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Scoop.it!
2014 Healthcare Predictions, Part One 
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Scoop.it!
How Has the Rise of Physician Employment Changed Hospitals' Recruitment ...Becker's Hospital ReviewThe answer depends on whether physicians are appointed to leadership positions, whether incentives are aligned, and other determinants.
Billy R Bennett's insight:
Our U.S. healthcare model is changing - and changing fast. This articles mainly focuses on recruiting but a few lines give a glimpse at how significant that change is becoming. Here are the drivers: Hospitals facing a growing shift from fee for service to performance based payments are realizing they need to redesign and build a well organized delivery system with the doctor as team leader and team player. Physicians - who were rarely great at managing a business - are bailing on private practice and choosing to do what they do best - practice medicine. The smart CEO is the one putting resources into redesigning the organization and its processes to support the meeting of these two strategic drivers. This will take time but hospital leaders can start today:
Start with picking a starting place- a "mini system" where you can focus on specific services and outcome areas. Pick an area where you can compete and have a good chance of becoming a game changer in your market if you get it right. Pull together organization design resources AND process improvement resources. Make sure they know how to involve everyone in this mini system - medical staff (nursing, physician assistants, etc) , administrative. This is not just a process change - it is not just "leaning and aligning" this is total system change. Get people excited and passionate about delivering real results. Get staff out to see great delivery examples. Drive learning and application from those visits. Start building a true shared vision among all of the people who will need to play in the system. Provide opportunities to bring ideas into the design our your new mini-system. The right physicians will get excited as well. Soon, recruiting becomes easy. Be Aggressive. If you build it, they will come. Don't worry if you do not have the medical staff yet. As this article implies they will come but you need something for them to come to. Hence the reason for starting with the model mini-system first. However, you must be aggressive. Mini-systems cannot stand on their own for long. To survive you must build out other services soon after. Remember ...This is not just a process change - it is not just "leaning and aligning" this is total system change. Billy Bennett is CEO of Pyramid ODI. Pyramid helps organizations build "great work and workplaces"
Billy R Bennett's curator insight,
November 29, 2012 11:55 PM
Our U.S. healthcare model is changing - and changing fast. This articles mainly focuses on recruiting but a few lines give a glimpse at how significant that change is becoming. Here are the drivers: Hospitals facing a growing shift from fee for service to performance based payments are realizing they need to redesign and build a well organized delivery system with the doctor as team leader and team player. Physicians - who were rarely great at managing a business - are bailing on private practice and choosing to do what they do best - practice medicine. The smart CEO is the one putting resources into redesigning the organization and its processes to support the meeting of these two strategic drivers. This will take time but hospital leaders can start today:
Start with picking a starting place- a "mini system" where you can focus on specific services and outcome areas. Pick an area where you can compete and have a good chance of becoming a game changer in your market if you get it right. Pull together organization design resources AND process improvement resources. Make sure they know how to involve everyone in this mini system - medical staff (nursing, physician assistants, etc) , administrative. This is not just a process change - it is not just "leaning and aligning" this is total system change. Get people excited and passionate about delivering real results. Get staff out to see great delivery examples. Drive learning and application from those visits. Start building a true shared vision among all of the people who will need to play in the system. Provide opportunities to bring ideas into the design our your new mini-system. The right physicians will get excited as well. Soon, recruiting becomes easy. Be Aggressive. If you build it, they will come. Don't worry if you do not have the medical staff yet. As this article implies they will come but you need something for them to come to. Hence the reason for starting with the model mini-system first. However, you must be aggressive. Mini-systems cannot stand on their own for long. To survive you must build out other services soon after. Remember ...This is not just a process change - it is not just "leaning and aligning" this is total system change. Billy Bennett is CEO of Pyramid ODI. Pyramid helps organizations build "great work and workplaces" |
The USA is gradually... (oh yes, this is gradual compared to most industrial "tsunami" changes) - coming around to game changing change in the US system. Like in most industrial change, those who deny that change is really happening are the last to make the moves they need to make to survive. As a result, they become the losers... factories close, careers are lost, the weaker and smaller players are absorbed in mergers led by the larger and more competitive. Those who "get it" first, usually win first.
In this article, the predictions sound familiar to those who have played in large systems change...
"- We’ll see healthcare providers continue to focus on quality outcomes, patient safety, and patient satisfaction with continual emphasis on transparency relative to quality and price.
- We’ll continue to see healthcare providers develop operational improvements to gain efficiencies and cost savings as a result of lower reimbursement pressure from payors.
- We’ll continue to see consolidation in the industry with larger health systems growing even larger.
- We’ll see initiatives to develop stronger physician alignment by hospitals and health systems with special emphasis on alignment with primary care physicians.
- Technology will continue to play a greater role in our industry—I’m not only referring to the electronic health record and big data, but social media as well."
Healthcare, welcome to the world of Automotive, Textiles, Computing, etc., etc. If you are in the denial camp or in the "repeal it" camp, start thinking about your next career, because this one is over. Even if US political parties changed today it would be too late to stop the trends and the realigning of the system.
What's the greatest lesson to apply from the others who have gone before you? Get everyone aligned on a different future... now. Spend time experimenting with new directions, quickly ride the waves that work for you, and learn how to recognize the practices, and thinking that keep you in the old system and prevent you from building the new.
Or you could wait around and deny that change is coming. Ask American Motors Corporation how that worked for them... AMC who?