Frontiers of Health Services Management最新文献

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Implementing a New Service Line Model to Support Growth and Serve Patients. 实施新的服务线模式,以支持增长和服务患者。
Frontiers of Health Services Management Pub Date : 2021-04-01 DOI: 10.1097/HAP.0000000000000104
Peter S Fine, Kathy Kuhlenbeck
{"title":"Implementing a New Service Line Model to Support Growth and Serve Patients.","authors":"Peter S Fine,&nbsp;Kathy Kuhlenbeck","doi":"10.1097/HAP.0000000000000104","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000104","url":null,"abstract":"<p><strong>Summary: </strong>Many healthcare organizations are reinvesting in clinical service lines to differentiate themselves, standardize evidence-based care, and add value. Typically, service line structures are built around hospital-based procedures and are accountable solely to local operations. That can be a blueprint for missed growth and lost value.Banner Health, based in Phoenix, Arizona, with operations in six southwestern states, has pivoted to a systemwide service line strategy to foster growth and support value-based care. Service lines are now organized to maximize both revenue and quality across the continuum of care, to the benefit of both the system and its patients. The new, team-based structure allows Banner Health to respond nimbly to changes in the healthcare environment because it is based on the ways patients access the system. In 2021, just two years into this complex transition, the results have demonstrated that this service line model can achieve measurable benefits that include growth; improved financial performance, safety, and clinical outcomes; and increased collaboration in value-based payment models-all helping the system to realize its mission of making healthcare easier so that life can be better for our patients.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":" ","pages":"4-13"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25401067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Service Line Development Serves to Support the Entire System. 服务线开发服务于支持整个系统。
Frontiers of Health Services Management Pub Date : 2021-04-01 DOI: 10.1097/HAP.0000000000000107
Sarah Roberts
{"title":"Service Line Development Serves to Support the Entire System.","authors":"Sarah Roberts","doi":"10.1097/HAP.0000000000000107","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000107","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":" ","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25401068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changing Times Point to New Directions in Clinical Service Line Leadership. 时代变迁为临床服务领导指明新方向。
Frontiers of Health Services Management Pub Date : 2021-04-01 DOI: 10.1097/HAP.0000000000000109
Richard J Priore
{"title":"Changing Times Point to New Directions in Clinical Service Line Leadership.","authors":"Richard J Priore","doi":"10.1097/HAP.0000000000000109","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000109","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"37 3","pages":"41-47"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10364927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Service Lines: Working Toward a Value-Based Future. 服务宗旨:迈向价值导向的未来。
Frontiers of Health Services Management Pub Date : 2021-04-01 DOI: 10.1097/HAP.0000000000000105
John A Lutz, Paula M Zalucki, Maria Finarelli
{"title":"Service Lines: Working Toward a Value-Based Future.","authors":"John A Lutz,&nbsp;Paula M Zalucki,&nbsp;Maria Finarelli","doi":"10.1097/HAP.0000000000000105","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000105","url":null,"abstract":"<p><strong>Summary: </strong>The primary drivers for service line development have historically been market differentiation and profitable growth. In the current transition to value-based care, however, several other factors are now driving service line strategy. Specifically, in a value-based world, service lines must be patient centric, not provider centric; they must focus on more than hospitals; and they must be market facing.To build the operating model of the future and succeed in a value-based world, health systems need to reimagine the clinical, operational, and financial features of today's service lines. In working toward this future state, a coordinated, evidence-based care model with a multidisciplinary care team must replace today's episodic care. Easy access to prompt solutions and a seamless, low-stress experience for both patients and providers will be new competitive differentiators, along with cost transparency. Outcomes, patient convenience, and the total cost of care will drive future service line relationships between health systems and physicians. The criteria for selecting physician partners will be materially different, too.In implementing this future-state model, healthcare organizations will need to reconcile several opposing forces and tear down structural and operational silos. Health systems that can navigate through these challenges can realize numerous benefits.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"37 3","pages":"14-28"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10364925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Service Lines: An Organizing Framework for a Value-Based World. 服务线:价值世界的组织框架。
Frontiers of Health Services Management Pub Date : 2021-04-01 DOI: 10.1097/HAP.0000000000000108
Trudy Land
{"title":"Service Lines: An Organizing Framework for a Value-Based World.","authors":"Trudy Land","doi":"10.1097/HAP.0000000000000108","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000108","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25401066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Framing the Issues in Effective Service Line Development. 在有效的服务线发展框架问题。
Frontiers of Health Services Management Pub Date : 2021-04-01 DOI: 10.1097/HAP.0000000000000106
Rebecca Hunter
{"title":"Framing the Issues in Effective Service Line Development.","authors":"Rebecca Hunter","doi":"10.1097/HAP.0000000000000106","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000106","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"37 3","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10364926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reimagining Ambulatory Care as a Key to Population Health. 重新构想门诊护理作为人口健康的关键。
Frontiers of Health Services Management Pub Date : 2020-12-01 DOI: 10.1097/HAP.0000000000000099
Robert W Allen
{"title":"Reimagining Ambulatory Care as a Key to Population Health.","authors":"Robert W Allen","doi":"10.1097/HAP.0000000000000099","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000099","url":null,"abstract":"<p><strong>Summary: </strong>Ambulatory care is a key to achieving better population health-not traditional ambulatory (outpatient) care, but rather ambulatory care reimagined. Ambulatory care is so vital that we at Intermountain Healthcare redesigned our entire organization to prioritize it and give it the attention it deserves.Historically, outpatient care was a point of access that connected many patients with specialty care, where hospitals made their money. Doctors in private practices referred their patients to the hospitals with which they were affiliated, and that arrangement provided the hospitals with a stream of patients on which they relied financially. Today, ambulatory care plays an entirely different role in the context of population health. Healthcare providers are paid a flat fee per person and gain a benefit when people stay healthy. In this new context, ambulatory care is a mechanism to get ahead of health problems and avoid more extensive treatments.This change then begs a question: How do healthcare providers support their essential services if ambulatory care is working to reduce the stream of patients to hospitals? The answer has three parts, and it is the reason we redesigned Intermountain Healthcare and began to roll out a series of new products and initiatives to implement that redesign.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"37 2","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25344018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Once Nice to Have, an Ambulatory Care Strategy Now Is a Necessity. 曾经很好,现在是必要的门诊护理策略。
Frontiers of Health Services Management Pub Date : 2020-12-01 DOI: 10.1097/HAP.0000000000000100
John J Lynch
{"title":"Once Nice to Have, an Ambulatory Care Strategy Now Is a Necessity.","authors":"John J Lynch","doi":"10.1097/HAP.0000000000000100","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000100","url":null,"abstract":"DOI: 10.1097/HAP.0000000000000100 John J. Lynch III, FACHE, is president and CEO of Main Line Health in Bryn Mawr, Pennsylvania. T he feature articles in this issue of Frontiers of Health Services Management clearly illustrate the evolving and important role that ambulatory strategy plays for health systems in delivering patient-centered, accessible, efficient, safe, and quality care. Though Penn Medicine Lancaster General Health (LG Health) and Intermountain Healthcare operate in different parts of the country, both serve rural and suburban communities and deal with the same market forces that all healthcare leaders encounter: consumerism, the high-speed growth of technology, and— most importantly—the expectations of their patient populations and communities. Both organizations have experience developing ambulatory strategies that are integral to their mission, values, and overall organizational philosophy, and these strategies have led them to transform their approach and investment in ambulatory care networks. We can all agree that COVID-19 will have a lasting if not permanent impact on every aspect of healthcare, and especially on how we think about the ambulatory care environment. Aspects of care that may have been considered a perk or differentiator before the pandemic, such as spacious waiting rooms and clinical areas, short wait times, flexible scheduling, and virtual access to care, are now absolutely vital. These things matter to patients now more than ever. In a matter of weeks, organizations across the country invested heavily in creative new protocols for space and scheduling, telehealth and virtual care, and more. The pandemic has accelerated and amplified consumer-centric ambulatory care. The high stakes that our health systems currently face demand that organizations have a well-defined ambulatory strategy for patients seeking care. Main Line Health (MLH) is a notfor-profit health system serving portions of Philadelphia and its western suburbs. Founded in 1985, the system includes four acute care hospitals—Lankenau Medical Center, Bryn Mawr Hospital, Paoli Hospital, and Riddle Hospital—as well as a facility for rehabilitative medicine, Bryn Mawr Rehabilitation Hospital. MLH also includes Mirmont Treatment Center for drug and alcohol recovery, HomeCare & Hospice, and the Lankenau Institute for Medical Research. Our approach to ambulatory care is grounded in the growth and expansion of two other components of MLH:","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"37 2","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25344456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health Systems Face Converging Forces of Convenience, Value, and COVID-19. 卫生系统面临便利、价值和COVID-19的汇合力量。
Frontiers of Health Services Management Pub Date : 2020-12-01 DOI: 10.1097/HAP.0000000000000101
Amer Kaissi
{"title":"Health Systems Face Converging Forces of Convenience, Value, and COVID-19.","authors":"Amer Kaissi","doi":"10.1097/HAP.0000000000000101","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000101","url":null,"abstract":"DOI: 10.1097/HAP.0000000000000101 Amer Kaissi, PhD, is a professor and director of the executive program in the Department of Healthcare Administration at Trinity University in San Antonio, Texas. The US healthcare system was built and designed around the convenience and preferences of providers of care, not the patients and consumers seeking it, as evidenced by many physician offices closing on weekday evenings and weekends and patients enduring lengthy waits. Although this reality was accepted in the past without much pushback, patients and customers today are becoming accustomed to more convenient options. When patients call their physician’s office and are told there is no availability that day or even that week, many of them now look for care somewhere else. This issue of Frontiers of Health Services Management examines the other options that patients seek in addition to, or sometimes instead of, their physician’s care. In this commentary, I reflect on the ambulatory strategies described by the two health systems featured in this issue, and then discuss the larger context of convenience care, value, and the COVID-19 pandemic.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"37 2","pages":"22-26"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25344020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ambulatory Care Hastens Its Transformation into the Future. 门诊护理加速其向未来的转变。
Frontiers of Health Services Management Pub Date : 2020-12-01 DOI: 10.1097/HAP.0000000000000102
Robin Luxon
{"title":"Ambulatory Care Hastens Its Transformation into the Future.","authors":"Robin Luxon","doi":"10.1097/HAP.0000000000000102","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000102","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"37 2","pages":"34-37"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25344457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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