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The Group Employed Model as a Foundation for Health Care Delivery Reform

Abstract from the Issue Brief published by The Commonwealth Fund, April 2010

With a focus on delivering low-cost, high-quality care, several organizations using the group employed model (GEM)—with physician groups whose primary and specialty care physicians are salaried or under contract—have been recognized for creating a culture of patient-centeredness and accountability, even in a toxic fee-for-service environment. The elements that leaders of such organizations identify as key to their success are physician leadership that promotes trust in the organization, integration that promotes teamwork and coordination, governance and … Continue Reading

Reform Under the Radar: The Electronic Health Record


Glenn Laffel, MD, PhD, Senior Vice President, Clinical Affairs, Practice Fusion

Dr. Glenn Laffel left medicine as a cardiologist and heart transplant surgeon to improve the quality of care for more people using information technology.

The Electronic Health Record (EHR) represents the “biggest leap forward for healthcare since the discovery of penicillin. EHRs will be everywhere in ten years.” — Glenn Laffel, MD, PhD, Senior Vice President, Clinical Affairs, Practice Fusion.

Whether or not the United States has health insurance and other reforms, the evolution towards … Continue Reading

Health System Reform: Getting from Here to There

William Streck, MD, CEO, Bassett Healthcare, Cooperstown, NY

Dr. William Streck discusses advantages of the employed-physician model of care.

This is the second of two posts featuring leaders from Bassett Healthcare Network, in Cooperstown, NY. William Streck, MD, CEO, continues the series.

Dr. Streck reflects on incremental steps that physicians and health systems may adopt to manage escalating healthcare costs, of which 30% results in waste. That means $700 billion, the size of the Stimulus package passed by Congress in 2009, does … Continue Reading

Podcast: Getting from Here to There


Getting from Here to There

Practicing 21st Century Medical Leadership

Henry Weil, MD, Bassett Healthcare, Cooperstown, NY

Henry Weil, MD

This is the first of two posts and podcasts featuring Bassett Healthcare, in Cooperstown, NY. Dr. Henry Weil, attending physician in Internal Medicine, director of Infomatics at Bassett Healthcare, and assistant dean of the Columbia-Bassett Program, a venture with Columbia University’s College of Physicians and Surgeons, New York, NY, starts the series.

The post and podcast featuring Bassett’s CEO, Dr. William Streck, follows in January 2010.

With its storied tradition, salaried physicians, consistently strong … Continue Reading

Podcast 1: Medical Leadership, Education, and Training at Bassett Healthcare

• The Making of a Medical Leader
• Bassett-Columbia Program

Part 1: 21st Century Medical Leadership[podcast]http://seen-heard.com/blog/audio/1MedLeadership.mp3[/podcast] (26 Min.)

Podcast 2: Lessons Learned from Bassett Healthcare Network’s Model of Care

• New Emphasis on Physician-Patient Relationships
• Innovative Medical Education and Clinical Training
• Tested, Consistent Models of Healthcare Delivery
• The Courage to Reform

Part 2: Real-World Learnings[podcast]http://seen-heard.com/blog/audio/2MedLeadership.mp3[/podcast] (16 Min.)

Play to listen or right-click on the podcast’s title (above) to download.

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