An examination of how a larege cardiology group formally aligned with a Catholic Health Care System to provide better soordinated care.

4. Alignment Partners

7. A. St. John’s Hospital B. Memorial Medical Center C. Springfield Clinic city of Springfield Illinois Provider Institutions A B C

11. 2009 Per Month Per Year Outreach Clinics 120 1,440 Miles Traveled 14,900 178,800 Travel Time 279 Hours 3,346 Hours Average Patients Seen 1,225 14,700

14. Evolution of Relationships

15. What Motivated a practice who didn’t need to “sell” and a system who hadn't been buying? ...organizing the present based on projections of the future.

26. Hospital/Physician Alignment “ ...a close working relationship in which a hospital and physicians place a priority on working toward common goals and avoiding conduct that damages each other .” the governance institute

27. TRM Consulting

39. Lessons Learned Characteristics of a Successful Alignment add: can bid for and manage bundled payment systems. formal leadership structure is populated by aligned physicians Physicians and the hospital adhere to common values and visions , and avoid conduct that damages one another. Physicians engage in leadership roles in organization-wide strategic planning and participate in programs to increase hospital efficiency. Physician compensation is based on their productivity and achievement of shared hospital/physician economic and quality goals. Physicians and the hospital help each other comply with quality and safety standards and implement best practice s. Patient management occurs seamlessly across the continuum from physicians’ offices to the hospital. Physicians keep patient referrals within the system as much as possible.