Redundancy, duplication, and waste. 它们在当今的医疗保健bet8娱乐体系中普遍存在,推高了运营和资本成本. And in an era of increasing consolidation, 通过合并和收购进行扩张的医疗保健组织在作为一个统一系统运营方面面临越来越大的挑战,并且经常面临关于冗余bet8娱乐提供的痛苦决策.
To achieve economic sustainability and market essentiality, we believe health systems must integrate and rationalize to enhance clinical care, optimize operations, and lower costs, ultimately focusing on the improvement of every aspect of patient care operations.
For hospitals and health systems, integration might mean implementing common operational processes and workflows, adopting evidence-based protocols and clinical pathways, and approaching decision-making with a system mindset. 合理化更有可能集中公司职能或改变范围, 混合, and/or distribution of clinical services.
Pursuing integration and/or rationalization is difficult, 因为两者都要求检查和典型地改变正在做的事情,在哪里,由谁来做. Healthcare leaders encounter internal hurdles—culture, leadership commitment, and resources—and external obstacles, in the form of community resistance, local political pressure, and state-specific regulations. Little wonder that many organizations have been slow to start down this path.
Industry 趋势 Increase the Urgency
The financial repercussions of the COVID-19 pandemic, particularly the increased expenses associated with premium labor and supply costs, 是否迫使更多的bet8网站备用寻找方法来提高其后台功能和医疗bet8娱乐流程的效率. But even before the impact of COVID-19 was widely felt, 一些行业趋势正在促使提供商组织审查集成和/或合理化的需要.
- An aging population: 大约10个,000 people turning 65 every day, 医院发现医疗保险在病人收入中所占的比例越来越大. 付款人组合的变化使得商业业务的利润更难抵消医疗保险和医疗补助的损失.
- Regulatory and pricing pressures: As CMS allows more procedures to be performed in outpatient settings, surgery migration to freestanding ASCs is accelerating. 数字医疗的发展也将要求医疗bet8娱乐提供者重新审视医疗bet8娱乐地点的选择.
- Alternative payment models: 在基于风险的定价模式下取得成功,需要密切检查临床和操作流程,以确定减少不必要使用的机会, minimize clinical variation, and eliminate waste.
- Care delivery and workforce changes: Site-of-care shifts, fewer avoidable admissions, 较低的再入院率意味着未来的医院将被高敏度患者和需要复杂手术的患者所占据, specialized diagnostic and therapeutic procedures. 劳动力老龄化和预计的提供者短缺也迫使bet8网站备用重新思考如何以及在何处提供护理.
Given these trends, bet8网站备用应重点关注以下四个方面,以实现一体化和合理化的好处.
1. Capitalize on Technology 创新 for Business Tasks
许多bet8网站备用已经采用了集中人员和标准化流程的综合收入周期操作. 但最近的技术创新带来了新的机会,在提高消费者体验的同时,也推动了成本节约.
- 访问 and scheduling: 数字工具允许消费者在他们的电脑或移动设备上安排约会和完成预注册.
- 收入循环: 人工智能和机器人流程自动化提供了在收入周期的各个方面减少冗余和提高生产力的机会, 使管理人员能够专注于需要复杂互动和决策的任务.
2. Eliminate Unwarranted Clinical Variation
Unwarranted clinical variation can be defined as resources expended in services, 钱, time, and/or personnel that do not add value. 这种差异经常存在,因为不同护理地点的部门有不同的操作流程和工作流程, there aren’t agreed-upon evidence-based protocols for delivering care, 和/或个别bet8网站备用使用不同的医疗和手术用品和病人护理理念.
处理无根据的临床变异的基本要素包括:
- Standardized clinical and operational processes: Developing and implementing uniform, 全系统的循证协议和途径建立了一种护理模式,并在各站点之间建立了更大的一致性.
- 技术: 整合到电子病历中的临床决策支持工具为临床bet8网站备用提供了可操作的, 实时临床和财务数据,以做出更明智的患者护理决策, 警报可以帮助减少不必要的临床变化和不必要的或重复的测试.
- Physician engagement: Without strong physician alignment, initiatives to reduce unwarranted clinical variation, standardize operational processes, and adapt to new technology will have limited chance of success.
3. Design a Platform for Delivering and Coordinating Care across the Continuum
一个综合的、合理的bet8网站备用的医疗bet8娱乐看起来与今天大多数组织的情况有很大的不同. Transitioning to this platform requires:
- Operating as a single entity: 尽管在过去的十年里,医院和bet8网站备用的做法得到了显著的整合, 很少有组织做出关于集成和合理化操作和bet8娱乐的艰难决定. 结果是, 大多数bet8网站备用未能实现许多潜在的战略和业务利益. Regardless of a health system’s corporate structure, functioning as a single operating entity is essential. 实施一种具有标准化临床协议和一致操作流程的护理模式将打破操作孤岛.
- Aligning with physicians: 建立一个网络,使患者在适当的环境中得到正确的护理, bet8网站备用需要在临床和财务上与bet8网站备用群体保持一致. Health systems can pursue a range of formal alignment options, including comanagement agreements, 合资企业, and clinically integrated networks and accountable care organizations.
- Rationalizing clinical services to optimize resources: 因为bet8网站备用越来越难以满足其社区的所有卫生保健需求, more organizations will need to rethink, and potentially rationalize, the clinical services they provide. Consolidating services, or eliminating them entirely, 困难的决定,但可能是唯一的方法,以保持生存和继续bet8娱乐社会的某种能力.
4. Implement a Capital Asset Plan That Supports Integration and Rationalization
展望未来, 资本资产战略和相关投资将需要提供一个综合的支撑, 合理化, efficient delivery system.
- Rationalize current capital assets: bet8网站备用应进行评估,以确定现有资本资产的最佳短期和预期未来用途. Establishing which facilities require upgrades, can continue operation with maintenance, should be repurposed, and should be phased out will increase revenue and decrease costs in the long run.
- Build adaptable and flexible facilities: 应建立门诊医疗点,以容纳多种临床bet8娱乐线路, diagnostic and therapeutic services, and physicians and specialists on any given day. 类似的, 住院病房的设计应具有灵活性,以便在需要时迅速过渡到ICU功能.
- Develop an integrated technology ecosystem: Patients are increasingly engaging with providers via telemedicine, remote diagnostic and therapeutic procedures, and online portals. 向新的获取渠道的过渡改变了bet8网站备用对设施和空间的需求, reinforcing the importance of building flexible, adaptable spaces.
Is your organization prepared for the changing trend?
This blog post is excerpted from part one of our 我们相信 系列,关于美国医疗保健系统不断变化的动态战略观点的集合.
Download the Full WhitepaperPublished August 25, 2021