One trend that has been in effect for some time in the delivery of health care is standardization — in other words, using documented, evidence-based practices. The authors discuss reasons why standardization has been a powerful trend. They then contrast this with the trend toward experimentation — in the creative destruction [buzzword!] of existing business models.
This whole article is interesting, but I’d like to highlight a small portion given to a discussion of extensivists, also called ambulatory intensivists at one integrated delivery system studied by the authors. First of all, what are extensivists? Probably actually a team, led by an internist and staffed by physician extenders. The team’s goal is “to keep the sickest 10 percent of a population out of the hospital.” Think about that for a minute.
Going back to my days working for consultants, I’ve always enjoyed finding actual, real, useful numbers in the health care literature, so here is the one that I especially like in this article:
- “The patient load per physician [extensivist] generally is low, with about 300 being typical.” (page 43)
Source: Moore, K.D., Coddington, D.C., and Eyestone, K.M. (2014, Nov.) The assault on common care models. HFM. Healthcare Financial Management. 68(11), 42-44, 46. Retrieved from https://www.hfma.org/Content.aspx?id=25747 Posted by AHA Resource Center (312) 422-2050, rc@aha.org
