Authors:Allen; Robert W. Abstract: SUMMARY Ambulatory care is a key to achieving better population health—not traditional ambulatory (outpatient) care, but rather ambulatory care reimagined. Ambulatory care is so vital that we at Intermountain Healthcare redesigned our entire organization to prioritize it and give it the attention it deserves.Historically, outpatient care was a point of access that connected many patients with specialty care, where hospitals made their money. Doctors in private practices referred their patients to the hospitals with which they were affiliated, and that arrangement provided the hospitals with a stream of patients on which they relied financially. Today, ambulatory care plays an entirely different role in the context of population health. Healthcare providers are paid a flat fee per person and gain a benefit when people stay healthy. In this new context, ambulatory care is a mechanism to get ahead of health problems and avoid more extensive treatments.This change then begs a question: How do healthcare providers support their essential services if ambulatory care is working to reduce the stream of patients to hospitals' The answer has three parts, and it is the reason we redesigned Intermountain Healthcare and began to roll out a series of new products and initiatives to implement that redesign. PubDate: Tue, 01 Dec 2020 00:00:00 GMT-
Authors:Bergen; Jan L.; Wynne, Susan Abstract:SUMMARY Hospital and health system leaders alike are increasing their efforts to implement an ambulatory care strategy. The move is understandable: Innovative and well-funded competitors are entering their markets, payers are demanding lower-cost options, and patients are seeking affordability and convenience.Healthcare organizations must consider several imperatives when identifying a long-term ambulatory strategy that is both successful and sustainable. The rise of value-based care and emerging market and competitive trends are among the important considerations that call for a strategy that is affordable, responds to consumer expectations, and ensures that care is coordinated and optimal.Penn Medicine Lancaster General Health (LG Health) strategically transformed its ambulatory services over three decades. Early on, the system focused on providing services in and around its urban flagship hospital. Increased competition, new technologies, market growth, and other influences eventually led the system to expand its depth and breadth while aggregating many of its ambulatory services in a single suburban location designed to optimize efficiency, prioritize clinical coordination, and enhance patient and physician satisfaction.The system built on that foundation by creating a network of ambulatory locations featuring four service delivery models. Each features distinct facility sizes, physician types, patient groups, and services. In addition, LG Health continues to build the technological and operational capabilities to deliver telehealth services that have become more established in the wake of the COVID-19 pandemic.The investments made, experiences studied, and lessons learned by LG Health since 1990 and during the uncertain course of the current pandemic continue to guide its ambulatory strategy. PubDate: Tue, 01 Dec 2020 00:00:00 GMT-