Transcript Slide 1

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Oncologist-Hospital
Alignment: Implementing
the Relationship
 Ronald Barkley, MS, JD, CCBD
Group
 Teri Guidi, MBA, FAAMA,
Oncology Management
Consulting Group
 Erich Mounce, MHA, West Clinic
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Case Study - Fact Pattern
 Quality Care: a private oncology medical group with
10 med oncologists + 2 rad oncologists
 Memorial Care: local health system with 3 hospitals,
150-MD affiliated practice and 2 employed med onc
 Quality Care and Memorial Care leadership want to
form a collaborative relationship
 In the preceding session, the form of the new
collaborative relationship was determined
 Now, in this session, we will move to the next
level: actual implementation of operations
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Case Study - Fact Pattern
1. Governance and control through Joint Operating
Committee format
2. Quality Care has free-standing cancer center
located ½ mile from Memorial Care hospital with
340B drug pricing program; 2 offices in MOBs next
to Memorial Care hospitals and a 3rd office in
another town
3. Quality Care practice manager/CEO is businessoriented MBA; Memorial Care oncology service line
director is clinical-oriented RN, the CoC “champion”
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Case Study - Fact Pattern
4. Chemo drug mixed on-site at Quality Care by pharm
techs under PharmD supervision; chemo drug
mixed at Memorial Care pharmacy departments
and delivered to the HOPD infusion centers
5. Quality Care has Varian EMR; Memorial Care with
enterprise-wide EPIC EMR
6. Quality Care bills w/in 3 days of service; Memorial
Care Finance Dept responsible for all billing and
batch bills twice monthly
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Case Study - Fact Pattern
7. Quality Care has an active clinical trials program
through CRO and would like to continue with this
arrangement
8. Congratulations! You have just been advised that
you will be accountable for the successful
implementation of operations
9. And you have been cautioned by your CEO that
“failure is simply not an option”
10. What do you do now?
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What do you do now?
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The Getting Started Part
The People Part
The Infrastructure Part
The Communications Part
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The Getting Started Part
1. Establish JOC working relationships
 Communications, expectations, meetings
 Governance, control, decision making issues
 Articulating and facilitating strategy and vision
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The Getting Started Part
1. Establish JOC working relationships
Communications, expectations, meetings
Governance, control, decision making issues
Articulating and facilitating strategy and vision
2. Develop the Work Plan with assignments,
deadlines, accountabilities
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Elements of the Work Plan
The People Part
1. Management structure – reporting lines
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Elements of the Work Plan
The People Part
1. Management structure – reporting lines
2. Consolidated staffing plan – org chart
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Example of organizational chart below
Methodist
Healthcare
Executive
Cancer Council
West Clinic
SVP Oncology Service Line
WEST CANCER
CENTER
Inpatient
Services
Research &
Education
Physician
Services
Surgical Services
UT
Breast Center
Sites
Inpatient
Oncology Floors
ACORN
Radiation
Oncology
Philanthropic
Campaign
Elements of the Work Plan
The People Part
1. Management structure – reporting lines
2. Consolidated staffing plan – org chart
3. Reconciling employee benefits
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Elements of the Work Plan
The People Part
1.
2.
3.
4.
Management structure – reporting lines
Consolidated staffing plan – org chart
Reconciling employee benefits
Managing people expectations and fears
throughout the process
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Elements of the Work Plan
The Infrastructure Part
5. Facilities requirements
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Elements of the Work Plan
The Infrastructure Part
5. Facilities requirements
6. IT/EMR interoperability
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Elements of the Work Plan
The Infrastructure Part
5. Facilities requirements
6. IT/EMR interoperability and output
7. Drug procurement, drug management
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Elements of the Work Plan
The Infrastructure Part
5.
6.
7.
8.
Facilities requirements
IT/EMR interoperability and output
Drug procurement, drug management
Revenue cycle
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pre-auth
Coding
billing & collecting
provider credentialing
Elements of the Work Plan
The Infrastructure Part
5.
6.
7.
8.
Facilities requirements
IT/EMR interoperability and output
Drug procurement, drug management
Revenue cycle
pre-auth
coding
billing & collections
provider credentialing
9. Research/clinical trials
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The Communications Part
11.
Communications plan
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internal
patients
payers
community
The Communications Part
11.
Communications plan
internal
patients
payers
community
12.
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Monitoring progress, trouble shooting
and taking corrective action
Oncologist-Hospital Alignment:
Implementing the Relationship
Questions?
Ronald Barkley, MS, JD
[email protected]
Teri Guidi, MBA, FAAMA
[email protected]
Erich Mounce, MHA
[email protected]
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