{"id":188,"date":"2017-04-30T14:37:37","date_gmt":"2017-04-30T18:37:37","guid":{"rendered":"https:\/\/digital.hbs.edu\/platform-mhcdsolutions\/submission\/managing-cardiac-call-coverage-employed-provider-dilemma\/"},"modified":"2017-04-30T14:38:31","modified_gmt":"2017-04-30T18:38:31","slug":"managing-cardiac-call-coverage-employed-provider-dilemma","status":"publish","type":"hck-submission","link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/submission\/managing-cardiac-call-coverage-employed-provider-dilemma\/","title":{"rendered":"Managing Cardiac Call Coverage \u2013 Employed Provider Dilemma"},"content":{"rendered":"<p>Due to the changing reimbursement environment and aging population, independent cardiologist practices have been failing within the south Florida market. In an effort to stabilize their cardiac surgery programs, large health systems have chosen to quickly employ cardiologists, interventionists, and cardiothoracic surgeons. To further complicate the equation, cardiologists have been leaving the region for stable markets where cardiologists can still practice within independent practices. Due to the lack of cardiologists within the region, interventionists have been forced to spend more time in the office with less time performing procedures. This imbalance has prompted health systems to scramble to protect their operating margins supported by cardiac surgical programs.<\/p>\n<p>Managing the largest cardiac surgical program within the region, St. Peter\u2019s Health System recently employed two of the largest independent cardiologist practices within its primary market. Both practices were combined within a single Medical PC which is a subsidiary of St. Peter\u2019s Health System. If managing the dynamics of bringing two competing groups under one organization did not create enough challenges, the senior cardiologists and interventionists have approached St. Peter\u2019s Chief Medical Officer requesting they no longer should be required to take call coverage and will only perform scheduled procedures. Knowing pushing all call coverage to the younger physicians will cause burn-out and increase turnover, administration is searching for an equitable solution. Compensating providers to take call will create inequities across the various employed &amp; independent specialists and ultimately will increase operating costs.<br \/>\nHow should St. Peter\u2019s manage this request?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Due to the changing reimbursement environment and aging population, independent cardiologist practices have been failing within the south Florida market. In an effort to stabilize their cardiac surgery programs, large health systems have chosen to quickly employ cardiologists, interventionists, and [&hellip;]<\/p>\n","protected":false},"author":9163,"featured_media":189,"comment_status":"open","ping_status":"closed","template":"","categories":[],"class_list":["post-188","hck-submission","type-hck-submission","status-publish","has-post-thumbnail","hentry"],"connected_submission_link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/conversation\/mhcd-solutions-ii\/","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Managing Cardiac Call Coverage \u2013 Employed Provider Dilemma - Managing Health Care Delivery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/submission\/managing-cardiac-call-coverage-employed-provider-dilemma\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Managing Cardiac Call Coverage \u2013 Employed Provider Dilemma - Managing Health Care Delivery\" \/>\n<meta property=\"og:description\" content=\"Due to the changing reimbursement environment and aging population, independent cardiologist practices have been failing within the south Florida market. 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