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Our Annual Industry Survey: The Challenge to Collaborate

Bob Wertz, February 13, 2012
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Coordination strategies
The absence of and the need for collaboration is seen in questions that explore not just the business of healthcare, but its clinical aspects as well.

  • Care coordination and continuum of care represents the single greatest strategic challenge for clinical quality improvement, selected as top choice by 25%. Second choice, at 21%, is improving patient experience, including patient flow.
  • Only 14% of leaders say their organization's care coordination is "very strong." Yes, 45% rate it as being "strong," but one-quarter (24%) can muster only a "neutral" rating and 17% cite it as being "weak" or "very weak."

More than half of respondents see accountable care organizations as worth pursuing, with 53% saying that their organization will be part of an ACO within the next three to five years.

Internal imperatives
Perhaps ACOs can help reduce some of the tension that exists between payers and providers. But providers still have some challenges within their own ranks that suggest a need for greater collaboration.

We asked both physician leaders and nurse leaders to assess how pervasive physician abuse or disrespect of nurses is at their organization. There is a clear disconnect in their perceptions. While just 13% of physician leaders say those conditions are common, more than three times that number—42%—of nurse leaders see it that way.

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