This Case is aboutÂ EXECUTION
PUBLICATION DATE: May 01, 2013 PRODUCT #: PH3006-PDF-ENG
This case presents organizational confrontations encountering a doctor winner of the Patient-Focused Medical House (PCMH). Dr. Julian Kuffler, working with his company, the Mount Desert Island Hospital System (MDI), anticipated getting the primary care physicians in the system to adopt the PCMH attention model. Physician struggle was robustly contrasted to some of the key values of PCMH, such as administering the health of a distinct population, normalizing chronic care management protocols, entrusting patient care responsibilities to non-physician members of a care team, and to include muscular physician leadership at the system level.
At exactly the same time, MDI was a modest rural “critical access hospital” with decreasing entries, primarily outpatient-based sales, and deteriorating financing. MDI leaders observed high quality primary care to be crucial for MDI to have the ability to bring the most effective health system associate with which it could affiliate to become part of a bigger, more viable organization. MDI leaders also expected to locate a partner which may also support its involvement in new population health arrangements including care organizations that were responsible.