The brodcast today on ACO Watch: A Mid-Week Review was a, well, d/i/s/a/s/t/e/r:
Per Wikipedia:
A disaster is a natural or man-made hazard that has come to fruition, resulting in an event of substantial extent causing significant physical damage or destruction, loss of life, or drastic change to the natural environment. A disaster can be ostensively defined as any tragic event with great loss stemming from events such as earthquakes, floods, catastrophic accidents, fires, or explosions.
Well perhaps not that dramatic, but the subject ‘how to engage independent physicians’ in the ACO conversation from vision to fulfillment, was and is a subject worthy of an intelligent and coherent discourse which yours truly just did not deliver. So, as host and producer of the broadcast, upon reviewing the rather marginal audio, coupled with a meandering and monotone rendering of the narrative, I elected to delete it.
We will have another go at the subject next week perhaps aided by a co-host at that time.
Meanwhile, here are some of the links referenced during the broadcast. The intent was to weave them into a narrative worthy of your time. We’ll do our best to deliver on February 2nd 2011.
- Creating Accountable Care Organizations: The Extended Hospital Medical Staff
- Hospital-Physician Relations: Two Tracks And The Decline Of The Voluntary Medical Staff Model
- Lessons Learned in Building The Patient-Centered Medical Home
- Lessons from the Field: Making Accountable Care Organizations Real
The issue of crowd-sourcing or even strategic targeting of key physician (aka ‘champions’) engagement in ACO’s is a BIG issue. Considering the history of the medical staff organization, it’s roots and nature as a voluntary entity, and prevailing organizational designs, is a worthwhile exercise as we continue our march towards clinical/financial/legal or ‘virtual’ integration. Who can properly steward this transformational bridge? The answer to that question is one of the key determinants of success this go round, imj.