Pros And Cons Of The Clinical Integration And Strategic Planning Process

It is a common belief among healthcare leaders that to improve healthcare, hospitals and physicians must work in partnership. The clinical integration and strategic planning process can lead to better outcomes for the patient as well as improve quality of care at lower costs. With the implementation of the Accountable Care Organizations, hospitals and physicians are able to provide the care to their patients and be rewarded. Lastly, a model that assists physicians when a patient is hospitalized is the hospitalist. This role can have some advantages and some disadvantages for the physician and hospital.

Question 1

An integrated physician model is described as a partnership between a group of physicians and hospitals that have joined together

In the strategic planning process, the structure of the clinical integration network is defined, the economies of scale are established, and the shared savings are developed. According to Miller, McWilliams, and Hankwitz (n.d.), an organization that has implemented an information system to measure and report quality and cost-effectiveness to payors, choose those physicians that are on board with the goals of the organization, and that has made not only financial but human investment in the development of the processes for achieving care competence are considered a clinically integrated network. The planning stage includes creating a vision statement that explains the purpose of the clinical integration network, what the goals are, and what the organization will look like in a couple of years (Miller, McWilliams, & Hankwitz, n.d.). Once the structure and governance have been developed, committees can be established which oversee credentialing, budgets, care management, and implementation of data systems, for example (Miller, McWilliams, & Hankwitz, n.d.). Financial management includes the pooling of resources, global capitation, a common form used for population needs-based funding, and system funding which is used for insured health systems (Suter, Oelke, & Adair, 2009). In

(2013). Fundamentals of Healthcare Finance (Second ed.). Chicago, IL: Health Administration Press.

Gunderman, R. (2016). Hospitalists and the decline of comprehensive care. Retrieved from https://catalyst.nejm.org

Harrison, J. (2016). Essentials of Strategic Planning in Healthcare (Second ed.). Chicago, IL: Health Administration Press.

HFMA Learning Solutions, Inc. (2018). The hospital-physician integration challenge. Retrieved from http://www.hfma.org

Kodner, D., & Spreeuwenberg, C. (2002). Integrated care: meaning, logic, applications, and implications – a discussion paper. International Journal of Integrated Care, 2, e12. Retrieved from https://www.ncbi.nlm.nih.gov

Miller, D., McWilliams, T., & Hankwitz, W. (n.d.). Succeeding in value-based care; Building a sustainable clinically integrateed network. Retrieved from http://hsgadvisors.com

Sayles, N. (2013). Health Information Management Technology (Fourth ed.). Chicago, IL: AHIMA.

Suter, E., Oelke, N., & Adair, C. E. (2009). Ten key principles for successful health systems integration. Healthcare Quarterly (Toronto Ontario), 13 (Spec No), 16-23. Retrieved from