Highlights
- •With hospitals integrating into health care systems, there are no processes in place to absorb surgical practices.
- •We created a community surgical division for an academic health care system, as it integrated 3 community hospitals.
- •Physician leadership, infrastructure and resources create a culture which led to recruitment of community surgeons.
- •The appointment of a faculty leader embedded into the community was key to its success.
Abstract
With expansion of health care systems across the country, close relationships need
to be developed between academic medical centers and their affiliated community hospitals.
This creates opportunity to integrate surgical programs across different hospitals.
Herein we describe a model of surgical integration at the system level of five large
hospitals. We discuss utilizing advantages that both the academic and community hospital
bring to the model. A close relationship between an interdisciplinary team, which
includes the academic surgical chair, a regional director liaison who was embedded
in the community, individual hospital leadership, and practice plan leaders was created.
Three pillars as a foundation to success were physician leadership, the use of system
infrastructure and development of new processes. This resulted in development of trust,
leading to successful recruitments, models of employment and expansion into novel
areas of patient safety. Once created, new opportunities for programming for surgical
safety across the health care were identified.
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Article info
Publication history
Published online: December 07, 2017
Accepted:
November 28,
2017
Received in revised form:
November 24,
2017
Received:
September 1,
2017
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
