Leadership & Career Development
The healthcare delivery system looks very different in 2019 than it did just a decade ago. Drivers such as economic shifts, changes to insurance, managed care, and the implementation of the Affordable Care Act have drastically altered the landscape of medicine, especially in the acute hospital setting. A number of hospital systems adapted through considerable growth and/or consolidation. This growth results in higher patient volumes. However, not all hospital systems have been able to address the attendant problems encountered with such rapid growth including maintaining high quality patient care, physician shortages, and implementation of an electronic medical record. Despite an absence of data on the effect of such drastic changes, psychiatry departments and programs affiliated with these expanding hospitals are expected to adapt. The pressure to “do more with less” has created a challenge for many CL services. Many programs describe a sharp increase in the total number of consults, whereas others describe an increase from outpatient clinics services and emergency or specialist consultation. Challenges such as higher acuity and complexity and shorter stays also contribute to difficulty in providing quality care in addition to shear patient volume.
The goal of this workshop is to provide a platform to present and discuss ways that CL programs have addressed clinical, educational, and service needs in light of ever-growing clinical demand. Presenters will discuss current and future challenges to administrative advocacy, psychiatry education and service integration. Participants will learn through didactic and interactive teaching in addition to focused and guided small group discussion. Participants will be able to to identify strengths, weakness and opportunities in their own programs and will learn skills to help advocate for their programs to help address the challenges that services growth engenders.
Daniel Elswick, MD will moderate and discuss the historical context and changes to healthcare delivery. (10 Min)
Jonathan Smith, MD, and Sheryl Fleisch, MDwill describe the impact of health systems growth on trainees and trainee education. (15 Min)
Priya Gopalan, MD will discuss challenges and strategies for coordinating and providing consistency for clinical services, education and administration at a health system that has expanded to multiple clinical locations. (15 Min)
Christopher Kogut, MD will discuss strategies for resource advocacy (time, space, finances, personnel etc.) and forming strategic partnerships to foster “healthy” growth. (15 Min)
Groups: The discussants will facilitate focused breakout groups in which participates will be invited to share experiences from their home institutions including methods that have been effective for navigating institutional growth. (30 Min)
Summary: (5 Min)
Total: 90 Minutes
Cutler DM et al. Hospitals, Market Share, and Consolidation. JAMA. 2013 Nov 13;310(18):1964-70.
Moses H et al. The anatomy of health care in the United States. JAMA. 2013 Nov 13;310(18):1947-63.