PracticeLink Magazine

FALL 2014

The career development quarterly for physicians of all specialties, PracticeLink Magazine provides readers with feature articles, compensation stats, helpful job search tips—as well as recruitment ads from organizations across the U.S.

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FALL 2014 PracticeLink.com | 53 of some providers' patient mix. An important premise is coordination of care. In fact, the ACA brings quality measures, patient-centered care concepts and use of data and technology under the reimburse- ment umbrella. Changes coming in practice Whether payers base reimburse- ment on shared savings or shifted risk, value-based models lead to fundamental adjustments in provider culture and practice. For example, team-based care, such as that provided in the patient- centered medical home, is empha- sized in the ACA and as part of patient-centered care. According to Howell, a team-based approach relieves some of the time pressure placed on the primary care physi- cian. CAPG is "redesigning work fows so that everything doesn't have to happen within that 15 minutes the patient has with the physician," says Howell. "If your medical assistant is weighing a patient and taking blood pressure, the medical assistant also can ask the patient about preventive care like vaccinations," says Howell. Redesigning workfow and creat- ing a team approach can improve access and the quality of patient care, Howell says. The approach also can improve the physician organi- zation's performance on important quality metrics. "Quality might not just be based on clinical outcomes," says Todd Evenson, MBA, vice president of consulting services and data solutions for the Medical Group Management Association (MGMA) in Engle- wood, Colo. "It might be based on perception of quality by the patient." Patients can perceive value in clini- cal indicators, wait times or whether the offce's parking lot is dirty. "What I emphasize to many groups is to make sure that they are building a strong physician/administrator part- nership," says Evenson. If done in a patient-centered manner, involving the patient as part of the team also should help physi- cians. When patients participate in coordinated and culturally appro- priate care, they typically are more satisfed with the results and are more compliant with preventive care recommendations and disease management strategies. That's the fnal piece of the puzzle: patient engagement. "At some point, every person has a duty to make sure you are accountable for your own health care," says Howell. Removing fnancial barriers to high-value primary care services improves access, which improves patient adherence, and ultimately improves quality and increases volume at the same time. "Mammo- grams, fu shots, smoking cessation, vaccinations for children, all of these are now mandated to be zero cost PRACTICE WHERE THE SUN SHINES 350 DAYS A YEAR Now recruiting for Anesthesiology · ARNP Family Medicine Family Practice · General Cardiology · General Surgery Internal Medicine Hospitalists · Psychiatry · Urology Florida Hospital Heartland Medical Center, located in South-Central Florida, boasts a rural atmosphere while of ering the convenience of urban technology, and is the area's healthcare facility of choice. Debbie Weigand, Director of Physician Services (863) 402-2103 · Debbie.Weigand@ahss.org · FHHeartland.org Highlands County, Florida, is a short drive from metro Tampa, Orlando and Miami. Moderate temperatures and sunny days assure plenty to do year-round. Due to the area's low cost of living, many freshwater lakes, golf courses and its close proximity to Florida's best shopping, dining, and resorts, the community is projected to sustain double-digit growth rates over the next fi ve years. This af ords our physicians the opportunity for continued growth. Preparing for value-based compensation Continued from page 51 New reimbursement strategies from private payers and the federal government are evolving away from volume and toward value. Still, nobody said that change is easy. Continued

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