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Biomedical subjects

D C Coddington

Publications and source records attributed to D C Coddington.

At least 19 recordsLinked to original sources
PubMed1998

Integrated health care: passing fad or lasting legacy?

The breakup of several integrated delivery systems (IDSs), and a continuing focus on the failures of many of these organizations to live up to expectations, suggests that integration may be a passing trend. Nonetheless, some systems, particularly those driven by multispecialty clinics, are achieving considerable marketplace success. Integrated systems that base their strategies on delivering value-added services to patients and healthcare purchasers still appear viable. Strategies typically used by IDSs include developing primary care networks, gainsharing with or owning health plans, reducing clinical variation, demonstrating high quality, cutting costs, and developing a seamless system of care. Primary care strategies are especially controversial given the fact that most hospital-affiliated primary care practices are losing money. However, research indicates that primary network development is one of the strategies that adds the most value for consumers and, thus, may be assumed to be of particular benefit to IDSs. Strategies aimed at reducing clinical variation can be expected to reap huge long-term benefits.

Community Networks↗
PubMed1996

Ambulatory care heads for the 21st century.

There is increasing market pressure to deliver ambulatory care in a most traditional manner, that is, with a high level of service and personal touch. The ambulatory care providers of the future will meet this demand. However, they will do so with approaches and support systems that are anything but traditional. Care is increasingly being delivered in large, integrated systems. Extraordinary service levels are being made feasible again--this time through a combination of new support systems, including total quality management task forces, patterns of care software, consolidated phone centers that can provide access from anywhere anytime, electronic data interfaces, and the Internet.

Ambulatory Care↗
PubMed1996

Making integrated health care work.

This article summarizes the authors' thinking on value added in health care, and offers examples of the major strategies being implemented by integrated systems across the United States to increase their value and improve their competitive positioning. The research results are based on a review of published literature on 150 health care organizations in various stages of integration, and 20 in-depth case studies of integrating systems.

Cost Control↗
PubMed1996

Optimizing primary care services.

One of the most recent and pervasive trends in healthcare is the restructuring of primary care. In many markets, the solo family practice physicians increasingly family practice physician is a thing of the past. Primary care physicians increasingly are aligning themselves with larger players such as multispecialty groups, hospitals, health plans, or practice management companies. This article draws on the authors' research into 20 healthcare systems in various stages of development as well as their own consulting experience to answer several questions: Why is the establishment or purchase of primary care physician practices an exploding national trend? What are the pros and cons of this approach? Is it better to purchase existing practices or establish new ones from the ground up? What are the pros and cons of virtual integration (affiliation without purchase) versus other forms of integration?

Community Networks↗
PubMed1994

Costs and benefits of integrated healthcare systems.

Although forming an integrated healthcare system can be extremely expensive, many hospitals and physician groups are discovering that by doing so, they can reap significant benefits, including increased market share, more secure physician income, and better physician "quality of life," a financially stronger organization, and an enhanced ability to adapt to the changing healthcare environment. In most cases, the return on the investment required to reorganize the physician, hospital, and healthcare plan relationship is likely to be substantial.

Capital Financing↗
PubMed1992

Health care reform: how hospitals, physicians should prepare.

As the momentum behind health care reform continues to build, hospitals should take specific steps to prepare for each likely scenario. The authors speculate about what form health care reform will take, discuss the strategic implications of each scenario and suggest steps hospitals should take, including an analysis of hospital/physician integration, marketing, services and efficiency.

Cost-Benefit Analysis↗
PubMed1988

Understanding economic modeling aids in decision making.

With the problems some hospitals are facing in raising capital, the importance of careful economic analyses increases. Four economic models, the demand model, economic feasibility model, economic impact model, and econometric model, can all be used by the healthcare industry to perform a thorough analysis. By doing economic analyses, hospitals will be able to more effectively allocate scarce financial resources and identify potential returns and risks associated with investments.

Decision Making, Organizational↗
PubMed1987

Diversification offers new opportunities for health care.

In this excerpt from the book, Market-Driven Strategies in Healthcare, healthcare diversification is explored. The various reasons, survival strategies, and expectations for a new venture are outlined. Although many new ventures are struggling and profits are being generated slowly, there are many potentially successful opportunities available to the aggressive healthcare system. With careful screening and selection, diversification efforts by an organization can present promising results.

Evaluation Studies as Topic↗
PubMed1987

Employers looking for more than health care cost containment.

Now is the time to chart strategies for the future. One market which needs reevaluation is the behavior of employers toward health plans. The authors through a review of both secondary and their own research show that most of the efforts at cost containment are the interests of large firms. The article summarizes what employers are currently seeking from health plans and how they are evaluating the growing number of alternatives available to them.

Cost Control↗
PubMed1986

What physicians expect from their hospitals.

What are physicians' greatest concerns in today's environment? What kind of support do they expect from hospitals? This article discusses what interview sessions with 175 physicians reveal about those concerns and expectations, and what hospitals can do to address them.

Attitude of Health Personnel↗
PubMedDate not supplied

Strategic implications of healthcare reform for mental health providers.

While most of the recent national attention on healthcare reform has focused on physicians, acute-care hospitals, and the insurance industry, what about mental healthcare providers? Where do psychiatric hospitals, psychiatrists, psychologists, and other mental healthcare professionals fit into the healthcare payment system of the future? For example, if the United States ends up with what is called universal access--a payment source for all Americans--will it include mental health benefits? The stakes are high; one quarter of the American population either has no health insurance or is covered by Medicaid. Many current reform proposals include tort reform; but how would it affect mental healthcare providers? Will managed care--primarily health maintenance organizations (HMOs) and preferred provider organizations (PPOs)--be a part of the reshaping of the United States healthcare system? This article has three objectives: To summarize the various healthcare reform proposals and provide a description of the key elements anticipated in the most likely reform package. To consider the strategic implications of payment reform for the mental healthcare industry. To identify strategies for mental healthcare providers that are likely to be useful regardless of the shape of healthcare reform.

Cost Control↗