Interviewer: We`re dating Rachel Gonzales, CEO of Madison Memorial Hospital, who talks about the brand new affiliation with Madison Memorial and the University of Utah. Thank you for taking the time. With respect to clinical funding, a very effective tool is to pool all clinical revenues at the system level (allowing for joint contracts with health care plans) and, in turn, to distribute the funding to hospitals and to faculty and physician organizations or departments using a performance-based methodology that rewards productivity. access, quality and safety, as well as cost-effectiveness. Similar approaches should be considered for advanced medical education and funding for mission support. For example, there is a clear trend towards shared risk models for mission support that link discretionary funding to pre-defined measures or to the CMA`s financial performance. Specific measures and objectives will change as organisational priorities change and adapt to the market, but the underlying principles and mechanisms must remain transparent, formula-oriented and performance-based. VA affiliation agreements (use the same agreement with or without refund) Interviewer: As far as I know, you are talking about the fact that residents of this community may not have to travel distances with this affiliation. Describe exactly how it would work. Frl Rachel Gonzales: This means that through its affiliation with the University of Utah, our hospital has access to the resources, training and expertise that we currently have access to, but informally. Through a formal partnership, for example, it allows our doctors to access the EMR at the University of Utah, where they can really take a look at it and follow their patients. It`s about the flow of patients and that continuum of care, and if you have a formal affiliation, patient access through physicians is easier.
In a type of agreement that is becoming increasingly common, Madison Memorial Hospital has entered into a formal affiliation agreement with the University of Utah Health Care that will result in better health care for residents of Rexberg, Idaho, and the surrounding area. Rachel Gonzales, CEO of Madison Memorial Hospital, emphasizes that it`s about collaboration, not competition, and answers common questions people might have about the deal. She also talks about what this means for patients and how it will provide better health care to the community. In addition to the important advisory role that the Affiliation Committee plays, many organizations are taking steps to create meaningful opportunities for participation in their respective governance structures, typically by creating seats on each other`s boards of directors and/or board committees (p.B.dem university health committee). The number of seats is largely determined by the existing structure of the board of directors or committees, including any legal or regulatory considerations (p.B. in cases where members of the board of directors have been politically appointed), but the overall level of influence should be the same for both parties and should correspond to the scope of the affiliation and the nature of the global partnership. In all cases, the intent of this cross-representation is to ensure that the impact on the GAC partnership is taken into account in decision-making at the highest levels of both organizations. At the same time, the scope and scope of funding agreements between academic medical schools and their affiliated teaching hospitals and health systems continue to grow. As a percentage of total revenues, funding for medical schools through their affiliated hospitals and health systems more than doubled, from 7% in 1981 to 18% in 2017. The COVID-19 pandemic has increased the need for U.S. healthcare systems to engage physicians in documenting and coding risks to patients. However, these organizations also need to be aware of the administrative burden that many physicians feel when they have to perform these processes, which has contributed to feelings of burnout among them.
This article describes six steps hospitals and health systems can take to reduce the administrative burden on physicians needed to ensure the future quality and efficiency of the country`s health care system. Dr. Rachel Gonzales: That is true across the country. And I think if you look at some of the institutions that have been successful in terms of affiliation agreements, they have found partners who have shared values, common guiding principles and commonalities. They are not only looking for the closest or most attractive partner. It really has to be in line with philosophy for it to work. Interviewer: What we`d like to do is answer some of the questions that some people in the community might have about what that affiliation is and what it`s not. You joked earlier.
You don`t buy anyone. No one buys us. Talk a little bit about it. Dr. Rachel Gonzales: No, I did not have any perceived inconveniences. I think the two initial threats are fears. When you hear the word «membership,» does it have to do with the buyout, or will it be the university or will Madison compete with local doctors or local health care like pharmacies? If we approach this to complement what we have now, it is about philosophy and not competition, which only increases costs anyway. From a health system perspective, the cash flow expenditures of university member organizations represent a significant portion of the operating budget: a recent survey of 55 CMAs found that health system funding for their affiliated university or school partners averaged 8.4% of their net patient revenues. b With hundreds of millions of dollars at stake over decades of deals, and with important connections that have continued to be announced in recent years (e.B. Geisinger Health System and Geisinger Commonwealth School of Medicine in Pennsylvania, ProMedica and the University of Toledo in Ohio, Hackensack Meridian Health and Seton Hall University in New Jersey, RWJBarnabas Health and Rutgers University in New Jersey, and Banner Health and the University of Arizona) it is important that organizations critically evaluate their affiliate agreements and related funding agreements, to ensure they are well positioned to advance their partnership objectives. .