Securing the Future for a Major Academic Cardiovascular Program: Hardwiring a Referral Network and Preparing for a Transition to Value-Based Reimbursement

The University of Kentucky College of Medicine and Albert B. Chandler Hospital opened over 50 years ago to serve Kentucky. After initial growth and expansion, both were struggling clinically, academically, and financially in the early 2000s. Difficulties were apparent in cardiovascular (CV) services...

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Published inHospital topics Vol. 98; no. 4; pp. 163 - 171
Main Authors Smyth, Susan S., Moliterno, David, McClure, Rick, Campbell, Justin, Buckler, Lacey, McMullen, Colleen A., Whayne, Thomas F., Endean, Eric, Sekela, Michael, Karpf, Michael
Format Journal Article
LanguageEnglish
Published Sarasota Taylor & Francis 01.10.2020
Taylor & Francis Inc
Subjects
Academic Medical Center
Cardiovascular disease
Health administration
Health insurance
Hospital administration
Hospitals
market share
Medical referrals
Reimbursement
Strategic plan
United States > US
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Summary:The University of Kentucky College of Medicine and Albert B. Chandler Hospital opened over 50 years ago to serve Kentucky. After initial growth and expansion, both were struggling clinically, academically, and financially in the early 2000s. Difficulties were apparent in cardiovascular (CV) services, which captured only 11% of the regional patients hospitalized for cardiac disease. Over the next 15 years, CV services dynamically transformed to become the leading provider with a large network of regional partners, garnering 42% of market share. This article describes strategic plans and initiatives leading to clinical and academic growth. Future value-based initiatives are also described.
Bibliography:ObjectType-Article-1
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ISSN:0018-5868
1939-9278
DOI:10.1080/00185868.2020.1803777