Many hospitals do not have a strategy for collaborating with physicians. All too often these hospitals wake up one day to discover that several key physicians are planning to invest in a significant venture without them, possibly with millions of revenue dollars at risk. Salient, therefore, encourages hospitals to have a strategy for integrating with physicians. The creation and adoption of a comprehensive plan will provide a roadmap to physician collaboration, and will position the hospital to strategically respond – rather than to react – to physicians’ entrepreneurial leanings.
The development of an integration strategy contemplates various joint venture models which may be applied to the clinical services under consideration, as illustrated below:
INTEGRATION MODELS
Compensation Arrangements
Clinical Co-Management Agreements
Equipment Leasing Models
Real Estate Partnerships
Employment Arrangements
“Hospital-Based” Models
Whole Hospital Joint Ventures
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CLINICAL SERVICES
Surgery Centers
Cardiac Centers
G.I. Labs
Urgent Care Centers
Sleep Centers
Pain Centers
Whole Hospitals
Clinical Pay for Performance Initiatives
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"...Proprietary entities are actively-and successfully-luring physicians away from hospitals and taking all of the pie, creating an even greater fractious environment". |
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Jesse O. Weatherly and Stephen C. Nyquist; "10 Dynamics of the Physician-Hospital Relationship: A Primer for Hospital Leadership Teams";
Health Leaders Media; June 13, 2006
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"Through Salient's efforts and expertise, our joint venture outpatient surgery center has been transformed from a concept, mired in competing interests and unanticipated pitfalls, into a reality. Salient's rich experience in medical operations and management has proven ideally suited to putting our project on task, and I would highly recommend this group to any spine surgeons contemplating a similar venture."
Thomas A. Wilson, MD
Neurosurgeon
Neuroscience Services
Birmingham, Alabama
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JV Strategies
