1. Strategies for Staying Independent in Primary Care Practice
Texas Primary Care and Health Home Summit
Austin, Texas April 6, 2018

2. Gregory M. Fuller, M.D. Independent Family Physician North Hills Family Medicine in Keller, Texas
Board Member and Medical Director-West Region for Catalyst Health Network

3. Catalyst Health Network is a network of independent primary care physicians who have come together to provide coordinated, high quality care to our patients.
Remain independent while enjoying the services and structure needed to be successful in the new, value-based world of healthcare.
Catalyzing The Transformation Of Health and Well Being In Our Communities

4. 515+ Physicians 99 Locations

5. Factors that are affecting small independent physician practices :
Health information technology requirements
Collecting and report quality and outcomes data
Scaling up to participate in an Accountable Care Organizations (ACO)
Participating in Value-based purchasing
Securing higher payment rates
Choice or threat to sell to hospital system
Providing Care coordination and Case management

6. Strategies for Staying Independent:
Focus on Value-Quadruple Aim—Improve patient experience, improve the health, lower cost, improve the well-being of healthcare providers
Clinical integration
--ACO
--Clinically integrated network
Make sure that Physicians make up a majority of the leadership and that Primary
Care physicians makes up a majority of that leadership.
GET THE DATA
Form a multispecialty group
Improve revenue
--better contracts
--shared savings
--ancillary services
--use of PAs, NPs, health coaches
--expanded hours-early morning, evening, weekends
--home visits
--Telemedicine

7. Strategies for Staying Independent:
5. Direct Primary Care
Concierge practice
Cash only business