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

“Once fully operational, AHP will be the organization that employs, contracts, and affiliates with physicians

• n 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.”

Mission of AHP

Overview of Alameda Health Partners

AHP Board of Directors (up to 11)

• Dr. Ghassan Jamaleddine, Chair
• Delvecchio Finley (Ex Officio as CEO)
• Dr. Swap Shah (Physician Director)
• Dr. Valerie Ng (Physician Director)
• Dr. Kathleen Clanon (Community Dir)

Functional Support (Purchased from AHS)

AHP Organizational Structure

AHP President

AHP Board

• f Directors

CAO of AHP

Overview of Alameda Health Partners

Physician Operations Council

• Dr. Valerie Ng (Pathology & Lab)
• Dr. Nicholas Pirnia (Orthopaedics)
• Dr. Gregory Victorino (Surgery)
• Dr. Rachel Baden (Medicine)
• Dr. Eric Yasumoto (Imaging)
• Dr. Sarah Blaschko (Urology)
• Dr. Blake Vonderheide (Anesthesiology)
• Dr. Jordan Newmark (Anesthesiology)
• Dr. Laura Fernandez (Internal Medicine)
• Dr. Thomas Frohlich (Cardiology)

Physician Members (Employed, Contracted, and Affiliated) AHS Back Office Responsible for execution of all support functions Physician Operations Council Responsible for the oversight of AHP’s strategic direction, financial commitments, obtaining necessary resources and providing accountability; Meets monthly.

Responsible for serving in advisory capacity to the President of AHP and for identifying, prioritizing, and addressing issues of greatest concern to Physicians; Meets weekly.

Physician Operational Leadership AHP Chairs and Chiefs

AHP-AHS Operating Model

AHS ELT

AHP President

AHP Board

CAOs AHS Hospitals & Clinics CXOs System Support / Back Office Finance IT/IS HR Legal Quality Strategy AHP CAO

AHP-AHS Operating Model

Acute Facilities Post-Acute Wellness Centers Physicians Employed, Contracted, and Affiliated Physician Operations Council

AHS Board of Trustees

AHP Physician Chairs (Anesthesia, Orthopaedics, Radiology)

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 Shareholder Owners OakCare Medical Group Board of Directors Quality Committee Finance Committee Executive Committee Chair, IM

• R. Baden

Chair, EM

• B. Simon

Chair, OBGYN

• K. Smith

Chair, Pediatrics

• D. Carey

OakCare CEO Hohl Human Resources Committee OakCare President

• R. Savio

OakCare Medical Group Structure

• Owned by physician shareholders,

governed by elected physician leaders

• All Chairs sit on Executive Committee

OakCare Medical Group

• 127 Total FTE, over 200 Total Providers
• Average = 10+ years of service, nearly 1300

physician years of service and experience

ED, 15.5 OBGYN, 7.3 Peds, 9.5 Medicine, 8.4

Average Years of Service

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

Initial AHP Implementation Timeline

October 2012 AHS Trustees approve FY13-15 Strategic Plan Pillar 3: Integration calls for development of a “PHO” April 2014 Incorporation of “Alameda Health Partners” as a non- profit, public benefit corporation and wholly

• wned subsidiary of

Alameda Health System January 2016 “AHP Go-Live” Alameda Health Partners to employ its first 7 physicians

Organization concept/design Infrastructure development

Critical Path for 1/1/16:

• Execute Master PSA
• Execute Intercompany

Services Agreement

• Complete Physician

Background Checks

Implementation Timeline

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

Overview of Alameda Health Partners

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