Physician Employment Unification Alameda Health Partners OakCare - PowerPoint PPT Presentation

Physician Employment Unification • Alameda Health Partners • OakCare Medical Group • Proposed AHP-AMG operating model • Discussion

Physician Employment Unification • For the past year, AHP and OMG have worked together to find a means of unifying the members of AHP and OMG into one Medical Group • This presentation serves as an update and request for feedback on our progress to date • The current OakCare contract expires in July 2020 without plans for renewal

Alameda Health Partners

Overview of Alameda Health Partners Mission of AHP “Once fully operational, AHP will be the organization that employs, contracts, and affiliates with physicians on behalf of AHS. It will also become the entity that AHS partners with on initiatives aimed at improving clinical integration, improving quality, value, and the patient experience. AHP will be responsible for coordinating and overseeing physician-related issues, services, and support.”

Overview of Alameda Health Partners AHP Organizational Structure AHP Board AHP Board of Directors (up to 11) of Directors • Dr. Ghassan Jamaleddine, Chair • Delvecchio Finley (Ex Officio as CEO) • Dr. Swap Shah (Physician Director) • Dr. Valerie Ng (Physician Director) Physician Operational Leadership • Dr. Kathleen Clanon (Community Dir) Responsible for the oversight of AHP’s Physician Physician Operations Council strategic direction, financial AHP President Operations • Dr. Valerie Ng (Pathology & Lab) commitments, obtaining necessary Council • Dr. Nicholas Pirnia (Orthopaedics) resources and providing • Dr. Gregory Victorino (Surgery) • Dr. Rachel Baden (Medicine) accountability; Meets monthly. • Dr. Eric Yasumoto (Imaging) • Dr. Sarah Blaschko (Urology) • Dr. Blake Vonderheide (Anesthesiology) CAO of AHP • Dr. Jordan Newmark (Anesthesiology) • Dr. Laura Fernandez (Internal Medicine) • Dr. Thomas Frohlich (Cardiology) Physician Members Responsible for serving in advisory capacity to the Functional (Employed, AHS Back Office President of AHP and for identifying, prioritizing, AHP Chairs and and addressing issues of greatest concern to Support Contracted, and Responsible for Physicians; Meets weekly. Chiefs (Purchased from Affiliated) execution of all AHS) support functions

AHP-AHS Operating Model AHP-AHS Operating Model AHS Board of Trustees AHS ELT AHP Board CAOs CXOs Physician AHP President AHS Hospitals System Support / Operations & Clinics Back Office Council AHP CAO Acute Facilities Finance Physicians AHP Physician Post-Acute IT/IS Employed, Chairs Contracted, Wellness (Anesthesia, HR and Affiliated Centers Orthopaedics, Radiology) Legal Quality Strategy

OakCare Medical Group

OakCare Medical Group Mission OakCare Medical Group is a multi-specialty physician group dedicated to providing high-quality healthcare to the people of Alameda County, one of the most culturally diverse counties in the United States. Our goal is to provide excellent physician services to Alameda Health System, fulfilling a dual mission: delivering comprehensive health services to all who seek them; and training new physicians through our residency programs, to carry our mission into the future.

OakCare Medical Group Structure OakCare Medical Group Shareholder Owners OakCare Medical Group Board of Directors Quality Finance Executive Human Resources OakCare President Committee Committee Committee Committee R. Savio Chair, IM Chair, EM Chair, OBGYN Chair, Pediatrics OakCare CEO R. Baden B. Simon K. Smith D. Carey Hohl • Owned by physician shareholders, governed by elected physician leaders • All Chairs sit on Executive Committee

OakCare Medical Group Average Years of Service Medicine, 8.4 ED, 15.5 Peds, 9.5 OBGYN, 7.3 • 127 Total FTE, over 200 Total Providers • Average = 10+ years of service, nearly 1300 physician years of service and experience

Proposed AHP-AMG Operating model • Continue with AHP’s role as a manager of physician finance and operations • Outsource HR functions to a new Medical Group (Alameda Medical Group) • Fundamentally different PSA – Funding and FTEs determined by AHP Board – End to periodic contract negotiations – Accountabilities for quality and volume

System Benefits of proposed model • Partnership based approach to care delivery • Full transparency concerning compensation methods and incentives • Model fully incorporates physician risk- sharing and autonomy • Physician leadership compensation and incentives paid directly by AHP for all administrative functions

System Benefits of proposed model • AHP’s Sources of value to AHS remain • AMG delivers an empowered and engaged medical staff • Bi-directional accountability at the best interest of the patient • Proven model for success • No additional investment by AHS

Proposed Model - AHP • Alameda Health Partners Board –Decision making body to guide: • Strategic direction • Finances • Ensuring that physician services meets the needs of AHS

Proposed Model - AMG • AMG – Employs physicians on behalf of AHP – Responsible for all HR related functions – Service Line standardization across the system – Quality and performance management – Recruiting and sustaining staff – Culture of accountability

Discussion

Appendices - • Historical context for AHP and OMG is provided in the following slides

Before AHP 2012

Implementation Timeline Initial AHP Implementation Timeline October 2012 January 2016 AHS Trustees approve FY13-15 Strategic Plan “AHP Go-Live” Pillar 3: Integration calls Alameda Health Partners for development of a to employ its first 7 “PHO” physicians Organization Infrastructure concept/design development April 2014 Incorporation of “Alameda Health Partners” as a non- Critical Path for 1/1/16: profit, public benefit • Execute Master PSA corporation and wholly • Execute Intercompany owned subsidiary of Alameda Health System Services Agreement • Complete Physician Background Checks

Overview of Alameda Health Partners AHP’s Sources of Value to AHS • Clear accountability for entire physician network • Optimized professional revenues – Separate physician/facility tax ID – Physician-specific provider number • Enhanced physician leadership and influence • Enable new models of payor contracting – Foundation for delegated risk – Option for capitated contracts • Flexibility in physician compensation & benefits

OakCare Medical Group • Formed in 1995 at the request of Alameda County Medical Center as a vehicle to bring together individual independent contractor physicians • Physician specialties include Emergency Medicine, OBGYN, Pediatrics, Internal Medicine and Subspecialties (Cardiology, Neurology, Critical Care/Pulmonary, Rheumatology, Infectious Disease, Dermatology, Endocrinology, Palliative Care, Geriatrics, Gastroenterology, Hematology/Oncology, Perinatology and Neonatology) • Also employs Emergency Medicine Advanced Practitioners • Manages resident teaching programs in Emergency Medicine and Internal Medicine

OakCare Medical Group • We are most of your physician leaders and are engaged ― Department chairs, MEC, IPPC, Quality Council, teaching programs, search committees • We work collaboratively and actively seek to benefit the larger system • We coordinate care effectively across multiple medical specialties and are dedicated to high performance and delivering on promises • We were the first AHS contracted physician group to incorporate quality and productivity incentives to achieve better alignment

OakCare Case Study: E.R. System • Physician Engagement • Physician Recruitment • Physician Quality • Nimbleness of organization • Stewardship of resources MORALE AND OWNERSHIP DRIVE ENGAGEMENT