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Integration of Health Systems
Note:
Before completing this Assignment, please familiarize yourself
with the Week 4 Assignment Rubric, located in the
Course Information
area of the course navigation menu.
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:
National Surgical Hospitals
Select Medical Healthcare
Sunrise Senior Living
Labcorp
Quest Diagnostics
Pfizer Pharmaceuticals
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 week.
The Assignment
Write a 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.
General Guidance on Assignment Length:
Your Assignment should be 3–4 pages, excluding a title page
and references. Refer to the Week 4 Assignment Rubric for
grading elements and criteria. Your Instructor will use the
rubric to assess your work.
Required Resources
Note:
To access this week's required library resources, please click
on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Readings
Shi, L., & Singh, D. (2015).
Delivering health care in America: A systems approach
(6th ed.). Burlington, MA: Jones & Bartlett.
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 from
http://www.commonwealthfund.org/~/media/files/publications/c
ase-
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 from
http://www.academyhealth.org/files/publications/AH_R_Integra
tion%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 from
http://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, from
http://www.memorialhermann.org
Horizontally Integrated Health Systems
Labcorp. (2014). Retrieved March 27, 2015, from
https://www.labcorp.com/
National Surgical Healthcare. (n.d.). Retrieved March 27, 2015,
from
http://www.nshinc.com
Pfizer Pharmaceuticals. (n.d.). Retrieved March 27, 2015, from
http://www.pfizerrxpathways.com/
Select Medical. (n.d.). Retrieved March 27, 2015, from
http://www.selectmedical.com
Sunrise Senior Living. (n.d.). Retrieved March 27, 2015, from
http://www.sunriseseniorliving.com/
Quest Diagnostics. (n.d.). Retrieved March 27, 2015, from
http://www.questdiagnostics.com/

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Integration of Health SystemsNote Before completing this Assign.docx

  • 1. Integration of Health Systems Note: Before completing this Assignment, please familiarize yourself with the Week 4 Assignment Rubric, located in the Course Information area of the course navigation menu. 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: National Surgical Hospitals Select Medical Healthcare Sunrise Senior Living
  • 2. Labcorp Quest Diagnostics Pfizer Pharmaceuticals 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 week. The Assignment Write a 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).
  • 3. 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. General Guidance on Assignment Length: Your Assignment should be 3–4 pages, excluding a title page and references. Refer to the Week 4 Assignment Rubric for grading elements and criteria. Your Instructor will use the rubric to assess your work. Required Resources Note: To access this week's required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Readings Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett. 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 from http://www.commonwealthfund.org/~/media/files/publications/c ase- 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
  • 4. 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 from http://www.academyhealth.org/files/publications/AH_R_Integra tion%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 from http://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, from http://www.memorialhermann.org Horizontally Integrated Health Systems Labcorp. (2014). Retrieved March 27, 2015, from https://www.labcorp.com/ National Surgical Healthcare. (n.d.). Retrieved March 27, 2015, from
  • 5. http://www.nshinc.com Pfizer Pharmaceuticals. (n.d.). Retrieved March 27, 2015, from http://www.pfizerrxpathways.com/ Select Medical. (n.d.). Retrieved March 27, 2015, from http://www.selectmedical.com Sunrise Senior Living. (n.d.). Retrieved March 27, 2015, from http://www.sunriseseniorliving.com/ Quest Diagnostics. (n.d.). Retrieved March 27, 2015, from http://www.questdiagnostics.com/