Integration Of Health Systems

Integration Of Health Systems

Intermountain Healthcare is a high-performing integrated health system with facilities in Utah and Idaho. The health system has a long-standing clinical integration structure that encourages professional collaboration. Despite this, in 1999, many physicians at Intermountain Healthcare found it difficult to fulfill the needs of patients with co-occurring physical and mental health conditions. To efficiently and effectively address this issue, Intermountain Healthcare adopted a mental health integration model in many of its primary care facilities, as well as some of its specialty clinics and partner clinics. The team-based approach has improved the coordination of services, resulting in higher quality care at a savings of cost.
Consider the example above. What advantages does integration afford Intermountain Healthcare? Do other integrated health systems experience similar benefits? Are there disadvantages to integration? If so, what are they?
To prepare for this Assignment, review the information related to vertical and horizontal integration presented in the Learning Resources.
Select one of the following horizontally integrated health systems:
·         DaVita
·         Apria
·         Sunrise Senior Living
·         Labcorp
·         Quest Diagnostics
Also select one of the following vertically integrated health systems:
·         Kaiser Permanente
·         Mayo Clinic
·         Cleveland Clinic
·         MedStar Health
·         Memorial Hermann Healthcare System Houston
As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.
Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.
Based on your research, consider the ways in which the two health systems are similar to and/or different from one another.
Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?
Consider any applicable insights you have gained through the Discussion for this module.
The Assignment
Write a 3- to 4-page paper in which you:
·         Compare the horizontally integrated health system and the vertically integrated health system you have selected (e.g., size, settings/locations, and types of services).
·         Explain each health system’s rationale for pursuing integration and the strategies it has used to achieve integration.
·         Assess the business and health care-related implications of integration for your selected health systems, including how integration impacts the patients/consumers the organization serves.

 
 
 
Resources
 

Readings

·         Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.
o    Chapter 9, “Managed Care and Integrated Organizations” (pp. 361–368)
·         Cohen, A., Klein, S., & McCarthy, D. (2014). Hill Physicians Medical Group: A market-driven approach to accountable care for commercially insured patients. Retrieved fromhttp://www.commonwealthfund.org/~/media/files/publications/case-study/2014/oct/1770_cohen_hill_physicians_aco_case_study.pdf
·         Cutler, D. M., & Morton, F. S. (2013). Special communication: Hospitals, market share, and consolidation. JAMA, 310(18), 1964–1970.
Retrieved from the Walden Library databases.
·         Sanford, K. D. (2013). Integration requires new roles and responsibilities. Healthcare Financial Management, 67(3), 56–60.
Retrieved from the Walden Library databases.
·         Summer, L. (2014). Research insights: Integration, concentration, and competition in the provider marketplace. Retrieved fromhttp://www.academyhealth.org/files/publications/AH_R_Integration%20FINAL2.pdf
Use the following resources to select integrated health systems on which to focus for your Assignment. You may also use this list to develop background information as you research health systems in your area for the Discussion.
·         Rodak, S. (2013). 100 integrated health systems to know. Retrieved fromhttp://www.beckershospitalreview.com/lists/100-integrated-health-systems-to-know.html
Vertically Integrated Health Systems
·         Cleveland Clinic. (n.d.). Retrieved March 27, 2015, from http://my.clevelandclinic.org
·         Kaiser Permanente. (n.d.). Retrieved March 27, 2015, from http://kp.kaiserpermanente.org/
·         Mayo Clinic. (n.d.). Retrieved March 27, 2015, from http://www.mayoclinic.org
·         MedStar Health. (n.d.). Retrieved March 27, 2015, from https://www.medstarhealth.org/
·         Memorial Hermann Healthcare System Houston. (n.d.). Retrieved March 27, 2015, fromhttp://www.memorialhermann.org
Horizontally Integrated Health Systems
·         Apria. (n.d). Retrieved March 27, 2015, from www.apria.com
·         DaVita. (n.d). Retrieved March 27, 2015, from www.davita.com
·         Labcorp. (2014). Retrieved March 27, 2015, from https://www.labcorp.com/
·         Quest Diagnostics. (n.d.). Retrieved March 27, 2015, from http://www.questdiagnostics.com/
·         Sunrise Senior Living. (n.d.). Retrieved March 27, 2015, from http://www.sunriseseniorliving.com/

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

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Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

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I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

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The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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