Kurt Salmon recently spoke at the 2016 Healthcare Facility Summit in Boston, Mass. Highlights from the conference are below.

What insights did you share?

In response to CMS’s push for greater clinical integration, academic medical centers have to choose between one of two paths forward. Option one means staying focused on providing tertiary care and not getting too involved either up- or downstream. Under this approach, academic medical centers would continue to serve multiple networks. Alternatively, option two requires that academic medical centers aggressively design and develop their own network and take on risk.

What new thinking emerged?

Regardless of the path academic medical centers choose, they have to be better integrated. This is particularly true when you consider that academic medical centers are often at capacity. As a result, academic medical centers need to get creative about how to shift lower-complexity patients back to community hospitals.

To start, academic medical centers should use various criteria, including case mix index, age, admission source, charges and length of stay, in order to segment patients into three broad complexity-based buckets and determine how best to care for patients in the most appropriate cost setting and environment.

What resonated most with the audience?

Historically, academic medical centers have primarily focused their time, resources and capital on their main in-patient campus. But with more than half of their revenue and margin coming from ambulatory settings, academic medical centers must now spend more time and attention on establishing and growing their ambulatory footprint in order to provide more convenient and accessible care, all at a lower cost. 

25 May 2016