“ Integratin ing Newly Acq cquir ired Physic icia ian ices ” Practic A Complimentary Webinar From healthsystemCIO.com Your Line Will Be Silent Until Our Event Begins at 12:00 ET Thank You! Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Housekeeping • Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com • Ask A Question • We will be holding a Q&A session after the formal presentations. • You may submit your questions at any time by clicking on the QA panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.” • Download the Deck • Go to Download today's deck at: http://healthsystemcio.com/presentation/practice-integration-webinar.pdf • Shortened URL at bottom of all slides • View the Archive • You will receive an email when our archive recording is ready. • Separate registration is required. Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Agenda — Approximately 40 Minutes • 25-30 minutes: Neal Ganguly, VP/CIO, JFK Health System • 10 minutes: Q&A w/Neal Ganguly Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
“ In Integratin ing Newly ly Acq cquir ired Ph Physic icia ian ices ” Practic Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Agenda • Background • Goals & Objectives • Governance • Logistics • Measurement • Lessons Learned Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Ba Back ckground • 399 Bed Acute Care Medical Center • 98 Bed Rehabilitation Institute • 500 Long Term Care Beds (4 facilities) • Neuroscience Institute of New Jersey • Homecare & Hospice & EMS • Multi-Specialty Physician Groups • Accountable Care Organization (MSSP & Commercial) • Regional Health Information Exchange • Family Medicine, Rehab & Neurology Residency Programs Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Back Ba ckground Medical Staff Classifications: 945 total physicians on staff • Voluntary: 733 independent physicians with admitting privileges • Contracted: 85 physicians in departmental groups (ER, Rad, etc.) • Employed: 85 physicians in 5 practices salaried by JFK • Managed: 42 physicians in 8 practices being managed by JFK • Affiliated: 0 physicians who are in an MSO Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Goals ls & Obje jectiv ives • Understand ‘Why’ • Why is the hospital interested in acquiring the practice? • Why does the practice want to get acquired? • Why was a particular model (employed vs. managed) selected? • Transparency is key • Ensure Alignment • Goals of the hospital & physician must be aligned to optimize success • Strong governance is the best way to ensure that all parties are aligned and that transparent and measurable goals are established Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Governance • The Role of Governance • Ensure balanced representation • Define vision and goals • Prioritize resources • Evaluate performance • Establish accountability • IT’s Role in Governance • Evaluate and scope technical needs & opportunities • Educate governance group with respect to technology options • Propose and enforce technology and (where appropriate) operational standards Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Lo Logi gistic ics • Operational steps to evaluating & onboarding a practice • Evaluate the infrastructure – Network, Applications, Hardware, Telecommunications • Identify gaps from desired standards and establish acquisition and ongoing maintenance costs to ensure proper budget accountability • Establish standard criteria for evaluating equipment or technology resource requests • Clearly review and define technology support expectations – what will be supported by IT vs. external partners Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Lo Logi gistic ics • Standards operational elements can reduce expenses through group contracting and process improvements • EMR and practice management systems - Centralize scheduling , billing and customer support - Interface expense control • Telecommunications infrastructure - Phone switch, carrier contracts, etc. • Equipment infrastructure - PCs, printers, copiers, mobile devices Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Measurement • Evaluate Performance • Define performance elements that are going to be measured • Establish reporting mechanisms (reports, dashboards, alerts) • Set baselines and desired targets • Assign accountability for measure attainment • Continuous Improvement • Data should be used to foster a continuous improvement mindset which is overseen by governance group or designee • Goals and measures should be evaluated periodically for continued relevance Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
The Real l World ld – The 5 P’s • Preferences • We won’t call the hospital helpdesk, we have our own resource • We prefer vendor A and won’t use vendor B • We would like all new equipment now that we are owned by the hospital • We don’t like to work with (insert name), send us (other name ) • Personality • I refuse to use an EMR and you can’t make me • Your technology stinks and is killing my patients • We’re too busy to meet with you – try again later Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
The Real l World ld – The 5 P’s • Practice • We’ve always done it this way and won’t change now • This is making us less efficient • Priorities • The hospital just acquired my practice, where is all my new stuff? • Why did physician X get served before I did? • Politics • Do you know who I am? • All the board members are my patient’s Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Le Lessons Le Learned • Ambulatory practice needs are different from hospital departments, and support must be tailored to meet those needs within reason • Hospital / physician goal alignment is critical to establishing the proper partnership objectives • Standards in practice and operation must be agreed to at the governance level and enforced to ensure optimal success • Politics and personality must be dealt with by strong governance oversight • Evaluate practice infrastructure carefully and get signoff from physicians on any gaps prior to acquisition Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Le Lessons Le Learned • Establish and communicate clear guidelines for technical support and criteria for determining what needs to be replaced • Where possible, leverage economies of scale by standardizing tools or processes • Measures of success that are mutually agreed upon will increase the physician’s ‘ownership’ of the process and keep them engaged • Do not underestimate resource requirements and carefully evaluate the economics of engaging an outside service provider • Communicate early and often • Ensure IT is at the table from the planning stages Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Q&A Click on the Q&A panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.” iganguly@jfkhealth.org Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
Thank You! • Thanks to our featured speaker: Neal Ganguly! • You will receive an email when our archive recording is ready. (Separate registration is required) • CHIME CHCIO Credits – Attending our Webinars = 1 CEU • Questions/Comments – Anthony Guerra aguerra@healthsystemCIO.com Go to www.healthsystemCIO.com/webinars to view our upcoming schedule and see the last 12 months of archived events. Slide Deck: http://goo.gl/GFKmLV Webex Support 1-866-229-3239 Event #667 336 889
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