Frontiers of Health Services Management - Summer 2013 - (Page 28)

Physician-Led Models of Accountability and Value: Observations on Payment Policy and Culture n icholAs w olter C o m m e n t a r y I n 1 9 1 0, C h a r l es H. Mayo, MD, observed that the previous 50 years had been marked by advances in the science of medicine and that the next 50 years would be marked by advances in the organization and coordination of healthcare delivery (paraphrased from the 1910 commencement address to rush Medical college). today, more than a hundred years later, Dr. Mayo might well be disappointed to see the level of fragmentation remaining in US healthcare. But there is hope. as Molden, Brown, and griffith report regarding Piedmont Healthcare (PHc) and leaver describes for UnityPoint Health, when integrated and coordinated care is a priority, value can be significantly improved. Molden, Brown, and griffith describe how a partnership between three cardiovascular physician practices and PHc successfully evolved into the fully integrated, physician-run entity Piedmont Heart. that example of single-silo integration can be compared to leaver’s summary of UnityPoint Health’s broad effort to coordinate patient care across silos, including its experience as a pioneer accountable care organization (aco) and its participation in the Medicare Shared Savings Program (MSSP) pilot. Both feature articles emphasize the importance of physician leadership and attention to metrics or benchmark targets, though neither identifies specific measures. Nicholas Wolter, MD, is chief executive officer at Billings Clinic in Billings, Montana. 28 • f ro ntier s o f h ea lth s e rvic e s m a na g e me 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