This case presents organizational challenges confronting a physician champion of the Patient-Centered Medical House (PCMH). Dr. Julian Kuffler, working with his employer, the Mount Desert Island Hospital System (MDI), hoped to persuade the primary care physicians in the system to adopt the PCMH care model.
Physician struggle was vigorously contrasted to some of the key standards of PCMH, such as administration of the health of a diverse population, standardizing chronic care supervision protocols, entrusting patient care duties to non-physician members of a care team, and to embrace muscular physician leadership at the system level.
At precisely the same time, MDI was a modest rural "serious access hospital" with falling entries, predominantly outpatient-based earnings, and deteriorating financing. MDI leaders saw high quality primary care to be vital for MDI to have the ability to attract the top health system associate with which it could affiliate to become part of a larger, more viable organization. MDI leadership also hoped to find a partner that could also support its engagement in new population health arrangements for example responsible care organizations.
PUBLICATION DATE: May 01, 2013 PRODUCT #: PH3006-PDF-ENG
This is just an excerpt. This case is about STRATEGY & EXECUTION
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