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Bringing Radiologists’ Value Proposition Into Clinical Practice How We Do Imaging 3.0: Better Together SYED F. ZAIDI, MD PRESIDENT, RADIOLOGY ASSOCIATES OF CANTON CEO, RADHELP CALIFORNIA RADIOLOGICAL SOCIETY ADAPT, SURVIVE, THRIVE SEPTEMBER 6, 2014 DISCLOSURES • CEO: RadHelp, LLC: Consulting and Management Services Company OBJECTIVES • RAC and Aultman Hospital: How we are doing Imaging 3.0 together • How you can make Imaging 3.0 work in your practice • Co-Management RADIOLOGY ASSOCIATES OF CANTON Academic Medical Center Aultman Hospital Population Health Management Summa Barberton Hospital RadHelp Radiology Associates of Canton Outpatient Centric Off-Site Imaging Locations Private Practice 25 radiologists 550,000 annual procedures Community Based Hospitals Union Hospital Affinity Medical Center VALUE-ADDED RADIOLOGY • Incorporated concepts learned from ACR Practice Leaders, EDI, and RLI meetings • Value = Outcomes/Cost • Better IP coordination • Decreased LOS • Shift inpatient to outpatient • Co-Management • Utilization Management • Imaging 3.0 PATH TO COMANAGEMENT • RAC at Aultman Hospital since 1971 • 2010: Rocky relationship with Aultman • Rehabilitated relationship by establishing trust with CEO • Aultman instituted co-management: both employed and independent • Co-management as part of contract renewal, to allow more investment in radiology WHY DO COMANAGEMENT • • • • • • • • Align goals and strategic plan Improve relationship Improve quality Improve bottom line for both Drive culture change on both sides Formalize radiologists leadership role Report results up to C-suite and Board level Don’t be taken for granted RAC Vision AULTMAN Vision Common Vision • Partner with Aultman to Form an Imaging Service Line of Excellence • Grow Outpatient Market Share Through Outreach with Ordering Physicians • Institute Patient Centered Imaging Services Resulting in Improved Patient Experience and Outcomes • Build a Common List of Metrics to Measure Performance and Service • Partner with AHF and AultCare to Better Prepare for Reimbursement Models of the Future SHARED GOVERNANCE STRUCTURE Center Medical Director Service Line Administrator Imaging Service Line Steering Committee Directors: 4 Hospital / 4 Physicians Strategic Focus (Meets Quarterly) Operational Focus Imaging Service Line Operational & Quality Committee (Meets Monthly) Residency/Research Physician Leader UM/QA Physician Leader Patient Services “Patient Centered” Physician Leader Provider Outreach Physician Leader COMPENSATION Co Management Model Philosophy Administrative Time + Shared Risk/Reward = Contract Value Initial Investment TIME Yrs 2 & 3 RESULTS Year 1 Medical Directorship (Hrs) KPIs (Number & Value) INVESTMENT Year 2 Year 3 CO-MANAGEMENT INITIATIVES Patient Centered Radiology Clinical coordination: Right Care, Right Time, Right Place Cut LOS, optimize IP utilization Focus on IR Data Mining Clinical outcomes data CURRENT STATUS • • • • • • • Relationship better than ever Great cooperation on workflow Heavy investment in IR Expanding on shared savings concepts LOS, IP coordination Expanding model to other sites Partnering with other hospitals and groups FUTURE • • • • • • • More Risk-Sharing Manage More of Dept. Budget Comprehensive Population Health Management Hospital IP UM Working with Local Payer/ACO to Do UM Volume to Value Goal is to manage population efficiently under risk based contracts, with excellent clinical outcomes in a data-driven model FUTURE IS NOW! • Thank you! • Contact info: • Email: [email protected] • Twitter: @zaidirad • Website: RadHelpLLC.com Radiologyleaders.org 16