{"id":377,"date":"2018-04-28T22:00:20","date_gmt":"2018-04-29T02:00:20","guid":{"rendered":"https:\/\/digital.hbs.edu\/platform-mhcdsolutions\/submission\/should-we-create-a-cardiovascular-ipu\/"},"modified":"2018-04-28T22:00:44","modified_gmt":"2018-04-29T02:00:44","slug":"should-we-create-a-cardiovascular-ipu","status":"publish","type":"hck-submission","link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/submission\/should-we-create-a-cardiovascular-ipu\/","title":{"rendered":"Should We Create a Cardiovascular IPU?"},"content":{"rendered":"

We are considering transforming our hospital-based Heart Institute into a truly integrated practice unit for cardiovascular disease. The fundamental challenge is to fully integrate the finance, administration, and clinical care of two of the highest performing departments in our hospital.\u00a0 Our hospital is a non-profit, tertiary level academic affiliate operating within the constraints of a global budget (fixed revenue).\u00a0 One important aspect of our system, and a potential opportunity, is that our global budget does not apply to outpatient services.\u00a0 Some of the main challenges we are considering include:<\/p>\n

    \n
  1. Best model for unified governance of the Heart Institute that cuts across traditional departmental lines.<\/li>\n
  2. Align physicians and advanced practitioners from different departments<\/li>\n
  3. Align support staff from different departments<\/li>\n
  4. Achieve full clinical integration of inpatient and outpatient services for cardiovascular disease. Specifically, we are well positioned to integrate our clinical inpatient services through existing Heart Institute practice in the hospital. Our outpatient care, however, remains isolated along traditional departmental lines. Surgical and non-surgical services are provided in separate locations. Even within medical cardiology, there is not a unified clinical pathway for all patients according to specific cardiac diagnosis. Care is principally determined at the individual physician level.<\/li>\n
  5. Integration and alignment of Cardiac Anesthesia into the CV IPU<\/li>\n
  6. How to incorporate endocrinology into the IPU in a way that creates meaningful engagement but remains cost-effective for the hospital as well as the individual practitioners<\/li>\n
  7. Integration of allied health professionals into the IPU including physical therapy\/rehab, pharmacist, dietician, social worker, and psychological counsellor to provide complete care<\/li>\n
  8. Incorporation of a new CV Clinical Research Unit<\/li>\n
  9. Best way to track quality, PROMs, and cost-efficiency for each subspecialized program within the IPU<\/li>\n
  10. Should everything in the outpatient space be co-located? Does this contribute to integrating care? Is this worth the cost?<\/li>\n
  11. How do we construct the IPU to decrease overall expenses?<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    We are considering transforming our hospital-based Heart Institute into a truly integrated practice unit for cardiovascular disease. The fundamental challenge is to fully integrate the finance, administration, and clinical care of two of the highest performing departments in our hospital.<\/p>\n","protected":false},"author":10698,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","categories":[10],"class_list":["post-377","hck-submission","type-hck-submission","status-publish","hentry","category-health-care","hck-taxonomy-industry-health","hck-taxonomy-country-united-states"],"connected_submission_link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/conversation\/mchd-solutions\/","yoast_head":"\nShould We Create a Cardiovascular IPU? - 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\/should-we-create-a-cardiovascular-ipu\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Should We Create a Cardiovascular IPU? - Managing Health Care Delivery\" \/>\n<meta property=\"og:description\" content=\"We are considering transforming our hospital-based Heart Institute into a truly integrated practice unit for cardiovascular disease. 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