Ambulatory care growth: implications for academic organizations.
This article discusses the implications of the dramatic growth of outpatient activity in academic health care organizations, and, more broadly, in all forms of joint physician-hospital outpatient care. The authors describe several economic, operational, and regulatory factors that influence the success of ambulatory care expansion in the academic environment. A case study of the Metropolitan New York Medicaid managed care environment illustrates the impact of these factors and highlights the specific challenges confronting teaching hospitals and physicians. The attributes of ambulatory care providers that have successfully addressed these challenges are also discussed. Finally, the benefits of the model ambulatory practice structure, employed at a number of teaching institutions across the country, are explored.
Boll
A
A
Deloitte & Touche Consulting Group, Cincinnati, OH, USA.
Moore
A J
AJ
Brown
J P
JP
Kershaw
J H
JH
Flanigan
B E
BE
D000046:Academic Medical Centers / Q000191:economics / Q000458:organization & administration* / Q000639:trends; D000553:Ambulatory Care / Q000191:economics / Q000639:trends*; D017598:Efficiency, Organizational; D005180:Faculty, Medical; D006751:Hospital Information Systems / Q000458:organization & administration; D006759:Hospital-Physician Joint Ventures / Q000639:trends*; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration; D008484:Medicaid / Q000458:organization & administration; D017146:Models, Organizational; D009519:New York City; D019982:Organizational Case Studies; D010044:Outpatient Clinics, Hospital / Q000191:economics / Q000639:trends*; D018511:Systems Integration; D014481:United States