Nebraska Medical Center is integrating its care sites into a single clinical enterprise.
larry costello's insight:
"As I see it, the next generation of patients is not going to want to come and wait in a waiting room. They want instant gratification. They want to do things electronically. They are going to ask, 'Do I really need to come in?' Providing that care is going to require much different technology and infrastructure than what we are used to....."
This quote from the article, I believe, partially captures the difficult transition large integrated delivery systems must make. Are these systems able to make the change fast enough? How will this impact their financial model?
One large system we work with struggles with high ER utilization. They recently discovered the highest ER utilizers are their own employees. They like the convenience; even though the average wait time for a doctor's appointment is only 48 hours. Instant gratification. Interesting they advertise their short wait times on billboards across the city. Do they really want to lower their ER visits?
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