I am one of the physician leaders for the musculoskeletal health service line in our health system.\u00a0 Our system has 2 hospitals (>1000 beds), urgent care centers and multiple outpatient sites.\u00a0 There is a mix of employed and non-employed physicians in our system.\u00a0 Personally, I work as a private practice physician (PM&R) providing non-operative spine care.\u00a0 The majority of spine care providers in our system (Ortho, Neurosurgery, PM&R, Anesthesia-Pain) are in private practice groups.\u00a0 In my service line role, I have led spine work groups to start to develop spine care pathways.\u00a0 It has been challenging to bring together various providers from different specialties and different groups (who actually may be competitors) to work collaboratively to improve spine care and control cost of care in our community.\u00a0 Some providers voice a willingness to participate, and we have had success with a small work group (12 providers from different specialties) to start to develop spine pathways.<\/p>\n
My next goal is to develop a spine care network for our system (A Spine IPU).\u00a0 This would involve providers of disparate specialties, and in different private groups, working together to develop and utilize standardized care pathways, measure outcomes and even monitor cost of care.\u00a0 The goal is not to tell providers how to practice, but rather to learn from each other to provide better care, and to minimize interventions that do not clearly provide value.\u00a0 Getting all (or even most) providers in our community on the same page has been and will continue to be very challenging.\u00a0 This sort of work is seen as a threat to the status quo (which has been very lucrative for many of these providers).<\/p>\n
I would love to hear any suggestions on ways to involve these providers who may feel participation in the network is not in their best interest.<\/p>\n","protected":false},"excerpt":{"rendered":"
How can we engage different providers in private practice to participate in a spine care IPU.<\/p>\n","protected":false},"author":10694,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","categories":[35,49,389,376,17,34,388],"class_list":["post-326","hck-submission","type-hck-submission","status-publish","hentry","category-change-management","category-culture","category-ipu","category-leadership","category-managing-healthcare","category-new-organisational-model","category-spine-care","hck-taxonomy-industry-health","hck-taxonomy-country-united-states"],"connected_submission_link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/conversation\/mchd-solutions\/","yoast_head":"\n