Frontiers of Health Services Management - Summer 2013 - (Page 20)

Yu 2012). our silos of care—from physician to hospital to home care or long-term care, all with different payment models and incentives—were preventing appropriate coordination of chronic disease. So the future began to crystalize: if we could manage or coordinate care, produce a better outcome and lower cost (i.e., better value), and get paid to do that, we might have the means to break free of the unsustainable economic cycle we faced. Historically, UnityPoint Health has been a hospital-centric system, not unlike others across the country. to effectively coordinate care, we needed to begin with the patient and physician. although the effective management of chronic disease depends on the patient complying with his treatment regimen, including diet, medication, and exercise, managing chronic disease is a process complicated by multiple factors. our fundamental thesis is, if we increase the potential for interaction Exhibit 1 between the patient and the physician (or her staff)—the number of touches between them—we likely increase the probability of compliance and, hence, a better outcome. lower cost is likely to follow. in 2008, we changed our vision statement to a simple yet forceful phrase, “Best outcome for every patient every time,” which served as a catalyst for declaring our intention to move from a hospital-centric system to a patient-centered, physiciandriven system in 2009. the vision also was the building block on which we transformed our delivery system in that it conveyed the following: • our purpose for operating is clinically based. • our intention is to uniformly provide the highest level of care to our patients. • our patients and the work of our clinicians are more important than our finances and buildings. UnityPoint Health Road Map Physician Alignment Create Value Demonstrate Value Value-Based Contracting Source: UnityPoint Health. Used with permission. 20 • f ro ntier s o f h ea lth s e r vic e s ma na g e m e nt 29 :4

Table of Contents for the Digital Edition of Frontiers of Health Services Management - Summer 2013

Frontiers of Health Services Management - Summer 2013
Contents
Editorial
At the Heart of Integration: Aligning Physicians and Administrators to Create New Value
Volume to Value
Physician-Led Models of Accountability and Value: Observations on Payment Policy and Culture
Collaboration Across Clinical Silos
Breaking Down Clinical Silos in Healthcare

Frontiers of Health Services Management - Summer 2013