This article appears in the March issue of HealthLeaders magazine. Expanding Services. h e a l t h c a r e Article at a glance ... As doctors and medical practices nationwide navigate a new normal with COVID-19 again surging, some are relying on urgent care sites and emergency departments to care for sick patients, even those... Orlando's high unemployment stresses hospitals, clinics and insurers, Seven Things You Should Know About Your Resuscitation Training Provider, Kelby Krabbenhoft, Sanford Health CEO who refused to wear mask, pushed into retirement, The One Thing That Could Be Holding Your Organization Back – and How to Fix It, Fact check: Hospitals get paid more if patients listed as COVID-19, on ventilators, Damaged sense of smell in COVID patients holds clues to how recovery might work, Expert: Severe COVID-19 Illness Is Viral Sepsis, 4 Ethical Dilemmas for Healthcare Organizations During the COVID-19 Pandemic, Parents Complain That Pediatricians, Wary of COVID, Shift Sick Kids to Urgent Care, Copyright © 2020 - Healthleaders Media, a Simplify Compliance brand. Despite the complexities, the potential for service lines is enormous, especially with the need to eliminate wasteful spending, says Peggy L. Naas, MD, MBA, vice president of physician strategies for VHA Inc. based in Irving, Texas. During a course of care, patients are cared for by providers in many departments or facilities of the healthcare system. The components were not coordinated. The surgery center is included in a partnership among The Christ Hospital, spine specialists from the Mayfield Clinic in Cincinnati, and United Surgical Partners International, a Dallas-based for-profit that owns and operates surgery centers and private surgical hospitals in the United States and the United Kingdom. Pediatric leaders from across Ascension met for the first time July 22-23 at Ascension’s Peyton Manning Children’s Hospital in Indianapolis with a goal to work together to enhance pediatric quality and services. ... As doctors and medical practices nationwide navigate a new normal with COVID-19 again surging, some are relying on urgent care sites and emergency departments to care for sick patients, even those... Orlando's high unemployment stresses hospitals, clinics and insurers, Seven Things You Should Know About Your Resuscitation Training Provider, Kelby Krabbenhoft, Sanford Health CEO who refused to wear mask, pushed into retirement, The One Thing That Could Be Holding Your Organization Back – and How to Fix It, Fact check: Hospitals get paid more if patients listed as COVID-19, on ventilators, Damaged sense of smell in COVID patients holds clues to how recovery might work, Expert: Severe COVID-19 Illness Is Viral Sepsis, 4 Ethical Dilemmas for Healthcare Organizations During the COVID-19 Pandemic, Parents Complain That Pediatricians, Wary of COVID, Shift Sick Kids to Urgent Care, Copyright © 2020 - Healthleaders Media, a Simplify Compliance brand. They consolidated oversight of 19 hospitals—each with its own institutional board. Luckily, health system leadership was on board with the project from the start. Service line administrators oversee the operation of distinct hospital medical units or departments such as those involved in cardiac care, oncology, orthopedics, and women’s health. We have 700 trainees from 36 programs rotate through our Medical Center. Amid economic turbulence and regulatory changes, service lines are becoming more integrated into hospital strategic plans, where these areas of specialization can thrive—although many healthcare leaders are checking the vitals of their service lines to see what treatment may be needed. Within key service lines, hospitals are making these issues part of the service line strategy, and through employment are able to give the incentives necessary to get physicians engaged. A service line is typically run by a leader who manages the overall operation of the service line and its role in the hospital's strategic plan. Apply to Director, Vice President, Director of Strategy and more! Joe Cantlupe is a senior editor with HealthLeaders Media Online. "You don't want to be a patient and wait six months to see a specialist." In the meantime, inpatient direct variable cost per case in the 2012 fiscal year decreased by 8% compared to the same period the previous year, Caillouet says. Choosing the right service lines to emphasize requires a superior understanding of a hospital’s economics and competitive environment. Even service lines that may have originated from a marketing and sales inspiration can tell a community, "Look! Indiana University Health made a strategic decision about how to deliver services as a large system, according to Schwartzentruber, noting that the system's oncology service line, for instance, "had been functioning as a bunch of independent components" at its various hospitals. Officials of Allina Health—a Minneapolis-based nonprofit that serves Minnesota and western Wisconsin and includes 11 hospitals, 42 clinics, and 1,677 beds—began revamping clinical service lines several years ago to overcome what they called "fragmented care delivery" in the programs, says Penny Wheeler, MD, chief clinical officer for Allina Health. Each year, San Francisco VAMC funds over 189 Residency and Fellow positions and 40 allied health professionals. There has already been rationing of testing in the United States and rationing of critical care resources is likely if severely ill COVID-19 patients surge significantly. The demographics of a market also are a driving force for strategy, physician alignment, and growth, says Mark Loos, system vice president for clinical services at the 1,138-licensed-bed nonprofit Palmetto Health in Columbia, S.C. To accommodate the needs of an older population, for instance, the importance of working with employed and independent physician groups to provide appropriate access to care has never been greater, Loos says. VHA includes more than 1,400 not-for-profit hospitals and 25,500 nonacute healthcare organizations. There has already been rationing of testing in the United States and rationing of critical care resources is likely if severely ill COVID-19 patients surge significantly. We created a vision for what the service line would be like," Schwartzentruber recalls. The hospital is coordinating the new musculoskeletal program with The Christ Hospital Spine Surgery Center, a freestanding facility for outpatient spine surgeries and pain management procedures. Hospitals large and small are reviewing their service lines, with some leaders feeling the need to revisit these programs to take advantage of multidisciplinary approaches, subspecialties, or technological advances. Samuel Jones, MD, FAAFP President, Inova Primary Care Service Line Samuel Jones, MD, FAAFP is President, Inova Primary Care Service Line. These include the hospital's mission, market growth, margin and the likelihood of the service line's success, as well as the following factors: 76,502 Service Line Leader jobs available on Indeed.com. Hackensack (N.J.) University Medical Center relies on technology to improve patient engagement with its cardiology service line, which helped prevent hospital readmissions and improved patient satisfaction, says Louis E. Teichholz, MD, chief of cardiology at the 775-licensed-bed hospital. If they faced that kind of wait, "patients may choose to go to Charleston or Greenville to competing hospitals," he says. the hospital’s mission. By email@example.com | March 25, 2013. Since joining VA in 2004, Ms. Graham has held progressively responsible leadership positions, including Associate Director at the VA Pittsburgh Health Care System, a three-hospital division academic medical center, and the leader of the VA Secretary’s T21 initiative of “Enhancing the Veteran Experience and Access to Healthcare.” Expanding the scope of services often requires growth in physician and hospital … Recruiting and realigning physicians was essential, with "surgeons and nonsurgeons working together to streamline the service," as well as improving relationships with primary care, rehab, and neurology physicians, he adds. Critical Success Factors for Clinical Service Lines: Line management structure and responsibilities System support at all levels (e.g. The Christ Hospital musculoskeletal service line includes surgical and nonsurgical spine, total joint replacement, sports medicine, and general orthopedic services. Leaders of both lines should co-present joint proposals to hospital leadership, and back those proposals with benchmark data and thorough explanations. 5,684 Hospital Service Line Director jobs available on Indeed.com. San Francisco VAMC: A Teaching Hospital As a teaching hospital, we train medical interns, residents, and fellows in their trades. 489 Orthopedic Service Line Director jobs available on Indeed.com. The role of the service line financial lead is a key component of the transition from hospital-based management to service line management. We advance the health education, research and clinical service missions of the University. Healthcare Leaders Blog: A Shift to Service Lines in Hospital Service Delivery, David O. McCready. Healthcare leaders need to be planning for this future now, because implementing a new business model — the right way — is neither easy nor quick. But the comparisons to the consumer market go only so far. The plan should address the patient care and community service goals for a … The Value of Service Line Leadership in Cardiovascular Services. In a service line model, the service line manager is responsible for coordinating patient care and information flow in a comprehensive manner along the patient’s journey of care. So Palmetto is examining potential shortages in key medical and surgical positions or subspecialties that it may need to buttress to maintain or expand patient access. Pursuant to California Business & Professions Code Section 22575-22579 PURPOSE Hospital Council is committed to protecting information disclosed through this website.Your use of this website, or any inquiry or comment you send, may be disclosed to Hospital Council affiliates and authorized entities solely to advance the mission and purpose of Hospital Council. He is responsible for strategy, planning and growth of emergency and inpatient services. University of California Health (UCH) comprises six academic health centers, 20 health professional schools, a Global Health Institute and systemwide services that improve the health of patients and the University’s students, faculty and employees. One factor that could have an impact on individual service lines is the healthcare needs of those who may be among the 32 million people to be insured within the next two years under the Patient Protection and Affordable Care Act. Leaders need to contemplate what their service line’s role will be in this changing landscape.  They also develop the policies that govern the services and treatments provided to patients. Organizations are finding that technology can play a critical role in improving service line care. See Also: The Cardio Service Line, Rebooted. All hospitals should have a strategic plan that has been developed with the partic-ipation of hospital’s administration, professional staff, patients, physicians, and the board of directors. Other hospital departments fall into either "specialized surgical care" or "integrated medical management" categories, Caillouet says. As they developed the strategic plan, leaders examined other facilities within the Indiana University Health system to determine how best to proceed. This role serves as the primary contact for all financial matters for Women’s Health and collaborates with other financial areas such as supply chain. Through the use of this concept and the designation of a ‘program champion’, hospitals are in a better position to maintain their focus on the development … Sen. Scott Jensen, R-Minn., a physician in Minnesota, was interviewed by "The Ingraham Angle" host Laura Ingraham on April 8 on Fox News and claimed hospitals get paid more if Medicare patients are... Scientists are uncovering clues to explain how the coronavirus attacks the nervous system by studying a bizarre side effect of the infection that distorts sufferers’ sense of smell for months on... Sepsis is a life-threatening immune response to infection that leads to organ dysfunction, which is what happens in seriously ill COVID-19 patients, expert says. Marissa Jamarik, DNP, RN, NEA-BC, serves as Vice President, Nursing, Inova Heart and Vascular Service Line and Chief Nursing Officer, Inova Loudoun Hospital. In Corazon’s experience, the service line management concept, when applied in healthcare, provides an effective means to achieve the full potential of a hospital specialty program. Apply to Director, Vice President, Vice President of Strategy and more! By firstname.lastname@example.org | March 25, 2013, Under Vision 2020, hospital officials evaluated various practice models, in part by looking at how service line physician groups and organizational staff "relate to one another and the hospital." Service lines are being designed not only for improved clinical care and outcomes, but also with an eye to the manner in which the organization can attract them into the system, he adds. The Christ Hospital initiated a new musculoskeletal program geared toward the elderly population and younger baby boomers who are now reaching age 50. "The ortho community here was quite fragmented and so we believed there were great opportunities," Caillouet says. The prior lack of full systemwide integration shortchanged delivery and income, says Doug Schwartzentruber, MD, system medical director for cancer services and associate director of clinical affairs for IU Health's Melvin and Bren Simon Cancer Center. Cardiologist Eric Topol, MD, director, Scripps Translational Science Institute, and chief academic officer, Scripps Health, believes that patients/consumers will soon be able to perform some types of healthcare services themselves as sensors and tracking devices become more sophisticated. Sen. Scott Jensen, R-Minn., a physician in Minnesota, was interviewed by "The Ingraham Angle" host Laura Ingraham on April 8 on Fox News and claimed hospitals get paid more if Medicare patients are... Scientists are uncovering clues to explain how the coronavirus attacks the nervous system by studying a bizarre side effect of the infection that distorts sufferers’ sense of smell for months on... Sepsis is a life-threatening immune response to infection that leads to organ dysfunction, which is what happens in seriously ill COVID-19 patients, expert says. In its revamped structures, Allina worked to coordinate programs from wellness to palliative care, Wheeler says. Depending on regional needs, one service line may be important for a hospital or healthcare facility, while it is a losing proposition for another. The Christ Hospital initiated Vision 2020, a strategic plan that includes revamping its overall service line structure with designs on greater efficiency for inpatient as well as outpatient needs. Service Line Administrator. "It was important to develop a strategic network of care—similar to what we had in successful heart and vascular programs—for musculoskeletal," he says. Hospital leaders can choose from a broad landscape of service lines, but a few key concepts should be weighed in this decision, according to Mr. Gosar. About 18 months ago, the IUH officials examined their hospitals' experiences to review the quality of service lines and get tips whenever and wherever they could. Chris Lowney Mr. Lowney is a prominent public speaker and author of several leadership books, including "Make Today Matter", winner of the 2018 Independent Press Award. With a better-aligned and -positioned service line, The Christ Hospital had 7,100 orthopedic surgical cases in 2012—a 9% increase over 2011, which had 6,500 cases. The service lines should be integrated right up to the C-suite. Joe Cantlupe is a senior editor with HealthLeaders Media Online. Surgical complications rates decreased to 24% last year. We then define the MS-DRGs, Procedure Codes, and other relevant units for the service line. Sister Barbara has been a congregational leader for the Sisters of Charity in Cincinnati as a member of the leadership team and president of the congregation. Using a medical process to align physicians and facilities, Allina Health has imposed changes leading to cost savings—millions of dollars over the past three years—while reducing length of stay and readmissions. Hospitals also need to overhaul the management of both strategic and nonstrategic service lines. Benchmark Service Volumes. Various models are being implemented to improve coordination and data collection that allow hospital and health system leaders to scrutinize the direction of their service lines for greater ROI. Service lines can overcome work flow waste and unexplained variations in clinical processes and operations, Naas says. 6,020 Hospital Service Line Director jobs available on Indeed.com. The hospital chose musculoskeletal services to form a "market-leading program," Caillouet says. In addition, the hospital led the tristate area with 24% share in spine surgery. Leaders at Indianapolis-based Indiana University Health, a nonprofit organization with 3,326 licensed beds, also thought they had a disjointed system. While general surgery, cardiovascular care, and orthopedics still head the list of service lines with strong positive margins, more areas of specialization are popping up or expanding, such as geriatrics or plastic surgery, depending on the demographics and needs of a region. The program was added to the hospital's other service lines: heart and vascular, oncology, women's health, and geriatrics. Service lines allow hospital leadership to adapt the consumer industry concept of business units to healthcare. the successful implementation of a service-line strategy is no mean feat. A hospital-based service line should have a physician leader, such as a chairman of the department, who serves as the CEO of that service line, according to Dr. Kirschenbaum. Our hospital specializes in this area," according to Naas. Various models are being implemented to improve coordination and data collection that allow hospital and health system leaders to scrutinize the direction of their service lines for greater ROI. Apply to Senior Operations Manager, Assistant Director, Training Specialist and more! "We were charged with putting together the service line and basically we traveled the state. Keeping an eye on competition is critical, says Loos of Palmetto Health. 22 It is important that a new model be introduced into service line development. "Much of healthcare happens outside the hospital; a real unmet opportunity point is in the transition and in the continuum of care," says Naas. Under Vision 2020, hospital officials evaluated various practice models, in part by looking at how service line physician groups and organizational staff "relate to one another and the hospital." service line P&Ls) Clinical team orientation Clinician outreach and access Sales oriented staff Adequate budget and dedicated resources Throughout the country, leaders have been retooling their service lines by changing strategic plans and evaluating demographic and coordination needs while using technology to eliminate waste and improve patient engagement. In addition, the hospital leadership stated in the plan that the "acute care hospital should no longer be the center of the health system, but rather part of a coordinated continuum of care delivery to serve people through the illness, healing, and wellness phases of life.". Tr ent Miller joined Parkview Health in 2016 and serves as senior vice president and service line leader of Emergency Department, Pre-Hospital Care and Inpatient Services, as well as the senior vice president of Lab & Imaging. Apply to Customer Service Representative, Call Center Representative, Line Lead and more! Allina Health, Indiana University Health, and The Christ Hospital, a 555-bed not-for-profit acute hospital in Cincinnati, are among the healthcare organizations that found it necessary to revamp their clinical service lines to overcome inconsistency of care by changing their strategic vision. Three key strategies to effective service line management are skillful leadership, clear goals and accountability, and results measurement. Now, she sees more hospitals being concerned about service line care delivery and tightening their organizational structures and management. Using Medicare data files, we identify volumes among the benchmark and client programs, volumes in the associated SMAs, ALOS, cost/charge ratios, and other comparisons.
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