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Related Experiment Videos

Managing clinical integration in integrated delivery systems: a framework for action.

D W Young1, D Barrett

  • 1Healthcare Management Program, Boston University School of Management, MA 02115, USA.

Hospital & Health Services Administration
|July 1, 1997
PubMed
Summary

Achieving clinical integration in healthcare requires senior management to address challenges in planning, organization, and measurement. A cross-functional-process framework helps improve care coordination and cost management within integrated delivery systems.

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Organizational Behavior

Background:

  • Integrated delivery systems (IDS) are crucial for coordinating patient care across diverse functions and units.
  • Senior management faces significant challenges in achieving effective clinical integration within these systems.

Purpose of the Study:

  • To analyze the challenges in clinical integration using a cross-functional-process (CFP) framework.
  • To identify key processes that senior management must address for successful IDS operation.

Main Methods:

  • Utilized a cross-functional-process (CFP) framework to categorize and analyze challenges.
  • Identified ten CFPs across planning, organizational, and measurement/reporting categories.
  • Examined the interdependencies and 'fit' between these ten processes.

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Main Results:

  • Ten critical cross-functional processes were identified, grouped into planning, organizational, and measurement/reporting.
  • Effective functioning and integration of these CFPs are essential for clinical integration.
  • Challenges lie in improving individual CFP performance and their synergistic fit.

Conclusions:

  • Addressing CFP functioning and inter-process 'fit' is key to enhancing clinical integration.
  • Improved clinical integration leads to better cost management and coordinated patient care.
  • The CFP framework provides a structured approach for senior management to navigate IDS challenges.