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Biomedical subjects

D L Schryver

Publications and source records attributed to D L Schryver.

At least 19 recordsLinked to original sources

Integration from the small group practice perspective.

For small group practices, ¿appropriate integration¿ is of critical importance because small groups are at high risk of being left behind if they are not well positioned for managed care. Small group practices, however, may find the tasks of evaluating potential partners and getting started on the road to integration rather daunting. Small group practices face unique integration challenges and must plan carefully if they are to integrate effectively.

Capital Financing↗

Establishing a group practice "without walls".

The group practice "without walls" has become a health care delivery system that is preferred by an increasing number of physicians. This article traces the experience of Premier Medical Group, PC, a "second generation" clinic without walls in the Denver Metropolitan area, to highlight the potential benefits and the key issues related to the development and implementation of a group practice-without-walls model of health-care delivery. The model promises to address physician business and professional needs by building on the best aspects of a traditional group practice, in an overall organizational structure that maximizes each physician's autonomy, individual practice style, and practice identity. The successful implementation of a group practice without walls depends upon physician leadership and impetus, clear goals-and-objectives, competent professional staff, and legal-and-financial guidance.

Ambulatory Care Facilities↗

Partners: group practices and hospitals.

Many hospital executives see the emergence of medical group practices as a threat to their autonomy. However, the degree of future success of hospitals and group practices may depend on their willingness and ability to develop common goals and strategies.

Cardiology↗

Cost determination: the essential element in medical practice budget development and cost containment programs.

The process of cost-containment in health care begins at the level of delivery of service. This article describes an implementation and delivery system which addresses the process of cost determination. It develops an operating budget establishing cost centers to allocate direct and indirect costs and provides the framework for a cost-containment program within a medical practice.

Ambulatory Care↗

Responding to managed care proposals.

To continue to use the term alternative delivery systems in relation to managed care is inappropriate, writes Darrell Schryver, D.P.A., since these systems are rapidly becoming the predominant method for delivering health care. Because such managed care programs are administered by individuals trained in business, it is imperative that medical practices adopt a similar business attitude to negotiate advantageously with these programs.

Economic Competition↗

Positioning for vertical integration through clinics "without walls".

Authors Bruce A. Johnson, J.D., M.P.A., and Darrell Schryver, D.P.A., offer the clinic without walls model as a transitory step to full vertical integration. They write that this model "may enable physicians to address the key issues associated with managed care and integration in a more gradual, controlled fashion.

Comprehensive Health Care↗