Reynolds James, Roble Daniel
Reynolds & Company Management Consultants, New York, NY, USA.
Healthc Financ Manage. 2011 Oct;65(10):76-82.
To prepare for a future in which more and more patients will receive care in ambulatory settings, and acute care service capacity will likely need to be considerably downsized, hospitals should pursue five near-term strategies: Convert primary care practices to medical homes, Develop the IT capabilities required to manage and report on clinical and financial processes and outcomes, Integrate the clinical and financial interests with those of their physicians in improving value, Reduce cost per episode of care through bundled payment initiatives, Nurture key relationships with other providers.
为应对未来越来越多的患者将在门诊环境中接受治疗，以及急性护理服务能力可能需要大幅缩减的情况，医院应采取五项近期策略：将初级保健业务转变为医疗之家；发展管理和报告临床及财务流程与结果所需的信息技术能力；在提高价值方面，将临床和财务利益与医生的利益相结合；通过捆绑支付计划降低每次护理的成本；与其他医疗服务提供者建立关键关系。
