Creating and Maintaining a Successful Service Line in an Academic Medical Center at the Dawn of Value-Based Care: Lessons Learned From the Heart and Vascular Service Line at UMass Memorial Health Care

Research output: Contribution to journalArticle

Robert A. Phillips, Jay Cyr, John F. Keaney, Louis M. Messina, Theo E. Meyer, Stanley K.C. Tam, Kathleen Korenda, Melinda Darrigo, Pooja Kumar, Sailu Challapalli

The service line (SL) model has been proven to help shift health care toward value-based services, which is characterized by coordinated, multidisciplinary, high-quality, and cost-effective care. However, academic medical centers struggle with how to effectively set up SL structures that overcome the organizational and cultural challenges associated with simultaneously delivering the highest-value care for the patient and advancing the academic mission. In this article, the authors examine the evolution of UMass Memorial Health Care's heart and vascular service line (HVSL) from 2006 to 2011 and describe the impact on its success of multiple strategic decisions. These include key academic physician leadership recruitments and engagement via a matrixed governance and management model; development of multidisciplinary teams; empowerment of SL leadership through direct accountability and authority over programs and budgets; joint educational and training programs; incentives for academic achievement; and co-localization of faculty, personnel, and facilities. The authors also explore the barriers to success, including the need to overcome historical departmental-based silos, cultural and training differences among disciplines, confusion engendered by a matrixed reporting structure, and faculty's unfamiliarity with the financial and organizational skills required to operate a successful SL. Also described here is the impact that successful implementation of the SL has on creating high-quality services, increased profitability, and contribution to the financial stability and academic achievement of the academic medical center.

Original languageEnglish (US)
Pages (from-to)1340-1346
Number of pages7
JournalAcademic Medicine
Volume90
Issue number10
DOIs
StatePublished - Oct 1 2015

PMID: 26222322

Altmetrics

Cite this

Standard

Creating and Maintaining a Successful Service Line in an Academic Medical Center at the Dawn of Value-Based Care : Lessons Learned From the Heart and Vascular Service Line at UMass Memorial Health Care. / Phillips, Robert A.; Cyr, Jay; Keaney, John F.; Messina, Louis M.; Meyer, Theo E.; Tam, Stanley K.C.; Korenda, Kathleen; Darrigo, Melinda; Kumar, Pooja; Challapalli, Sailu.

In: Academic Medicine, Vol. 90, No. 10, 01.10.2015, p. 1340-1346.

Research output: Contribution to journalArticle

Harvard

Phillips, RA, Cyr, J, Keaney, JF, Messina, LM, Meyer, TE, Tam, SKC, Korenda, K, Darrigo, M, Kumar, P & Challapalli, S 2015, 'Creating and Maintaining a Successful Service Line in an Academic Medical Center at the Dawn of Value-Based Care: Lessons Learned From the Heart and Vascular Service Line at UMass Memorial Health Care' Academic Medicine, vol. 90, no. 10, pp. 1340-1346. https://doi.org/10.1097/ACM.0000000000000839

APA

Phillips, R. A., Cyr, J., Keaney, J. F., Messina, L. M., Meyer, T. E., Tam, S. K. C., ... Challapalli, S. (2015). Creating and Maintaining a Successful Service Line in an Academic Medical Center at the Dawn of Value-Based Care: Lessons Learned From the Heart and Vascular Service Line at UMass Memorial Health Care. Academic Medicine, 90(10), 1340-1346. https://doi.org/10.1097/ACM.0000000000000839

Vancouver

Phillips RA, Cyr J, Keaney JF, Messina LM, Meyer TE, Tam SKC et al. Creating and Maintaining a Successful Service Line in an Academic Medical Center at the Dawn of Value-Based Care: Lessons Learned From the Heart and Vascular Service Line at UMass Memorial Health Care. Academic Medicine. 2015 Oct 1;90(10):1340-1346. https://doi.org/10.1097/ACM.0000000000000839

Author

Phillips, Robert A. ; Cyr, Jay ; Keaney, John F. ; Messina, Louis M. ; Meyer, Theo E. ; Tam, Stanley K.C. ; Korenda, Kathleen ; Darrigo, Melinda ; Kumar, Pooja ; Challapalli, Sailu. / Creating and Maintaining a Successful Service Line in an Academic Medical Center at the Dawn of Value-Based Care : Lessons Learned From the Heart and Vascular Service Line at UMass Memorial Health Care. In: Academic Medicine. 2015 ; Vol. 90, No. 10. pp. 1340-1346.

BibTeX

@article{3ae7e91edd6e492f9de7555194d2d5f0,
title = "Creating and Maintaining a Successful Service Line in an Academic Medical Center at the Dawn of Value-Based Care: Lessons Learned From the Heart and Vascular Service Line at UMass Memorial Health Care",
abstract = "The service line (SL) model has been proven to help shift health care toward value-based services, which is characterized by coordinated, multidisciplinary, high-quality, and cost-effective care. However, academic medical centers struggle with how to effectively set up SL structures that overcome the organizational and cultural challenges associated with simultaneously delivering the highest-value care for the patient and advancing the academic mission. In this article, the authors examine the evolution of UMass Memorial Health Care's heart and vascular service line (HVSL) from 2006 to 2011 and describe the impact on its success of multiple strategic decisions. These include key academic physician leadership recruitments and engagement via a matrixed governance and management model; development of multidisciplinary teams; empowerment of SL leadership through direct accountability and authority over programs and budgets; joint educational and training programs; incentives for academic achievement; and co-localization of faculty, personnel, and facilities. The authors also explore the barriers to success, including the need to overcome historical departmental-based silos, cultural and training differences among disciplines, confusion engendered by a matrixed reporting structure, and faculty's unfamiliarity with the financial and organizational skills required to operate a successful SL. Also described here is the impact that successful implementation of the SL has on creating high-quality services, increased profitability, and contribution to the financial stability and academic achievement of the academic medical center.",
author = "Phillips, {Robert A.} and Jay Cyr and Keaney, {John F.} and Messina, {Louis M.} and Meyer, {Theo E.} and Tam, {Stanley K.C.} and Kathleen Korenda and Melinda Darrigo and Pooja Kumar and Sailu Challapalli",
year = "2015",
month = "10",
day = "1",
doi = "10.1097/ACM.0000000000000839",
language = "English (US)",
volume = "90",
pages = "1340--1346",
journal = "Academic Medicine",
issn = "1040-2446",
publisher = "Lippincott Williams and Wilkins",
number = "10",

}

RIS

TY - JOUR

T1 - Creating and Maintaining a Successful Service Line in an Academic Medical Center at the Dawn of Value-Based Care

T2 - Academic Medicine

AU - Phillips, Robert A.

AU - Cyr, Jay

AU - Keaney, John F.

AU - Messina, Louis M.

AU - Meyer, Theo E.

AU - Tam, Stanley K.C.

AU - Korenda, Kathleen

AU - Darrigo, Melinda

AU - Kumar, Pooja

AU - Challapalli, Sailu

PY - 2015/10/1

Y1 - 2015/10/1

N2 - The service line (SL) model has been proven to help shift health care toward value-based services, which is characterized by coordinated, multidisciplinary, high-quality, and cost-effective care. However, academic medical centers struggle with how to effectively set up SL structures that overcome the organizational and cultural challenges associated with simultaneously delivering the highest-value care for the patient and advancing the academic mission. In this article, the authors examine the evolution of UMass Memorial Health Care's heart and vascular service line (HVSL) from 2006 to 2011 and describe the impact on its success of multiple strategic decisions. These include key academic physician leadership recruitments and engagement via a matrixed governance and management model; development of multidisciplinary teams; empowerment of SL leadership through direct accountability and authority over programs and budgets; joint educational and training programs; incentives for academic achievement; and co-localization of faculty, personnel, and facilities. The authors also explore the barriers to success, including the need to overcome historical departmental-based silos, cultural and training differences among disciplines, confusion engendered by a matrixed reporting structure, and faculty's unfamiliarity with the financial and organizational skills required to operate a successful SL. Also described here is the impact that successful implementation of the SL has on creating high-quality services, increased profitability, and contribution to the financial stability and academic achievement of the academic medical center.

AB - The service line (SL) model has been proven to help shift health care toward value-based services, which is characterized by coordinated, multidisciplinary, high-quality, and cost-effective care. However, academic medical centers struggle with how to effectively set up SL structures that overcome the organizational and cultural challenges associated with simultaneously delivering the highest-value care for the patient and advancing the academic mission. In this article, the authors examine the evolution of UMass Memorial Health Care's heart and vascular service line (HVSL) from 2006 to 2011 and describe the impact on its success of multiple strategic decisions. These include key academic physician leadership recruitments and engagement via a matrixed governance and management model; development of multidisciplinary teams; empowerment of SL leadership through direct accountability and authority over programs and budgets; joint educational and training programs; incentives for academic achievement; and co-localization of faculty, personnel, and facilities. The authors also explore the barriers to success, including the need to overcome historical departmental-based silos, cultural and training differences among disciplines, confusion engendered by a matrixed reporting structure, and faculty's unfamiliarity with the financial and organizational skills required to operate a successful SL. Also described here is the impact that successful implementation of the SL has on creating high-quality services, increased profitability, and contribution to the financial stability and academic achievement of the academic medical center.

UR - http://www.scopus.com/inward/record.url?scp=84957558729&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84957558729&partnerID=8YFLogxK

U2 - 10.1097/ACM.0000000000000839

DO - 10.1097/ACM.0000000000000839

M3 - Article

VL - 90

SP - 1340

EP - 1346

JO - Academic Medicine

JF - Academic Medicine

SN - 1040-2446

IS - 10

ER -

ID: 19598302