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Importance of vertical integration in healthcare
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By purchasing the primary care practices, Newland Hospital has created a health system. Health systems (HSs) are formerly associated health services organizations (HSOs) that have joined together for a multitude of reasons. HSs arise from a mutual need and a willingness among the participating HSOs/HSs to share knowledge, capabilities, risk, and costs to leverage innovation, and to take advantage of complementary strengths and capabilities (Longest & Darr, 2000, pg. 609). Additionally, such an integration unifies ownership of tangible and intangible assets, creates economies of scale, and expands the pool of patients. This particular form of integration is referred to as vertical integration, the coordinating, linking, or incorporating within a single organization 's activities or entities at different stages of the production process- in healthcare the process of producing and delivering patient care (Longest & Darr, 2000, pg. 93). A vertically …show more content…
One of the greatest advantages of vertical integration is supply assurance or in this case patient assurance. By purchasing the primary care practices, the hospital can ensure that the number of referrals increases; a form of supply assurance. Additionally, enhanced care coordination integration of providers across the facilities strengthens and facilitates better communication and information sharing among entities (“The Value of Provider Integration,” 2014). The improved flow of communication between the primary care providers and Newland Hospital can decrease the chance of redundancies which in turn leads to an increase in the level of timely care; reducing overall costs. Furthermore, greater organization size and scope as a result of vertical integration can lead to increased economies of scale. Through vertical integration, the hospital is able to spread their fixed costs over a larger revenue base; the acquired
Strengths Long-standing reputation Provision of quality healthcare Highest rank in patient satisfaction Recipient of Joint Commission accreditation Serving a diverse population Weaknesses Smaller than other four hospitals Decrease in net profit Increase in expenses Significant increase in long-term debt Not-for-profit status Opportunities Changes in government regulations Change in lifestyle Influx of patients due to higher patient satisfaction Cost savings Opening of some outpatient clinics and surgery centers Threats Too much competition
Integrated Managed Care Organization- The organization is properly aligned for the primary driver being cost cutting services. Since all entities within the organization are responsible and affected by any expenses endured on any entity being unfavorable or favorable, the foundation serves as a primary motivator to reduce costs at all levels. This alignment eliminates any financial gains from driving high utilization of services or higher intensity services within the organization. Ultimately, this system allows the physician medical group to drive patient care, being responsible for the clinical care decisions as opposed to health plan making those decisions as designed in other organizations. This is the preferable model for Medicaid
WellStar Health Systems is currently the preeminent and largest health care provider in Metro Atlanta. WellStar Health Systems is a not-for-profit institution that is composed of 5 hospitals and an abundance of physician groups. Physician specialty groups included within WellStar are: ENT, Psychiatry, Endocrinology, Pulmonary Medicine, Infectious Disease, General Surgery, Rehabilitation, Pathology, and Rheumatology. WellStar’s organizational design is composed of internal and external factors that define the organization’s size, organizational structure, and processes. Internal and external factors are the basis for influencing managerial conclusions in decision-making. These factors vary from organization to organization and are the rationale for understanding WellStar’s strengths, weaknesses, opportunities, and threats. Understanding these variables is a necessity for the sake of WellStar’s survival
Baylor Scott & White believe they have a competitive advantage in the healthcare market. Currently they are the “largest not-for-profit health care system in Texas, and one of the largest in the United States, Baylor Scott & White Health was born from the 2013 combination of Baylor Health Care System and Scott & White Healthcare.” 1 The goal of the merger was to create a new healthcare model in the ever changing world of healthcare reform. The size of the new market created in 2013, is larger then the state of Virginia. They are a competitive employer having over 34,000 employees and over 6000 physicians in the state of Texas. The merger also resulted into 44 hospitals and over 500 “patient care site” to serve the people of Texas. Their size and presence in the healthcare market alone
The board of trustees or directors, the community (if they have a say on the matter), and the employee union might influence the decision. If the financial difficulty is really severe, HSO might consider merging with another hospital in the area, if the other hospital is also struggling financially with their pediatrics unit or if the other hospital is ‘larger’. In both cases, the result will be more efficiency. This will be advantageous to my hospital and my hospital’s patients, for the bigger hospital might be better-equipped technologically. The merge itself does not need to be absolute; it does not require a complete consolidation of the other units/services. For example, it might be planned that the pediatrics services will be provided
Both facilities will have the same Medical Director and one Director of Nursing running both locations. Management personnel will improve their communication by meeting once a week to discuss and brainstorm ideas; bill verification will be consistent in the two facilities; there will be a company wide purchasing system. To maximize revenues, there has to be a mix of out- patients and in patient care, there will be shorter stays in the future.
Based on the case study provided: Hospital A, Porter Regional Medical Centre (Hosp. A) & Hospital B Banner Regional Medical Centre and Turner Geriatric Centre (Hosp. B) merged to form a consolidated entity named “Portsmith Regional Medical Centre” (PRMC). Both Hospital A and B were fully accredited hospital, with “state-of- art diagnostic technology” which included MRI and CAT scanners, 24-hour physician staffed emergency centers. Both Hospital A and Hospital B are located in a small community of 60,000 people in southeastern part of Idaho.
Healthcare is one of the most dynamic industries in our great nation. To truly understand just how dynamic the industry is, one needs to understand that healthcare in and of itself is a living, breathing industry that is ever changing and conforming to meet the ideals set forth from a broad group of stakeholders. When one looks at the evolution that healthcare has undergone in the past 165 years, the picture of the true dynamics of this industry is painted. One must take this evolutional history into account when looking at the next ten years in our industry. When looking at these evolutional processes, one can see that the systems have changed as our country and its people have required it to (Williams & Torrens, 2008). When looking at how this industry will change or evolve over the next decade, one can ascertain that it will be by the demands of those involved that change will come.
With consolidation among hospital systems over the last few years there has been a trend toward ways to streamline processes. By having “shared services” such as laundry services, human resources and radiology and diagnostic services it’s possible to lower costs and have common processes. The advent of health care reform and the Affordable Care Act (ACA) with its Information Technology (IT) incentives has led to greater interest in risk management and IT solutions. While there was a decrease in 2012 on outsourcing IT services the finalization by the Supreme Court of the ACA and President Obama’s re-election cemented the need for an IT solution (Kutscher, 2012)
William Collinge quotes Chuang Tzu in his American Holistic Health Association Complete Guide to Alternative Medicine saying, "Heaven, Earth and I are living together, and all things and I form an inseparable unity" (13). Tzu's comment contrasts the traditional American dream of individualistic power and solidarity, but no matter how ethnocentric or arrogant the Western society can be at times, the influence of the world is still present. The health care system is a prime example of how the unification between world cultures brings benefits to society. The Western culture has been developing and refining scientific methods of health care for centuries. Illnesses that were incurable in the past are now treatable with drug medications and by complex surgeries. But along with the absence of the old illnesses, come new ones. People are living longer and chronic and degenerative illnesses are more common. Due to the development of new illnesses, Western medicine has been consulting the traditions and treatments from other cultures for aid in diagnosis and health care. In The American Holistic Health Association Complete Guide to Alternative Medicine, William Collinge states that, "the joining together of conventional and alternative traditions may well permit us to have a more balanced quality of life. At the least, it has helped to bring the concept of health back to medicine" (Collinge xxi). Collinge's use the word "balance" in his description of the quality of life is interesting, because a form of alternative medicine whose central focus is on the balance of the body is Chinese medicine. Due to the onslaught of new chronic and degenerative illnesses, Western culture initiated the search for ...
The Integrated health care is an approach of interdisciplinary of collaboration and communication among health professionals. The characteristic is unique because of the sharing information which in the team members and related to patient care to establishment of treatment whether biological, psychological, and social needs. The interdisciplinary health care team includes a diverse and variety group of members (e.g., specialist, nurses, psychologists, social workers, and physical therapists), depending on the needs of the patient for the best treatment to the patient care.
Clinical integration is needed to enable the coordination of patient care across conditions, providers, settings, and time in order to reach the care that is safe, timely, effective, efficient, equitable, and patient-focused. However, to achieve clinical integration, we need to encourage changes in provider culture, redesign payment methods and incentives, and update federal laws Also, clinical integration provides an opportunity to organize services through centralized scheduling, electronic health records, clinical pathways, management of chronic diseases, and innovative quality improvement programs (Harrison, 2016). Also, strategic planning is important in clinical integration because it outlines what is expected between the hospitals and physicians. Many healthcare facilities have limited resources, consequently, it is crucial to guarantee that capital spending needs and operating performance measures of physician’s strategies can be identified and calculated before a partnership is made. Also, clinically integrated care community needs good governance, where the goals and incentives of leadership and management are associated (Health, 2017). Furthermore, an important area to focus on is creating a physician-led culture of continuous quality improvement, using tools and technology to integrate information from different systems
Communication and collaboration are an integral part of interprofessional health care teams. There could be possible barriers to communication and collaboration that could affect the entire team’s success. Personal values and expectation, personality differences, culture and ethnicity, and gender could affect how some individuals respond according to a patient’s care or needs(O’Daniel, 2008). For example, if someone comes from a background where they refrain from being assertive or challenging opinions openly, it could be difficult for that person to speak up if they think differently from the other team members. The differences in language and jargon can also be an obstacle to teams especially if members are not familiar with a specific type
Competitive advantage matters greatly to those responsible for the management of healthcare institutions. Together with rapidly escalating healthcare costs, increasingly complex medical technologies, and growing regulatory and legal pressures, healthcare organizations face a critical need to improve the quality of care at reduced costs (Cu...
When entrepreneurs plan their business future they will consider how they can increase their business size or profit in a short period. Entrepreneurs may consider growing their business or company by using a merger or an acquisition. These methods can be a speed up tool and a short cut to enlarge their business. (Burns, 2011) Also they can reduce competition, make it easier for entrepreneurs to think about the market and product development and risk reduction. Furthermore, some lesser – known companies can improve their firm’s image and market power by using merger and acquisition with larger firms. However, there may be risks associated with merger and acquisition related to lack of finance and time. (Burns, 2011) This essay will discuss more deeply the advantages and disadvantages of using mergers and acquisitions, showing how it can affect firms and market with the case study.