The Effect of Hospital‐Physician Integration on Operational Performance: Evaluating Physician Employment for Cardiovascular Services

2019 ◽  
Vol 51 (2) ◽  
pp. 282-316 ◽  
Author(s):  
E. David Zepeda ◽  
Gilbert N. Nyaga ◽  
Gary J. Young
Keyword(s):  
Operational Performance ◽  
Hospital Physician ◽  
Physician Employment ◽  
Physician Integration ◽  
Cardiovascular Services ◽  
Performance Evaluating

Hospital-Physician Integration: Case Studies of Community Hospitals

1992 ◽  
Vol 5 (2) ◽  
pp. 82-98 ◽  
Author(s):  
Louise Lemieux-Charles ◽  
Peggy Leatt
Keyword(s):  
Medical Staff ◽  
Teaching Hospitals ◽  
Future Research ◽  
Hospital Physician ◽  
Community Hospitals ◽  
Organizational Models ◽  
Study Results ◽  
Efficiency And Effectiveness ◽  
Physician Integration ◽  
The Relationship

Hospitals are attempting more meaningfully to involve physicians in management as one approach to increasing the efficiency and effectiveness of their operations. The purpose of this research was to explore the relationship between the structure of the medical staff organization, the extent to which physicians are integrated into hospital decision making and the hospital's financial performance. A measure of hospital-physician integration was developed based on Alexander et al's (1986) dimensions of hospital-physician integration which were based on Scott's (1982) organizational models, ie, autonomous, heteronomous and conjoint. A multiple case study design, which comprised eight community non-teaching hospitals over 200 beds located in the Province of Ontario, Canada, was used to examine the relationship between variables. Study results suggest that there is variation among community hospitals on both contextual and organization factors. Hospitals with high levels of hospital-physician integration were located in highly populated areas, had formulated and implemented a strategic plan, had highly structured medical staff organizations, and had no budgetary deficit. In contrast, hospitals with moderate or low levels of integration were more likely to be located in lowly populated areas, had little planning activity, had a moderately structured medical staff organization, and had deficit budgeting. Suggested areas for future research include examining the role of the Board of Trustees in determining physicians' organizational roles and identifying differences in commitments, characteristics, and motivations of physicians working in rural versus urban hospitals and their impact on integrative strategies.

scholarly journals The effect of hospital/physician integration on hospital choice

2016 ◽  
Vol 50 ◽  
pp. 1-8 ◽  
Author(s):  
Laurence C. Baker ◽  
M. Kate Bundorf ◽  
Daniel P. Kessler
Keyword(s):  
Hospital Physician ◽  
Hospital Choice ◽  
Physician Integration

scholarly journals The Effect of Hospital/Physician Integration on Hospital Choice

2015 ◽  
Author(s):  
Laurence Baker ◽  
M. Kate Bundorf ◽  
Daniel Kessler
Keyword(s):  
Hospital Physician ◽  
Hospital Choice ◽  
Physician Integration

Vertical Integration and Physician Practice Labor Composition

2020 ◽  
pp. 107755872097259
Author(s):  
Hilary Barnes ◽  
Grant R. Martsolf ◽  
Matthew D. McHugh ◽  
Michael R. Richards
Keyword(s):  
Vertical Integration ◽  
Nurse Practitioners ◽  
Care Delivery ◽  
Physician Assistants ◽  
Supporting Evidence ◽  
Physician Practice ◽  
Hospital Physician ◽  
Physician Practices ◽  
Physician Integration ◽  
Delivery Efficiency

With the growth of vertical integration among physician practices (i.e., hospital–physician integration), there have been many studies of its effects on health care treatments and spending. It is unknown if integration shapes provider configurations, especially against the backdrop of increasing employment of nurse practitioners (NPs) and physician assistants (PAs) across specialties. Using a longitudinal panel of 144,289 practices (2008-2015), we examined the association of vertical integration with NP and PA employment. We find positive associations between vertical integration and newly employing NPs and PAs within physician practices; however, the relationships differ by practice specialty type as well as timing of vertical integration. Supplementary analyses offer supporting evidence for coinciding enhancements to practice productivity, diversification, and provider task allocation. Our results suggest that vertical integration may promote interdisciplinary provider configurations, which has the potential to improve care delivery efficiency.

scholarly journals Hospital‐physician integration and Medicare’s site‐based outpatient payments

2021 ◽  
Vol 56 (1) ◽  
pp. 7-15 ◽  
Author(s):  
Brady Post ◽  
Edward C. Norton ◽  
Brent Hollenbeck ◽  
Thomas Buchmueller ◽  
Andrew M. Ryan
Keyword(s):  
Hospital Physician ◽  
Physician Integration

Achieving Adherence to Evidence-Based Practices

2016 ◽  
Vol 73 (6) ◽  
pp. 724-751 ◽  
Author(s):  
Jordan Everson ◽  
Shoou-Yih Daniel Lee ◽  
Julia Adler-Milstein
Keyword(s):  
Information Technology ◽  
Performance Improvement ◽  
High Performance ◽  
Evidence Based ◽  
Hospital Physician ◽  
Evidence Based Practices ◽  
American Hospital ◽  
Improve Hospital ◽  
Physician Integration ◽  
Hospital Compare

In response to evolving policies and conditions, hospitals have increased health information technology (HIT) adoption and strived to improve hospital–physician integration. While evidence suggests that both HIT and integration confer independent benefits, when combined, they may provide complementary means to achieve high performance or overlap to offset each other’s contribution. We explore this relationship in the context of hospital adherence to evidence-based practices (EBPs). Using the American Hospital Association’s Annual and IT Supplement surveys, and Centers for Medicare and Medicaid Services’s Hospital Compare, we estimate the independent relationships and interactions between HIT and hospital–physician integration with respect to EBP adherence. HIT adoption and tight (but not loose) integration are independently associated with greater adherence to EBPs. The interaction between HIT adoption and tight integration is negative, consistent with an offsetting association between HIT adoption and integration in their relationship to EBP adherence. This finding reveals the need to be aware of potential substitutive effects from simultaneous pursuit of multiple approaches to performance improvement.

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