As the health care market continues to evolve, we can use the word dynamic to describe the moving parts. Organizations continue to challenge current paradigms in order to compete effectively, while striving to be the best quality in care delivery at the lowest possible costs. Many smaller organizations are finding it necessary to merge or affiliate with larger organizations to gain efficiency , while larger organizations are finding it necessary to find synergies in the care delivery models in order to better coordinate care for patients.
In a highly competitive Northeast market, one large tertiary care , level one trauma hospital (Northeast Medical Center) has an affiliation with an 8 hospital private not for profit system (Eastern Health System). The two organizations have recently had the state legislature pass a bill that allows them to work together on various quality and cost efficiency initiatives. The two organizations have identified several initiatives to work together on to improve health care delivery in the market. One such initiative is the development of an oncology service line.
The development of a coordinated oncology service line is daunting task but makes great sense in the market. Each organization has some oncology service presence in the market. A professional service committee(PSC) was formed with representatives from each organization to discuss how to plan and coordinate services to deploy across the market. Some key questions and considerations are the following:
1. What steps should the PSC do to organize their work?
2. How should the organizations identify the deployment of services across the market?
3. What structure should be set to optimize ideas and innovations?
4. What process should be employed?