|[October 25, 2013]
Survey: Smaller Hospitals See Large Systems Leading the Drive in Health Care Delivery Model Shift
SAN FRANCISCO --(Business Wire)--
Large hospitals and systems are expected to drive the move toward a new
health delivery model in which clinically integrated networks both
provide care and insure the patients receiving it, according to new
survey data from Kurt
Salmon and the Community
The research surveyed community hospital executives and was completed by
national health care consultant Kurt Salmon in cooperation with the
Community Hospital 100 Leadership & Strategy Conference. It found that
77 percent of respondents see clinical integration initiatives occurring
in their markets. Clinical integration was defined as delivering patient
care across conditions, providers, settings and time in a safe, timely,
patient-focused way that uses health care resources efficiently.
A full 81 percent of the community hospital executives surveyed said
they believe clinically integrated networks (CINs) in their markets will
either develop their own insurance product or develop one through
collaboration with a payer. Throughout the survey, responses from
individuals affiliated with large health systems suggested that large
systems will drive CIN development; only 18.5 percent of respondents
believed hospitals with under 300 beds could develop CINs, and 61
percent see large regional health systems in their markets positioning
themselves to own the entire integrated care continuum.
"Community hospitals see the future as one with more partnerships and
more information-sharing," Kurt Salmon senior partner Jeff Hoffmn said.
"At the same time, most are still uncertain about the impact clinically
integrated networks will have on them and how their own roles as
community hospitals will change."
The survey also revealed healthy skepticism from health care executives
who navigated the "Integrated Delivery System" era of the early 1990s.
"A lot of these efforts and tactics were tried 20 years ago, and they
imploded because the market was not ready. In many regions, it was the
right strategy, but it was before it's time," Hoffman (News - Alert) said. "In today's
higher-cost insurance environment, and with the improvement of
information systems and data analytics, the time has come to take the
next steps to deliver improved quality more efficiently by aligning
physicians within clinically integrated networks. Providers that don't
partner and work with their physicians on clinical integration
strategies to achieve population health management goals will find
themselves shut out of a new paradigm."
Additional findings include:
95 percent of hospitals will consider physician employment in the
future; 40 percent plan to employ more than half of their referring
primary care physicians over the next two years.
Large, urban hospitals are three times more likely than small, rural
hospitals to participate in joint ventures, clinical co-management
arrangements, clinically integrated networks and similar affiliations.
Hospitals pursue physician alignment for different reasons that break
down by size: Small, rural hospitals note it as a referral growth
strategy, and large urban hospitals treat it as part of their
risk-based payments preparation and population health management
A white paper and additional research findings will be available here.
About Kurt Salmon
Salmon is a global management consultancy of over 1,400 consultants
in 13 countries across four continents. Our clients are industry leaders
who benefit from our deep industry and functional expertise. As trusted
advisers, Kurt Salmon partners with clients to design, and then drive,
strategies and solutions that make a lasting and meaningful impact. We
are committed to delivering measurable results for our clients through
Kurt Salmon's North America Health Care Practice serves health care
organizations that refuse to compromise between mission and business
success. We partner with clients to create uniquely relevant health care
organizations that transform care delivery for the 21st century.
to learn more.
About Community Hospital 100
Community Hospital 100 is an executive-level conference focused
exclusively on the objectives of mid-size, community-based hospitals and
health systems. Each year, leadership from across the country gather at
CH 100 for three days of networking, meetings and education.
Limited to 100 provider organizations, CH 100 is the premier venue for
insights and solutions to the most critical strategic issues influencing
hospitals and health systems today.
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