Physician/Hospital Alignment Triangle

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Physician/Hospital alignment triangle As shown in figure, there are three major elements required for full physician-hospital alignment. The Physician/Hospital Alignment Triangle includes: Clinical Activity Alignment
The correlation of the patient care approach, expectations of quality and service, and consolidation of activity in the diagnosis, treatment and rehabilitation of a patient Economic Alignment
The correlation of physician and hospital financial returns. Alignment of Purpose
The correlation of vision, values and energies; creating a shared belief in a single vision/mission, a common culture and an active involvement in the future direction of the organizations.
Alignment in one area is not enough to be successful …show more content…
Department of Health and Human services define Gainsharing as an arrangement in which hospital gives physicians a percentage share of any reduction in the hospital’s costs for patient care attributable in part to the physicians’ efforts. Since 2001, the Office of Inspector General has issued multiple advisory opinions that approve specific gainsharing models which control payments to physicians and ensure accountability and clinical quality for patient outcomes. These advisory opinions include approval for a medical center that agreed to share with groups of orthopaedic surgeons and group of neurosurgeons a percentage of the medical center’s cost savings arising from the surgeon’s implementation of a number of cost measures in spine fusion surgical procedures. The CMS ongoing Medicare Acute Care Episode (ACE) Demonstration includes cardiothoracic and orthopaedic procedures. Most of the participating sites are utilizing gainsharing. The Patient Protection and Affordable Care Act grants extension of the CMS gainsharing demonstration. Previous legislation has included provisions to give the Department of Health and Human Services (HHS) the authority to develop guidelines for gainsharing and subsequently two demonstrations were developed. Gainsharing is a model for physician–hospital alignment that has been utilized successfully but requires well delineated safeguards and with rigorous and well documented detailed baseline measures, benchmarks and outcomes of quality improvement, increased efficiencies and expense
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