100 INFLUENTIAL MINNESOTA HEALTH CARE LEADERS
Ensor E. Transfeldt
Jeffrey L. Tucker
President and Musculoskeletal Radiologist Consulting Radiologists, Ltd.
Spine Surgeon, Twin Cities Spine Center Medical Director, Allina Spine Program
Senior Medical Director for Psychiatry and Behavioral Health Blue Cross and Blue Shield of Minnesota
President and CEO Integrity Health Network
Changes: Our biggest change has been converting to a completely physician-led practice. In the past, we had utilized a non-physician CEO. Our reasoning is that only through physician leadership could the group fully realize its potential and be in a position to respond to the rapidly changing health care environment in the upper Midwest. Also, the high degree of physician involvement promotes cohesion and more fully leverages our intrinsic talents.
Changes: We have moved from a boutique spine surgery practice toward an integrated, comprehensive spine practice with other providers and health systems. The partnership with Allina has allowed us to focus on patient-centric care. Measurement of outcomes and costs makes it possible to eliminate waste and encourage continuous quality improvement, while reducing costs.
Changes: We are deeply committed to advancing health equity. We are proud to have made a healthy difference over the past few years by increasing access to healthy food and improving conditions where Minnesotans live, work, and play. Finally, behavioral health is a growing area where we need to continue asking the right questions in order to make progress.
Changes: We launched a Medicare Shared Savings Program ACO and a state of Minnesota Medicaid ACO through the Integrated Partnership Program. We received grant dollars from the State of Minnesota State Improvement Model to help us develop and implement a health information exchange. Additional funding allowed us to develop a regional accountable community for health (ACH).
Challenges: The biggest challenge is to pay for services, without sacrificing quality. We don’t have enough mental health care inpatient beds or a robust enough outpatient and safety network. Funding is available, but that won’t help if we aren’t offering the right services at the right time. These are some of our most vulnerable members, and they need us to do the best job we can.
Challenges: A rapidly evolving health care market taxes our clinics’ ability to respond and apply limited resources. We need to find ways to make each initiative sustainable and keep partners at the table (counties, hospitals and clinics). Increasing government regulation and decreasing reimbursement and resources has accelerated consolidation in the Minnesota marketplace and caused the loss of independent clinics in large numbers.
Challenges: We are a large independent physician group and wish to remain so. There is a fair amount of uncertainty as to how to maintain a successful practice as we move further into the ACO era. For example, what is the best approach, configuration and size to navigate in this rapidly changing environment?
Challenges: The biggest challenges these changes face are: Providers across the continuum must embrace the changes needed. An integrated network must be created and maintained throughout a vast population and geographic area. Consensus needs to be achieved among providers regarding care pathways.
In the age of telemedicine we provide you with a
LIVE RECEPTIONIST When your patients call after hours or when no one in your office can take the call, nothing is more frustrating than a long process of phone prompts that leads to leaving a voice mail. Our 24/7/365 service allows your patients to speak with a live, highlytrained English-speaking telephone receptionists. We provide: ● Statewide service ● Courteous, responsible telephone receptionists trained to repeat phone ● Appointment scheduling numbers and ask for spelling of names ● Emergency page, text, or emails to on-call personnel
We’ll treat your patients the way you do.
952.884.8113 ssass.com South Suburban Answering Service
MINNESOTA PHYSICIAN AUGUST 2016
952.898.5156 800.277.9722 minneapolis-south.itex.com www.itex.com
Exceptional Personalized Neurologic Care Burnsville 952.435.8516
Golden Valley 763.588.0661
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Outreach Clinics throughout MN & western WI
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Visit us online at www.minneapolisclinic.com