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 HospitalsSelect Medical HealthcareSunrise Senior LivingLabcorpQuest DiagnosticsPfizer Pharmaceuticals
Also select one of the following vertically integrated health systems:Kaiser PermanenteMayo ClinicCleveland ClinicMedStar HealthMemorial 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.
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.ReadingsShi, 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/case-study/2014/oct/1770_cohen_hill_physicians_aco_case_study.pdfCutler, 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_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 from http://www.beckershospitalreview.com/lists/100-integrated-health-systems-to-know.html
Vertically Integrated Health SystemsCleveland Clinic. (n.d.). Retrieved March 27, 2015, from http://my.clevelandclinic.orgKaiser Permanente. (n.d.). Retrieved March 27, 2015, from http://kp.kaiserpermanente.org/Mayo Clinic. (n.d.). Retrieved March 27, 2015, from http://www.mayoclinic.orgMedStar 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 SystemsLabcorp. (2014). Retrieved March 27, 2015, from https://www.labcorp.com/National Surgical Healthcare. (n.d.). Retrieved March 27, 2015, from http://www.nshinc.comPfizer Pharmaceuticals. (n.d.). Retrieved March 27, 2015, from http://www.pfizerrxpathways.com/Select Medical. (n.d.). Retrieved March 27, 2015, from http://www.selectmedical.comSunrise 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/