When I joined AMS nearly 2 years ago, I was finishing my doctoral research that examined the impact of CMS’ Pay for Performance (P4P) system on the relationship between hospital costs and the patient experience. This P4P system provides a financial reward or penalty for hospitals that will reach as high as 2% of Medicare Read More
Lessons Learned from a Hospital-Physician Gainsharing Program
This month, hfm Magazine explores “Lessons Learned from a Hospital-Physician Gainsharing Program, examining the experiences of the New Jersey Hospital Association, the Greater New York Hospital Association, and their member hospitals. NJHA’s SVP Sean Hopkins, AMS VP Anthony Stanowski, and I discuss the leadership lessons learned using the 8-step process for leading change advanced in the seminal 1996 book, Leading Change by Dr. John Kotter, Emeritus Professor of Harvard Business School.
By documenting the key lessons learned from the associations that administered gainsharing programs and the hospitals that implemented them, we hope that this article provides guidance to health care providers not just in implementing gainsharing programs, but also as they undergo the change management process for other forms of alternative payment systems.
Quality Metrics: 7 Guidelines For Deciding What to Measure
So your organization is implementing a gainsharing strategy and you have been selected to oversee the program. Gainsharing can be a stand-alone program or be an integral part of other initiatives, such as ACOs and Bundled Payments. Identifying the common elements to all these initiatives is critical – especially if you Read More
Breaking Down Internal Silos
As hospitals initiate new strategies to transition from fee-for- service to population health, many times the programs are established in a vacuum. Managers in one are unaware of what the managers of another are working on – sound familiar. That age old problem of “silo mentality”. This may be due to a number of
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Care Redesign – Its Time Has Come
My dog has kidney disease. She’s had it for some time and it really hasn’t changed her life. Once a couch potato, always a couch potato. She is on the maximum doses of drugs for the disorder, which she takes begrudgingly. On her last visit to the nephrologist (yes, she has a nephrologist), an ultrasound was
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