|
|
Post by Baton Rouge AWH office on Aug 24, 2016 9:14:17 GMT -5
Are there any other sites who have non-salaried OB/Gyns that are facilitators running it? If so, how have they been able to add Centering to their schedules in an efficient manner?
|
|
|
|
Post by John Craine on Aug 31, 2016 11:15:46 GMT -5
Thanks for this question. I was monitoring to see if anyone would respond but it appears that we might need a bit more information. Can you clarify what you mean by "non-salaried" OB/GYNs? Also, what is the problem that you are encountering and trying to solve for?
My initial interpretation of your request is that the compensation scheme is creating a competitive rather than cooperative environment . As a result patients are siloed by provider as they are reluctant to send "their" patients to participate in groups facilitated by other providers; they feel they will be losing income. Is this the situation?
|
|
|
|
Post by Baton Rouge AWH office on Sept 1, 2016 9:09:56 GMT -5
That is exactly what I'm trying to say. They do lose income if they send their patients to other providers (at least with how we have it structured right now.) We have an independent practice, where each of the 7 physicians has to get their own patients. So we were wondering if there are other offices that are similar to ours that are running the Centering program that may be able to give our doctors advice/suggestions on how they are running their programs, as we are hoping to become more efficient and to keep things "fair" for all the doctors involved.
|
|
|
|
Post by John Craine on Sept 1, 2016 10:22:00 GMT -5
I know of another practice that is struggling with the same problem. One provider does Centering, the rest don't. So I would love to hear from a practice that has managed to overcome this challenge.
For Centering to work in this environment requires most (and preferably all) of the providers to buy into doing groups. If the groups are apportioned equitably across all providers and they are generally of similar size, then no one will have reason to feel that they are being shortchanged. But to get there at first requires a leap of faith and an ongoing commitment to make the process work.
|
|
huegelbev
In-House Trainers
Posts: 4 
I work at a: Healthcare Facility
My job role is: Healthcare Provider
|
Post by huegelbev on Jan 25, 2017 11:59:32 GMT -5
This is a bit of a delayed response to your question but we have had the same problem with physicians being on productivity pay and not wanting to share their established patients or decrease recruiting new ones by CenteringPregnancy. We hope to address this problem by incorporating CenteringPregnancy within traditional exam room prenatal care. We started implementing this in January 2017.
The pt sees their physician for their initial OB appt (after OB intake) followed by 2 Centering appts then another physician appt @ ~ 20-24 wks; followed by 3 Centering appts; then another physician appt @ ~ 30-32 wks followed by 3 more Centering appts, ending with weekly appts by physician. This is a 8 session CenteringPregnancy model. We realize that this is not ideal but in our practice of productivity pay and decreasing Centering participation due to lack of physician support we had to get creative and compromise. Thus far (realize it's only been a few weeks) our Centering enrollment jumped up immediately and our physicians are much more supportive knowing that their patients are coming back to them periodically enabling them to also establish a bond.
For the 8 session we combined sessions 5&6 making it a 3 hr session including a tour of L&D; and combined sessions 9&10.
Hope this helps.
Bev Huegel APRN
CenteringPregnancy Manager for Palmetto Health USC Medical Group
|
|
