1. How to save distressed IDS-physician marriages: a case study.
- Author
-
Collins H and Johnson BA
- Subjects
- Delivery of Health Care, Integrated organization & administration, Efficiency, Organizational, Organizational Case Studies, Organizational Innovation, Organizational Objectives, Ownership, Physician Incentive Plans, Practice Management, Medical organization & administration, Salaries and Fringe Benefits, United States, Delivery of Health Care, Integrated economics, Hospital-Physician Relations, Leadership, Practice Management, Medical economics
- Abstract
A hospital-driven IDS that encounters serious problems resulting from ownership of a physician practice should address those problems by focusing on three core areas: vision and leadership, effectiveness of operations, and physician compensation arrangements. If changes in these areas do not lead to improvements, the IDS may need to consider organizational restructuring. In one case study, a hospital-driven IDS faced the problem of owning a poorly performing MSO with a captive physician group. The IDS's governing board determined that the organization lacked effective communication with the physicians and that realization of the organization's vision would require greater physician involvement in organizational decision making. The organization is expected to undergo some corporate reorganization in which physicians will acquire an equity interest in the enterprise.
- Published
- 1998