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MODELS: Regionalization of hospitals and ambulatory care facilities [illustration]

This is an illustration of three different models which might be used to coordinate the bricks-and-mortar facilities within a health care system.  The three types of regionalization illustrated include:

  • Hub-and-spoke model — in which there is a big central hospital that serves as a referral center for smaller hospitals with limited services.  The outpatient centers as well as the smaller hospitals feed in to the big central hospital.
  • Distributed model — in which each of the hospitals is a center of excellence in a different service line, such as cardiology
  • Coordinated model — in which service lines are coordinated among the hospitals and performance is measured at the system level

These models, particularly the hub-and-spokes model of regionalization, are not necessarily new concepts, but I like the way that they are compared in this drawing.

Source: Fink, J. (2014, Nov.) Aligning with physicians to regionalize services. HFM. Healthcare Financial Management, 68(11), 80-86. Retrieved from https://www.hfma.org/Content.aspx?id=25739  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

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