Webinar: Integrating Physician Practices into Your Network
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The document outlines a webinar discussing strategies for integrating physician practices into healthcare networks, emphasizing the importance of alignment, assessment, and onboarding processes for successful integration. Key steps include due diligence, communication, appointing project managers, and establishing orientation plans to foster a smooth transition for new physicians. It highlights the necessity of an effective integration strategy to improve patient care and operational efficiency in value-based care environments.
Webinar: Integrating Physician Practices into Your Network
- 1. Welcome... Today’s topic Integrating Physician Practices Into Your Network During today’s discussion, feel free to submit questions at any time by using the questions box. A follow-up e-mail will be sent to all attendees with links to the presentation materials online. Patricia Richesin Vice president, Physician Strategies and Services, VHA, Irving, Texas Christopher Lloyd CEO, Memorial Hermann Physician Network, Houston Dr. Charles Kelly President and CEO, Henry Ford Physician Network, Detroit
- 2. HousekeepingHousekeeping 1. Viewer Window 2. Control Panel
- 3. Maureen McKinney Editorial programs manager, Modern Healthcare Now speaking... Please use the questions box on your webinar dashboard to submit comments to our moderator
- 4. Patricia Richesin VP, Physician Strategies and Services VHA Now speaking... Please use the questions box on your webinar dashboard to submit comments to our moderator
- 5. ************************************THE PATIENT**************************** Creating a Community of Care Fundamentals of Integrated System Risk Management Employers • Payers • Providers • Hospitals Right Providers Right Specialties Right Access Right Services Optimal Outcomes Optimal Utilization Optimal Cost Big Data Effective Networks New Knowledge New Expertise 1 |
- 6. Value-based care is forcing more hospitals and health systems to explore clinical and physician integration strategies 2 |
- 7. Assessment Acculturation Alignment Assimilation Creating a Community of Care Key steps to successful integration 3 |
- 8. Assessment Acculturation Alignment Assimilation Creating a Community of Care Key steps to successful integration Lack of due diligence to ensure a match between hospitals and physician networks can derail long-term strategy Assess demand for services across continuum, primary care and specialists, as well as places of service 4 |
- 9. Assessment Acculturation Alignment Assimilation Creating a Community of Care Key steps to successful integration Not being aligned upon entering an agreement might lead to misunderstanding of value proposition and expectations for the relationship Align incentives for clinical quality, patient access, financial outcomes; create structures that fit including employment models 5 |
- 10. Assessment Acculturation Alignment Assimilation Creating a Community of Care Key steps to successful integration Resistance to change may ultimately result in conflict and misalignment of long- term vision/goals Decide if you’re going to build or adopt a culture; share best practices while moving from a team of individuals to individuals on a team 6 |
- 11. Assessment Acculturation Alignment Assimilation Creating a Community of Care Key steps to successful integration Without strong network and physician leadership, systems break down and progress is slowed Need a team approach to care – not only across providers (primary, specialists, hospitalists), but within a practice (providers, nurses, techs) 7 |
- 12. Assessment Acculturation Alignment Assimilation Creating a Community of Care Key steps to successful integration Successful Integration 8 |
- 14. 7 keys to creating an efficient onboarding process As new physicians and practice groups join your organization, a thoughtful, standardized approach can make onboarding and orientation go more quickly and efficiently. Below are seven keys to creating an efficient onboarding process that enables a smooth transition for physicians and staff joining the new organization and assimilating into the new culture. 1. Due diligence: Create a check list of items typically required for due diligence such as by-laws, articles of incorporation, shareholder or partnership agreements, real estate documents, an asset list, all contracts, insurance documentation, pending litigation, financial documents, employee roster and regulatory compliance documents. 2. Document exceptions: Develop a template to document exceptions to the standard agreement. These might include medical directorships, additional assets or monetary arrangements or anything that is not typically part of the standard agreement. 10 |
- 15. 7 keys to creating an efficient onboarding process 3. Develop a master onboarding list with a timeline. Identify responsible staff for each section and tie together sequential processes. Provide central access to the list so that each department can access it as needed. 4. Communicate. Communication and coordination is the key to ensuring that all items are completed prior to the provider beginning employment. Missing key deadlines can be costly to the organization. Setting up a realistic timeline, which is minimally 60 to 90 days is essential. 5. Appoint a project manager/owner. The project manager/owner serves as the key contact for administrators and practitioners to ensure the process goes smoothly and remains on schedule. Regularly scheduled meetings with key players helps keep the project moving and holds people accountable. 11 |
- 16. 7 keys to creating an efficient onboarding process 6. Establish an orientation plan. During the first year of employment, assign a physician mentor and hold regular meetings with the medical director to ensure engagement and integration into the new group and culture. 7. Continually review the process. Create a physician survey related to the onboarding process as part of the master plan to help identify areas for improvement. In our rapidly-changing environment, a well-planned onboarding process that serves as a structural compass before, during and after the partnership deal is done is critical to success. When a plan is in place, the organization as a whole benefits through improved employee morale and a vibrant culture that works together to put the needs of the patient first. 12 |
- 17. Dr. Charles Kelly President and CEO, Henry Ford Physician Network Now speaking... Please use the questions box on your webinar dashboard to submit comments to our moderator
- 18. Henry Ford Physician Network • Clinically integrated as defined by FTC • Operational April 2010 • Approximately 1700 physicians total – 1100 member Henry Ford Medical Group – 100 non-HFMG, regionally employed physicians – 500 private practice physicians – Footprint in 3 county market, SE Michigan, 7 competitive Health Systems. • Marketing as Narrow Network/Population Manager – Provider-owned Health Plan – Direct to employer • Application pending for CMS MSSP for 2015
- 19. On-boarding Process • Practice Interest and Application completion • 120 day period of pre-Qualification membership • Achieving Qualified membership • Practice Orientation
- 20. Application period • Clinical Integration is hard work and not for everyone • Initial contact regarding “interest” generally triggered by news of peer receiving incentives or desire to participate in a premium contract • Little knowledge of the extra work and commitment required of a CI Citizen
- 21. Application Period • Following our notification, application and copy of participation agreement forwarded • If completed and returned within 2 weeks the provider and practice enter a 120 day pre- Qualification phase. • We follow up with the practices in 2 weeks if we have not received any information • Status change to “ declined” and process ends
- 22. 120 day pre-Qualification • All the following elements must take place within 120 days or our agreement is void – Establish data connectivity and continuous reporting – W9 on file – Approved credentials – Executed participation agreement • Your worst case scenario is having providers enter into patient assignments without commitment to CI process thus leading to beneficiary disruptions
- 23. Qualified Membership • Orientation scheduled-designed for Office Mgr and key staff- helpful if physician attends – Actually begins during installment of data aggregator tool – Physician portal registration/userID and password – Metrics toolkits provided for appropriate specialty – Contract summaries provided – MSO offerings explained and process to acquire – General overview of value of the Network and Clinical Integration – Assist with practice workflow solutions – Description of required coding and integrating with billing practices – Leadership review, ie. Board members, Regional Medical Director and HFPN team. • Physicians enrolled in all contracts • Physicians achieve eligibility for incentives and benefits • Office Manager Forum schedules and invitations
- 24. Metric Toolkits • Essentially designed to inform participant on what they will be measured, what the source of data will be, how they will be informed of the outcomes and frequency of reports. – Press Ganey satisfaction surveys distribution by PN – Data collection across ALL patients, not just contracted beneficiaries • It also links these measures to our “Value Campaign” which also describes eligibility and scoring for earning incentives • Introduction to the data dashboard that allows individual and specialty specific and regional comparisons. • Choosing Wisely Campaign outline and requirements for members
- 25. MSO Offerings • Subsidized IT offerings- supported by training, install and ongoing maintenance. • Access to Group Purchasing discounts • Affordable Malpractice coverage • Privacy and security compliance for the practice • Ford X Plan and other employee discounts offered to HFHS workforce • Revenue cycle assistance with private vendor that generates robocalls and securely stores credit info
- 26. Christopher Lloyd CEO, Memorial Hermann Physician Network Now speaking... Please use the questions box on your webinar dashboard to submit comments to our moderator
- 27. Complexion of the Physician Network • MHMD – 4000 practicing physicians • 1950 CI physicians in MHACO (single signature representation) • 300 Advanced Primary Care Practices (PCMH) • 250 additional PCPs • Evolving High Performance Specialty Physicians (500) • 200 are employed (MHMG) • University of Texas Physicians – 800 physicians – CI and ACO affiliates – Some UT faculty participate in advanced and high performance practices
- 28. Memorial Hermann Corporate Structure Memorial Hermann Health System Children’s Governance Audit System Quality Finance Physician Council Corporate Members Memorial Hermann Foundation MHMDHePIC MH Medical Group MH Health Solutions, Inc. MH Community Benefit Corp. MH Accountable Care Organization MH Information Exchange
- 29. CPCs: Connecting to the System Board and the Hospital Medical Staffs/MECs MH Hospital Board System Quality Committee MHMD Board of Directors Clinical Programs Committee H&V Neuro Woman/ Child Surgery Medicine Oncology Path/Rad Primary Care Nursing Councils Operating Councils Executive Liaisons Service Lines HOSPITAL MECs Katy MEC MC MEC NE MEC NW MEC SE MEC SW MEC SL MEC TMC MEC TWL MEC MH Medical Staffs (MHMD Members)
- 30. MHMD Clinical Programs Committees Physician Governance of Quality and Safety MHMD Board of Directors Clinical Programs Committee H&V Cardiology CV Surgery Neuro Neurology Neurosurgery Woman/Child Neonatal OB/Gyn Surgery Anesthesia Bariatrics Orthopedics ENT Allergy Medicine Critical Care Emergency Ad hoc Hospital Medicine Post Acute Oncology Oncology Contract Imaging Pathology Primary Care Adult PCP Peds Peer Review Clinical Ethics & Palliative Care Order Set Editorial Board Informatics Acute Surgery DVT/PE JOC End of Life Care JOC Pediatric Head CT JOC Surgical Home JOC 4
- 31. Memorial Hermann Regional Medical Home Structure Central Region • Hospitals - 4 (CMHH, TMC, TIRR, NW) • ASC - 3 • MHDL PSC - 6 204 PCPs •51 APCP (11 MHMD, 7 MHMG/Phytex, 33 UT) •9 APP (5 MHMD, 4 MHMG/Phytex) •144 CI PCPs (inc UT) 757 Specialists • 21 MHMG/Phytex • 736 CI Specialists (inc UT) • OPID - 7 • SMR - 4 Northeast Region • Hospitals - 1 (NE) • ASC - 2 • CCC - 1 33 PCPs •20 APCP (15 MHMD, 4 MHMG/Phytex, 1 UT) •0 APP •13 CI PCPs (inc UT) 73 Specialists • 4 MHMG/Phytex • 69 CI Specialists (inc UT) • MHDL PSC - 1 • OPID - 3 • SMR - 2 North Region • Hospitals - 1 (TWL) • ASC - 4 • FSER - 1 91 PCPs •47 APCP (36 MHMD, 11 MHMG/Phytex, 0 UT) •0 APP •44 CI PCPs (inc UT) 229 Specialists • 9 MHMG/Phytex • 220 CI Specialists (inc UT) • MHDL PSC - 3 • OPID - 3 • SMR - 6 West Region • Hospitals - 3 (KT, KT Rehab, MC) • ASC - 4 • MHDL PSC - 6 163 PCPs •64 APCP (48 MHMD, 15 MHMG/Phytex, 1 UT) •2 APP (2 MHMD, 0 MHMG/Phytex) •97 CI PCPs (inc UT) 283 Specialists • 15 MHMG/Phytex • 268 CI Specialists (inc UT) • OPID - 8 • SMR - 5 Southeast Region • Hospitals - 1 (SE) • ASC – 2 • MHDL PSC – 3 97 PCPs •38 APCP (15 MHMD, 16 MHMG/Phytex, 7 UT) •0 APP •59 CI PCPs (inc UT) 141 Specialists • 7 MHMG/Phytex • 134 CI Specialists (inc UT) •OPID - 6 • SMR – 8 Counts as of 7/22/2014 Physician counts do not include physician extenders *Includes UT Pediatricians, some specialty Pediatricians, and some IM and FP’s with a secondary subspecialty Southwest Region • Hospitals - 2 (SL & SW) • ASC - 4 • MHDL PSC - 6 174 PCPs •73 APCP (34 MHMD, 33 MHMG/Phytex, 6 UT) •4 APP (0 MHMD, 4 MHMG/Phytex) •97 CI PCPs (inc UT) 277 Specialists • 38 MHMG/Phytex • 239 CI Specialists (inc UT) • OPID - 5 • SMR – 8 (add’l 1 pending) 1 Additional SMR in Nederland 3 Additional MDs in Bay City: 1 MHMG PCP, 1 MHMG Specialist, 1 CI Specialist. 5
- 32. PCP Regional Leaders Dr. Jeff Sweeney Medical School at USC and residency at Kaiser Permanente Captain in medical corps Board certified in family medicine North Northeast West Southwest Southeast Central Dr. Tejas Mehta Temple University School of Medicine Residency at Penn State College of Med Board certified in Internal medicine and primary care Dr. Ankur Doshi University of Texas Medical Branch Med School Board certified in Internal Medicine Founder of Prime Care Medical Group Dr. John Vanderzyl University of Texas Health Center – Houston Board certified in family medicine Named “Top Doctors in America” Dr. Adnan Rafiq St. George University Medical School and University of Medicine – New Jersey Board Certified in internal medicine Physician of the Year 2012 Dr. Kevin Giglio UT Health Houston medical school Residency at MH Family medicine program Board certified family medicine
- 33. The MHACO Shared Savings and Aligned Incentives More flexibility in ACO “related” quality, safety and efficiency program incentives MHMD contracting capability MHACO Promoting Evidence Based Medicine Promoting Beneficiary Engagement Internally Reporting On Quality And Cost Metrics Promoting Care Coordination POPULATION MANAGEMENT Quality Assurance And Improvement Program Processes Commercial Medicare 7
- 34. DocbookMD App 1. Go to the App Store or Google Play from your mobile device 2. Search for and download “DocbookMD” 3. Tap “Create Account” and complete the registration process iOS • Create Account – select to register for 1st time • Existing users • Enter email and password setup during registration • Click Log in - app will store details • Forgot Password – select to receive email link to reset • Help icon (?) Android • Create Account – select to register for 1st time • Existing users • Enter email and password setup during registration • Click Log in – app will store details • Forgot Password – select to receive email link to reset • Help icon (:)
- 35. Today’s panelists... Integrating Physician Practices Into Your Network During today’s discussion, feel free to submit questions at any time by using the questions box. Maureen McKinney Editorial programs manager, Modern Healthcare Christopher Lloyd CEO, Memorial Hermann Physician Network, Houston Dr. Charles Kelly President and CEO, Henry Ford Physician Network, Detroit Patricia Richesin Vice president, Physician Strategies and Services, VHA, Irving, Texas TODAY’S MODERATOR
- 36. Thank you... ... for attending today’s editorial webinar on integrating physician practices into your provider network. We also thank our panelists, Dr. Charles Kelly, president and CEO of Henry Ford Physician Network, Detroit; Christopher Lloyd, CEO of Memorial Hermann Physician Network, Houston; and Patricia Richesin, vice president of physician strategies and services, VHA, Irving, Texas. Expect a follow-up e-mail within two weeks. For more information, send an e-mail to webinars@modernhealthcare.com Our next editorial webinar,“Patient Engagement: A Key Strategy for Population Health Management,” is set for Wednesday, Sept. 17. For more information, please visit modernhealthcare.com/webinars