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Understanding how orthopaedic surgery practices generate value for healthcare systems
Steven A Olson1, Richard C Mather
1Department of Orthopaedic Surgery, Duke University School of Medicine, DUMC Box 3389, Durham, NC 27710, USA. Olson016@dm.duke.edu
Clinical Orthopaedics and Related Research
|January 5, 2013
Summary
Orthopaedic surgeons create financial and quality value for healthcare systems. Understanding service lines helps surgeons articulate their contributions and negotiate for resources to improve patient care.
Area of Science:
- Healthcare Management
- Orthopaedic Surgery
- Health Economics
Background:
- Orthopaedic surgery provides significant value to healthcare systems.
- Physicians often struggle to articulate their value to healthcare administrators.
- Service lines are organizational structures used to manage specific care areas, like musculoskeletal care.
Purpose of the Study:
- To overview the financial and nonfinancial value orthopaedic surgeons bring to healthcare systems.
- To explain the role of service lines in healthcare management for orthopaedic surgeons.
Main Methods:
- A literature search was conducted on PubMed from 1965 to 2012 using the term "service line."
- 18 relevant citations focusing on service lines for patient care improvement were identified.
Main Results:
- A service line manages a subset of activities or resources within a focused patient care area.
- The definition and managed resources within service lines vary across hospitals.
- Physician engagement in service line management can enhance patient care.
Conclusions:
- Healthcare systems increasingly seek partnerships with orthopaedic surgeons.
- Limited resources exist for physicians to understand and demonstrate their value.
- Surgeons must actively claim and demonstrate their value to negotiate effectively for patient care resources.
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