The vision
A large academic medical center (AMC) needed a new financially viable care team model as it embarked on scaling its hospital at home program. It aimed to grow 20-fold from a proof-of-concept offering, expanding access to patients from multiple hospitals in the system. The AMC was previously operating with team models that were resulting in provider dissatisfaction and were financially unsustainable to scale.
Key challenges of building a scalable hospital at home workforce model:
- Disparate processes are challenging to scale, activate at new sites, and expand geographically
- Legacy compensation arrangements are incompatible with the new care delivery model
- Existing workforce models are not financially viable at scale
- The tight labor market leaves a limited resource pool
- Workforce burnout and turnover rates are high
Co-creating the solution
The AMC’s new care team model needed to enable high-quality care delivery, optimize clinician collaboration, support scalable operations, and improve daily work experience.
The AMC partnered with Chartis to identify pain points and define vision for a future-state care team model—including expectations for physician and advanced practice provider (APP) collaboration, care delivery modalities (virtual and in-person), and team member roles and responsibilities. With an eye to increasing hospital at home admissions, a newly defined navigator role to identify and prepare eligible patients for hospital at home was developed. A refined, multiyear workforce demand tool was implemented to inform role prioritization, recruitment planning, and financial forecasting.
To activate the new care team model, a bespoke physician compensation framework was created, with consideration of the current compensation model, industry benchmarks, innovative care model requirements, and provider recruitment and retention. An organizational management structure overlayed the new care team model to operate the client’s care at home portfolio.
