensure that the patient is getting care that is not only accessible but also comprehensive.  The plan of a patients’ care includes active participation by all health care professionals working interdependently in accordance to the patient’s preferences, values and beliefs. The health care team accomplishes the goal of meeting the patient’s medical needs by delivering evidence-based practice.   To deliver quality care, the patient should always be involved.