Physician Engagement in Value-Based Purchasing: 4 Hospital Leaders' Thoughts

Half of hospital and health system senior executives say physician engagement is the top barrier to their organization's participation in the Value-Based Purchasing Program, according to a Forbes Insights survey.

Physician engagement is the crux of most major changes in healthcare organizations, but the caregivers are especially critical for VBP, which ties reimbursement to patient outcomes, quality and experience. Four of the 204 executives who participated in the survey shared their thoughts on physician engagement in VBP:

Paul R. Goldberg, CFO of Jersey City, N.J.-based LibertyHealth: "The medical staff is always the hard part of the process. Doctors aren't seeing anything [economic] on their side related to this."

Peter J. Holden, president and CEO of Jordan Hospital in Plymouth, Mass.: "I told them from front and center that if you don't learn and you don't embrace and you don't exert influence on what's coming, you could be one class away from painting houses."

Robert Margolis, MD, manager partner and CEO of Torrance, Calif.-based HealthCare Partners: "Get them all working towards best patient care, and physicians respond."

Banner Health's executive vice president and CMO, Dr. John Hensing, noted that a physician's age often influences their reaction to VBP. "If you're 60 years old, ride it out. If you're 50 years old, fight it. If you're in your early 40s, you say, 'What does the future hold for me, and what am I going to do about it?' And if you're just starting out, you may say, 'That's the way things have always been.'"

The following issues were also seen as the top barriers to organizational adoption of the VBP model:

Complexity and unpredictable impact of VBP contracts — 46 percent
Decrease in profitability during transition — 32 percent
Lack of information management infrastructure — 32 percent
Lack of sufficient economic predictability — 31 percent

More Articles on Value-Based Purchasing:

Patient Satisfaction Improved Following Start of Value-Based Purchasing
5 Ways Value-Based Purchasing Relates to ACOs
CMS Issues Final Rule for Value-Based Purchasing Program

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