Restructuring a Health System to Reduce Waste and Prepare for Population Health

, May 12, 2014

Nebraska Medical Center is integrating its care sites into a single clinical enterprise. It's a massive, but necessary, undertaking that requires new roles and a culture change.

Clinical integration is an ongoing trend among healthcare provider organizations. But what does it really entail, and what are the difficulties? Omaha-based Nebraska Medical Center is in the process of integrating its hospitals and other care sites into one clinical enterprise with the goals of increasing efficiency and creating a better, more consistent patient experience. It's a major organizational transformation for the 621-bed institution.

"We recognize that to be successful going forward, we have to become one clinically integrated organization and break down the silos. That is very important," says William Dinsmoor, who until recently was CFO and is now CEO of the clinical enterprise for Nebraska Medical Center. Brad Britigan, MD, serves as president of the clinical enterprise under the new structure. The new leadership structure, announced in January, is meant to reflect the new organization's needs.

The organization will also likely change its name in conjunction with the new enterprise management strategy, but a final decision on branding has not been made yet.

Reducing Waste

Within the new framework, clinicians throughout the system will be able to access all patient records, which Dinsmoor says will "significantly reduce waste and improve the patient experience."


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