私有行業(yè)戰(zhàn)略規(guī)劃(1)-資料下載頁
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【正文】 ines and activities on which it should focus Invest or partner Focus Exit Divest or partner or outsource High Low Low High Critical to mission Ability to succeed 35 The MHS should collect a rigorous factbase to set strategy and targets Demand Supply Overall, service line and MTF levels Academic and private practice benchmarks ? Patient population ? Outpatient visits ? Inpatient admissions ? Service line use rates ? Volumes per provider ? Pharmacy spend ? GME program accreditation ? Nonmedical contracting costs ? Provider mix and capacity ? Provider productivity ? Support staff productivity ? Clinical outes ? Direct and purchased care costs ? Patient access ? Geographic resource distribution ? Patient satisfaction levels 36 A preliminary diagnosis suggests that various clinical areas have productivity below academic institution benchmarks Pr odu ct i vi tybe l o w acad emi cl eve l sPr odu ct i vi tybe twee nac ade mi c andpr i vate pra ct i cePr odu ct i vi tyab ove p ri vatepr ac ti ceSe rvice l i nes M TF Provi der FTE s020406080100%Percent of t otal37 A number of service lines are also experiencing access issues Av eragef or 21s ervice li nesServic e line A Servic e line B0. 2%6. 0%5. 8%0246%Pe rcent l eakage d ue to capac i ty constrai nts38 Redesign initiatives for the MHS may take many forms… Facilities rationalization Clinical program consolidation Contracting/ collections from 3rd party payors Resource allocations Patient and provider retention Shared support services Specialization of facilities Rethinking outsourcing Incentives across system Preventative care/disease management GME program design Procurement efforts … but must be informed by data 39 Key questions for the MHS ? What is (are) the missions and how can they be translated into measurable goals? ? What service lines and activities should be provided in the MTFs versus purchased from the civilian sector? Providers vs. hospital/clinic management Primary vs. specialty care ? How is the MHS system performing vs. targets and the petition and what initiatives need to be put in place? ? What anizational changes are required to implement these initiatives? ? Which decisions should be made at an integrated versus at the Service (Army, Navy, Air Force) level? 40 A single, integrated healthcare supply strategy needs to be developed to serve a single patient population Army Navy Air Force Supply of care: MHS Beneficiaries Demand for care: TriService, Coordinated, Integrated Supply of Care 41
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