Download How We Do Imaging 3.0 - California Radiological Society

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
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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
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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
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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
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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
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