Frequently asked questions about clinical integration.
What is clinical integration?
Clinical integration is an effort among physicians, often in collaboration with a hospital, to develop active and ongoing clinical initiatives that are designed to control costs and improve the quality of healthcare services.
Will physicians be involved in the development of clinical integration and the leadership of this endeavor?
Yes. Identified physician leaders along with hospital leadership have created a new independent physician network. This network is governed by a board composed of physicians and will operate for the explicit purpose of developing and implementing a clinical integration program, on the basis of which the network negotiates "pay-for-performance" arrangements and related provider contract.
What does a clinically integrated network look like?
Clinical integration involves independent physicians on the medical staff at the same hospital who join together to:
- Identify and adopt clinical protocols for the treatment of particular disease states.
- Develop systems to monitor compliance with the adopted protocols.
- Collaborate with the hospital to encourage compliance with the protocols.
- Enter into contractual arrangements with fee-for-service health plans in a way that financially recognizes the physician's efforts to improve healthcare quality and efficiency.
What are the characteristics of clinical integration initiatives?
An effective clinical integration program will provide measurable results which are used to evaluate physician performance and result in concrete remediation of that performance.