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Just a short note of thanks for your work on the search at Sisters of Providence. I believe we have a great candidate and we are very excited that he has joined the team. As you know, this was a hard and tricky search. Overall, we ended in a great place but the search challenged all of us. I appreciate your cool under fire and again, the result is good.
As always, Witt/Kieffer is my go-to team and always will be. As I have mentioned several times before, you helped me in my career on two different occasions and I won't ever forget that. I will always do what I can for the firm.
My profound thanks,
Clayton Fitzhugh
Executive Vice President, Chief Human Resources Officer
Catholic Health East Corporation
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I just wanted to thank you for sending me your article on ACOs. In my opinion, between your questions and the answers of Drs. Chessare and Fredrickson, the article as a whole did a great job simplifying and explaining the complexity of ACOs. Personally, the article could not have come at a better time as our practice recently signed an agreement with our local health system which allowed us to “integrate” with the hospital on some level but at the same time maintain our independence (referenced by Dr. Fredrickson). I have passed this article on to our ownership. Thanks again.
Mike Ariss, MPH, Practice Administrator
Newland Medical Associates, Southfield MI
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I have had a lot of time on both sides of the fence with ER, in-patient and out. Something has to be done to stem the tide with rising healthcare costs, compliance and lack of accountability in all areas of patient care (patient, provider, hospital, government and insurance administration).
I do believe that ACOs could be a good thing and that patient accountability needs to be considered as well. Nurse managers or coaches would be important and we also would have to return to patients procuring referrals prior to ER visits unless life, limb or sight. Providers would have to be more accessible and compensated to take better call and care to reduce ER and nonsense visits.
Providers, not administrators, should be in charge of ordering and authorizing bigger ticket items like MRIs and referrals. And providers should be heavily involved in constructing and implementing out-patient treatment for many conditions.
Finally, we need to manicure our training programs to meet more holistic needs and prepare PCPs, or the new era providers, to have broad skills. There must be less fear and litigation so physicians can really practice medicine and care for people. Almost puts me in mind of the old time Doc.
Thomas Stoner, DO, FACOI
Vice-Chair DOM
Site Director, Adams County Internal Medicine
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