Hayes' Healthcare Blog

Managing a Successful Physician Integration: 7 Lessons Learned

Posted by Craig J. Nesta, JD, MBA, MS, FHFMA, FACHE, FACMPE on June 28, 2017 at 9:00 AM


From 2008 to 2013, the number of hospitals with salaried physicians increased from 44 to 55 percent and continues to increase. In that five-year period, there were 599 situations where a hospital transitioned from zero to some form of physician integration.[1] The shift from fee-for-service to new payment models and methodologies, increased overhead, revenue pressures for physician practices, massive industry consolidation and an effort to connect traditional care silos indicates this trend is likely to continue.   

Although there has clearly been growth in physician acquisition and hospital employment, this article aims to be neutral and does not take an advocacy position for nor against physician acquisition.  There are many physician groups that maintain a goal of and feel strongly about independence and are doing quite well while others are actively seeking a system/hospital suiter.  For physician groups and hospitals seeking alignment via employment, there has been much discussion on the most effective ways to integrate new physicians into the organization.

Below are seven lessons learned that may be mutually beneficial for hospitals and physician groups to contemplate for a successful integration.

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Topics: physician compensation, healthcare project management, Hayes Thought Leadership Blog Series, physician integration

Culture Shock: 9 Ways Your Organization Can Prepare for a System Change

Posted by Susan Eilman on June 21, 2017 at 9:04 AM

If you’re like most organizations, you’ve probably come across your fair share of bumps in the system transition road. Workflows are interrupted, unfamiliarity is commonplace, and sometimes organizational leaders are met with staff resistance to change. Confusion as to why the organization is changing systems is present, a hesitation towards change is palpable, and leaders are frequently left frustrated as to how to unite their staff.

Instead of viewing the system change as an uphill battle, try to look at it as though you were experiencing culture shock from visiting another country.  Routine activities may no longer be available to you, your default resources may be hard to find, and you may even have to speak a foreign language.  This may be similar to how your staff feels about a systems change.

One of the top reasons for resistance to change is the discomfort of the unfamiliar and this can manifest in a variety of ways: some staff may not be aware of the organization’s vision of the finished project and therefore question the purpose of change, others may question how this change will affect their jobs, and others may be hesitant to change the ways in which they interact with the system simply out of routine habit.  Another common barrier with system changes is lack of organizational communication.

So how can organizations prepare staff for a systems change successfully? By reviewing these key elements, you may be able to avoid culture shock and resistance to change.

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Topics: healthcare system management, system migration

Know the Score: Understanding the MACRA Advancing Care Information Category

Posted by Strategic Planning Team on June 14, 2017 at 9:00 AM

We are now six months into the implementation of MACRA and organizations have moved from the theoretical to reality when it comes to the law’s new requirements. The transition has put the CMS EHR incentive program – better known as Meaningful Use (MU) – in the rear-view mirror, replaced by the Advancing Care Information (ACI) component of the MIPS track of MACRA.

MU mandated that organizations meet minimum thresholds when it came to the use of EHR technology. ACI aims to take the integration of electronic records to the next level by focusing on performance, not just use. ACI expands MU to include MIPS eligible clinicians who were not previously eligible for incentive payments such as physician assistants, nurse practioners, clinical nurse specialists, certified registered nurse anesthetists and hospital-based EP’s.

CMS has outlined several major goals in designing the requirements for ACI:

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Topics: meaningful use, strategic planning, MACRA

9 Questions to Ask When Winding Down Your Accounts Receivable During an IT Transition

Posted by Sondra Akrin on June 7, 2017 at 9:00 AM

Demands continue to hammer healthcare organizations in today’s ever-changing environment:

  • Increase patient engagement.
  • Reduce costs.
  • Meet new requirements of value-based care.
  • Comply with the Affordable Care Act (or the American Health Care Act or whatever new plan emerges from the ongoing congressional battle over healthcare.)

Organizations scrambling to meet these demands have become increasingly reliant on their IT systems. Practice management (PM) systems form the foundation of an organization’s business and many are coming to realize that the systems they have in place can’t get the job done. A number of older systems are slow, difficult to use and can’t keep up with the demands of a modern revenue cycle. The need for automation, data analysis and detailed reporting often requires the implementation of a new PM system.

While this may solve the needs of the future, it creates a ton of problems in the present. IT system transitions, though often necessary, are complex and affect nearly every aspect of an organization. One of the most critical aspects of a PM system transition involves the handling of accounts receivable (A/R).

Here are several key questions to ask as you prepare to wind down your A/R during a transition.

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Topics: healthcare IT, healthcare revenue cycle, A/R management, Legacy System

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