With the help of an Integrated Delivery System
(IDS) these objectives can be attainable.
I think we're in a transition period from a physical integrated delivery system
to a virtual integrated delivery system
that's capable of serving and meeting the needs of patients and physicians on a regional, national or international basis.
By joining an integrated delivery system
, an ALF can help secure its supply of new residents and appropriately refer residents it can no longer serve.
Abrams, MD, MBA, is patient safety officer and chairman of the department of anesthesiology and perioperative medicine at Atlantic City Medical Center, which is part of New Jersey-based AtlantiCare, an integrated delivery system
serving southeastern New Jersey.
Years ago, an integrated delivery system
was an ideal -- a delivery organization which provided the colossal spectrum of care, as can be seen with the nationis most integrated systems today, such as the Kaiser Foundation Health Plans or Henry Ford Health System.
Also, how do you avoid the issue of a hospital, the only one in the region and part of an integrated delivery system
, suggesting to its central office to submit a bid (capitated payment) to provide benefits for its area residents at a price significantly above facilities in other similar areas providing roughly the same services?
These components -- the providers, the payers, the hospitals -- all bring to the integrated delivery system
table their own legacies of information needs and solutions.
In addition, this information will create a better understanding of the roles of different referral sources and how they interact with each other and with your facility as part of the integrated delivery system
The integrated systems are approaching insurers for "full risk" contracting, where instead of getting per diem rates, the insurer will turn over a percentage of premium to the integrated delivery system
, say 80 percent, and let the system manage the entire risk.