Understanding How Orthopaedic Surgery Practices Generate Value for Healthcare Systems
- PDF / 346,646 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 32 Downloads / 190 Views
Clin Orthop Relat Res (2013) 471:1801–1808 DOI 10.1007/s11999-012-2774-9
A Publication of The Association of Bone and Joint Surgeons®
SYMPOSIUM: ALIGNING PHYSICIAN AND HOSPITAL INCENTIVES
Understanding How Orthopaedic Surgery Practices Generate Value for Healthcare Systems Steven A. Olson MD, Richard C. Mather III MD
Published online: 4 January 2013 Ó The Association of Bone and Joint Surgeons1 2013
Abstract Background Orthopaedic surgery practices can provide substantial value to healthcare systems. Increasingly, healthcare administrators are speaking of the need for alignment between physicians and healthcare systems. However, physicians often do not understand what healthcare administrators value and therefore have difficulty articulating the value they create in discussions with their hospital or healthcare organization. Many health systems and hospitals use service lines as an organizational structure to track the relevant data and manage the resources associated with a particular type of care, such as musculoskeletal care. Understanding service lines and their management can be useful for orthopaedic surgeons interested in interacting with their hospital systems. Questions/purposes We provide an overview of two basic types of value orthopaedic surgeons create for healthcare systems: financial or volume-driven benefits and nonfinancial quality or value-driven patient care benefits. Methods We performed a search of PubMed from 1965 to 2012 using the term ‘‘service line.’’ Of the 351 citations identified, 18 citations specifically involved the use of Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request. S. A. Olson (&), R. C. Mather III Department of Orthopaedic Surgery, Duke University School of Medicine, DUMC Box 3389, Durham, NC 27710, USA e-mail: [email protected]
service lines to improve patient care in both nursing and medical journals. Results A service line is a structure used in healthcare organizations to enable management of a subset of activities or resources in a focused area of patient care delivery. There is not a consistent definition of what resources are managed within a service line from hospital to hospital. Physicians can positively impact patient care through engaging in service line management. Conclusions There is increasing pressure for healthcare systems and hospitals to partner with orthopaedic surgeons. The peer-reviewed literature demonstrates there are limited resources for physicians to understand the value they create when attempting to negotiate with their hospital or healthcare organization. To effectively negotiate for resources to provide the best car
Data Loading...
