Read the case study: Collabortive Leadership in Action Between a Physician Group and Health System
Consider the questions carefuly and write a short paper responding to these using in text citations and references to substantiate your thoughts using proper APA format..
This should be approximately 3/4 to 1 page for each question.
REMEMBER this is 10% of your grade.
A large radiology physician group led a collaboration initiative with a large health system’s administration, clinicians, and IT leadership to implement the new Centers for Medicare & Medicaid Access and CHIP Reauthorization Act (MACRA) quality-based measures. MACRA requires the reporting of quality-based measures under the Merit-Based Incentive Payment System (MIPS), which incentivizes providers who are part of the patient care continuum to work together to increase quality of care and reduce waste. This collaboration was important to all parties because radiology is an expensive service, and is viewed as a cost center as opposed to a revenue center by hospital administrators.
The collaborative integration was performed in a multi-step process by the radiology physician practice, which began by coordinating a series of strategic sessions with the payer to select the most relevant core measures. Core measures are quality- and outcome-based metrics that must be achieved to be reimbursed by CMS. After the relevant core measures were selected (based on preselected criteria), the physician leaders presented them at the system-wide Imaging Leadership Council meetings. After achieving buy-in from all stakeholders (clinicians, administration, and IT) the final step was to align the communications (to ensure that the same message was heard by all), and to manage the change needed for successful implementation of the core measures by the system’s technical teams. This was no small feat considering this was a six-hospital health system with more than 20 radiological imaging centers. Effective collaboration and communication were critical to the success of this implementation to improve quality of care, reduce waste, and increase financial performance by all parties.
- What challenges and barriers could have impacted the collaboration and communication between the parties involved (payers, physicians and other clinical providers, hospital administration, information technology technicians, etc.)?
- What are some methods to gauge if and when collaborative efforts will be successful?
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