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MMHA 6050/DDHA 8051/HLTH 8051/HLTH 8051E/MMHA 5050: CONTEMPORARY TOPICS IN THE U.S. HEALTHCARE DELIVERY SYSTEM

  • Module 4 (Weeks 6 and 7)
  • Introduction
  • Resources
  • Discussion
  • Assignment
  • Module in Review

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Horizontal and Vertical Integration of Health Systems Our healthcare system is fragmented, with a misalignment of incentives, or lack of coordination, that spawns inefficient allocation of resources

MMHA 6050/DDHA 8051/HLTH 8051/HLTH 8051E/MMHA 5050: CONTEMPORARY TOPICS IN THE U.S. HEALTHCARE DELIVERY SYSTEM

  • Module 4 (Weeks 6 and 7)
  • Introduction
  • Resources
  • Discussion
  • Assignment
  • Module in Review

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  • ×
  • MMHA 6050/DDHA 8051/HLTH 8051/HLTH 8051E/MMHA 5050: Contemporary Topics in the U.S. Healthcare Delivery System
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  • Syllabus
  • Course Calendar
  • Course Overview
  • Course Information
  • Resource List
  • Module 1 (Week 1)
  • Module 2 (Weeks 2 and 3)
  • Module 3 (Weeks 4 and 5)
  • Module 4 (Weeks 6 and 7)
  • Module 5 (Weeks 8 and 9)
  • Module 6 (Weeks 10 and 11)
  • Student Support
  • Walden Links
  • Guidelines and Policies
  • Back to Blackboard
  • Help
Graphic of the human body over a red graph paper background. a pulse line runs across

Module 4 (Weeks 6 and 7): Horizontal and Vertical Integration of Health Systems

Our healthcare system is fragmented, with a misalignment of incentives, or lack of coordination, that spawns inefficient allocation of resources. Fragmentation adversely impacts quality, cost, and outcomes. Eliminating waste from unnecessary, unsafe care is crucial for improving quality and reducing costs—and making the system financially sustainable. Many believe this can be achieved through greater integration of healthcare delivery, more specifically via integrated delivery systems….

—Alain C. Enthoven, 2009

In Module 3, you examined the continuum of services patients may need, and the coordination that is required to provide optimal care. These necessities stand in stark contrast to the traditionally fragmented approach to health care delivery in the United States, which often results in poor communication, duplication of services, and high-cost care.

In this module, you will examine the integration of health systems, a strategy intended to simultaneously promote quality improvement, cost containment, efficiency, diversification, and a competitive advantage. In the Discussion, you will identify integrated health systems in your local area and consider the impact of integration on cost, quality, and access to care in your community. For the Assignment, you will examine challenges and growth opportunities associated with integration in well-known health systems.Learning Objectives

Students will:
  • Analyze the integration of health systems in the United States
  • Compare vertical and horizontal integration
  • Assess how integration influences issues related to cost and access to health care

Module Schedule

Day 1 of Week 6Review Learning Resources
Day 2 of Week 6Continue review of Learning Resources
Day 3 of Week 6Continue review of Learning Resources
Day 4 of Week 6Continue review of Learning Resources
Day 5 of Week 6Discussion: Deadline to Post to the Discussion
Day 6 of Week 6Continue Discussion
Day 7 of Week 6Discussion: Deadline to Respond to the Discussion
Day 1 of Week 7Continue Discussion; Review Assignment instructions
Day 2 of Week 7Continue Discussion; Work on Assignment
Day 3 of Week 7Discussion: Deadline to Post to the Discussion; Work on Assignment
Day 4 of Week 7Continue Discussion; Work on Assignment
Day 5 of Week 7Continue Discussion; Work on Assignment
Day 6 of Week 7Continue Discussion; Work on Assignment
Day 7 of Week 7Continue Discussion; Assignment: Integration of Health Systems due

Photo Credit: [PIXOLOGICSTUDIO]/[Science Photo Library]/Getty Images


Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.

  • Chapter 9, “Managed Care and Integrated Organizations” (pp. 361–368)

Cohen, A., Klein, S., & McCarthy, D. (2014). Hill Physicians Medical Group: A market-driven approach to accountable care for commercially insured patients. Retrieved from http://www.commonwealthfund.org/~/media/files/publications/case-study/2014/oct/1770_cohen_hill_physicians_aco_case_study.pdf

Cutler, D. M., & Morton, F. S. (2013). Special communication: Hospitals, market share, and consolidation. JAMA, 310(18), 1964–1970.

Note: Retrieved from the Walden Library databases.

Sanford, K. D. (2013). Integration requires new roles and responsibilities. Healthcare Financial Management, 67(3), 56–60.

Note: Retrieved from the Walden Library databases.

HCFO.org. (2011). Health plan concentration and consolidation. Retrieved from http://www.hcfo.org/publications/health-plan-concentration-and-consolidation

Use the following resources to select integrated health systems on which to focus for your Assignment. You may also use this list to develop background information as you research health systems in your area for the Discussion.

Rodak, S. (2013). 100 integrated health systems to know. Retrieved from http://www.beckershospitalreview.com/lists/100-integrated-health-systems-to-know.html

Vertically Integrated Health Systems

Cleveland Clinic. (n.d.). Retrieved March 27, 2015, from http://my.clevelandclinic.org

Kaiser Permanente” style=”color: inherit; line-height: inherit; border-bottom: 5px solid rgb(165, 226, 249);”>

Kaiser Permanente. (n.d.). Retrieved March 27, 2015, from http://kp.kaiserpermanente.org/

Mayo Clinic. (n.d.). Retrieved March 27, 2015, from http://www.mayoclinic.org

MedStar Health. (n.d.). Retrieved March 27, 2015, from https://www.medstarhealth.org/

Memorial Hermann Healthcare System Houston. (n.d.). Retrieved March 27, 2015, from http://www.memorialhermann.org

Horizontally Integrated Health Systems

Apria. (n.d). Retrieved March 27, 2015, from www.apria.com

DaVita. (n.d). Retrieved March 27, 2015, from www.davita.com

Labcorp. (2014). Retrieved March 27, 2015, from https://www.labcorp.com/

Quest Diagnostics. (n.d.). Retrieved March 27, 2015, from http://www.questdiagnostics.com/

Sunrise Senior Living. (n.d.). Retrieved March 27, 2015, from http://www.sunriseseniorliving.com/

Required Media

Laureate Education (Producer). (2015e). Horizontal and vertical integration of health systems[Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 9 minutes.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Optional Resources

Poulymenopoulou, M., Papakonstantinou, D., Malamateniou, F., & Vassilacopoulos, G. (2012). Using a patient-centered approach for health and social care integration. Studies in Health Technology and Informatics, 180, 467–471.

Redding, J. (2013). Achieving clinical integration. Healthcare Financial Management, 67(11), 56.


Discussion: Vertical and Horizontal Integration of Health Systems in Various Regions

Post your responses to the Discussion based on the course requirements. Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).

A 58-year-old man needs to have his blood tested on a regular basis so his physician can monitor the effects of the anticoagulant (blood thinner) medication he is currently taking. He usually has his blood drawn at his local lab in San Francisco, California. While traveling on business in Portland, Oregon, he is able to have his blood drawn on the specified day at another Labcorp location. Labcorp operates an extensive network of 1,700 laboratories across the United States, so lab results can be communicated to the patient’s physician from any location.

Geisinger Health System serves an area with 2.6 million people in northeastern and central Pennsylvania. As an integrated health system, it provides coordinated care to meet the wide-ranging needs of patients. The advanced use of information technology has been critical for facilitating communication, reducing duplication of services, and improving the patient experience along the care continuum. Consisting of numerous clinical facilities and a health insurance company, Geisinger Health System offers an innovative approach to care delivery that it hopes will become a national model.

Integration is an organizing principle for care delivery intended to promote better health outcomes and greater clinical and financial accountability. Labcorp’s horizontal integration is a growth strategy that reduces competition from other companies. Geisinger’s vertical integration is a diversification strategy that links a continuum of services to increase the comprehensiveness of care.

In Module 3, you examined the varied services a patient may need and researched health care organizations that provide those services in your geographic area. In this Discussion, you will examine how integration affects the delivery of care in your community.

To prepare for this Discussion, review the information related to horizontal and vertical integration in the Learning Resources, including the information in the Shi and Singh (2015) textbook and the journal articles.

Next, research integrated health systems in your geographic area. If you find that one or more of the settings you identified for your Module 3 Assignment are part of an integrated system, you may further research the setting(s) for this Discussion.

Select one vertically integrated health system and one horizontally integrated health system in your geographic area on which to focus for this Discussion.

Continue researching these two health systems, noting important information about each health system, including its size, settings/locations, and the services it provides. Investigate how the integration of each system has affected, or is expected to affect, issues related to cost, quality, and access to health care services in your area. Consider implications of integration for the management of the organization, as well as the patient/consumer experience.

If you are an international student, you may examine a specific geographic area in the United States or research two integrated health systems identified in the Learning Resources that are not the same ones you address in your Assignment.

Note: In the Assignment for this module, you are required to select and analyze one vertically integrated health system and one horizontally integrated health system from a provided list. Do not select the same health systems for this Discussion.

By Day 5 of Week 6

Post a substantive and cohesive response to the following:

  • Analyze one vertically integrated health system in your area and share details about its size, settings/locations, and the services it provides.
  • Analyze one horizontally integrated health system in your area and share details about its size, settings/locations, and the services it provides.
  • Assess the impact of integration on issues related to cost and access to care, including implications for the management of the organization and the patient/consumer experience.

Reminder: Use and cite sources to support your posting and responses in the Discussion.

Read a selection of your colleagues’ postings.

By Day 7 of Week 6

Respond to at least two of your colleagues, comparing the impact of integration on the delivery of care in various health systems and regions.

Keep expanding and/or deepening the discussion by adding insights related to the advantages and challenges of vertical and horizontal integration for health care delivery.

By Day 3 of Week 7

Post again, discussing how integration of the two health systems you selected likely affects the patient/consumer experience in your community. Provide specific examples to illustrate benefits, concerns, and/or questions patients/consumers may experience.

By Day 7 of Week 7

Continue engaging in the Discussion until the end of the module.

Submission and Grading Information

Grading Criteria

To access your rubric:

Module 4 Discussion Rubric

Post by Day 5 and Respond by Day 7 of Week 6 & Post Again by Day 3 and Respond by Day 7 of Week 7

To participate in this Discussion:

Module 4 Discussion


Assignment: Integration of Health Systems

Intermountain Healthcare is a high-performing integrated health system with facilities in Utah and Idaho. The health system has a long-standing clinical integration structure that encourages professional collaboration. Despite this, in 1999, many physicians at Intermountain Healthcare found it difficult to fulfill the needs of patients with co-occurring physical and mental health conditions. To efficiently and effectively address this issue, Intermountain Healthcare adopted a mental health integration model in many of its primary care facilities, as well as some of its specialty clinics and partner clinics. The team-based approach has improved the coordination of services, resulting in higher quality care at a savings of cost.

Consider the example above. What advantages does integration afford Intermountain Healthcare? Do other integrated health systems experience similar benefits? Are there disadvantages to integration? If so, what are they?

To prepare for this Assignment, review the information related to vertical and horizontal integration presented in the Learning Resources.

Select one of the following horizontally integrated health systems:

  • DaVita
  • Apria
  • Sunrise Senior Living
  • Labcorp
  • Quest Diagnostics

Select one of the following vertically integrated health systems:

  • Kaiser Permanente
  • Mayo Clinic
  • Cleveland Clinic
  • MedStar Health
  • Memorial Hermann Healthcare System Houston

As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.

Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.

Based on your research, consider the ways in which the two health systems are similar to and/or different from one another.

Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?

Consider any applicable insights you have gained through the Discussion for this module.

The Assignment

Write a 3- to 4-page paper in which you:

  • Compare the horizontally integrated health system and the vertically integrated health system you have selected (e.g., size, settings/locations, and types of services).
  • Explain each health system’s rationale for pursuing integration and the strategies it has used to achieve integration.
  • Assess the business and health care-related implications of integration for your selected health systems, including how integration impacts the patients/consumers the organization serves.

By Day 7 of Week 7

Your Assignment must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct. See the rubric for additional requirements related to research and scholarly writing.

Submit your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “MD4Assgn+last name+first initial.(extension)” as the name.
  • Click the Module 4 Assignment Rubricto review the Grading Criteria for the Assignment.
  • Click the Module 4 Assignmentlink. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “MD4Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:

Module 4 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Module 4 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 7

To submit your Assignment:

Module 4 Assignment


Module in Review

In this Module, you identified integrated health systems in your local area and considered the impact of integration on cost, quality, and access to care in your community. You also assessed how integration influences issues related to cost and access to care in well-known health systems.

In Module 5, you will select a health problem and analyze related data for prevalence, risk, and impact on health care delivery. You also will compare health care delivery systems and health indicators of multiple countries.

Next Module

To go to the next module:

Module 5
MMHA 6050/DDHA 8051/HLTH 8051/HLTH 8051E/MMHA 5050: CONTEMPORARY TOPICS IN THE U.S. HEALTHCARE DELIVERY SYSTEMModule 4 (Weeks 6 and 7)
Introduction
Resources
Discussion
Assignment
Module in Review
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MMHA 6050/DDHA 8051/HLTH 8051/HLTH 8051E/MMHA 5050: CONTEMPORARY TOPICS IN THE U.S. HEALTHCARE DELIVERY SYSTEMModule 4 (Weeks 6 and 7)
Introduction
Resources
Discussion
Assignment
Module in Review
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MMHA 6050/DDHA 8051/HLTH 8051/HLTH 8051E/MMHA 5050: Contemporary Topics in the U.S. Healthcare Delivery System
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Syllabus
Course Calendar
Course Overview
Course Information
Resource List
Module 1 (Week 1)
Module 2 (Weeks 2 and 3)
Module 3 (Weeks 4 and 5)
Module 4 (Weeks 6 and 7)
Module 5 (Weeks 8 and 9)
Module 6 (Weeks 10 and 11)
Student Support
Walden Links
Guidelines and Policies
Back to Blackboard
Help

Module 4 (Weeks 6 and 7): Horizontal and Vertical Integration of Health SystemsOur healthcare system is fragmented, with a misalignment of incentives, or lack of coordination, that spawns inefficient allocation of resources. Fragmentation adversely impacts quality, cost, and outcomes. Eliminating waste from unnecessary, unsafe care is crucial for improving quality and reducing costs—and making the system financially sustainable. Many believe this can be achieved through greater integration of healthcare delivery, more specifically via integrated delivery systems….
—Alain C. Enthoven, 2009
In Module 3, you examined the continuum of services patients may need, and the coordination that is required to provide optimal care. These necessities stand in stark contrast to the traditionally fragmented approach to health care delivery in the United States, which often results in poor communication, duplication of services, and high-cost care.
In this module, you will examine the integration of health systems, a strategy intended to simultaneously promote quality improvement, cost containment, efficiency, diversification, and a competitive advantage. In the Discussion, you will identify integrated health systems in your local area and consider the impact of integration on cost, quality, and access to care in your community. For the Assignment, you will examine challenges and growth opportunities associated with integration in well-known health systems.
Learning ObjectivesStudents will:
Analyze the integration of health systems in the United States
Compare vertical and horizontal integration
Assess how integration influences issues related to cost and access to health care
Module ScheduleDay 1 of Week 6
Review Learning Resources
Day 2 of Week 6
Continue review of Learning Resources
Day 3 of Week 6
Continue review of Learning Resources
Day 4 of Week 6
Continue review of Learning Resources
Day 5 of Week 6
Discussion: Deadline to Post to the Discussion
Day 6 of Week 6
Continue Discussion
Day 7 of Week 6
Discussion: Deadline to Respond to the Discussion
Day 1 of Week 7
Continue Discussion; Review Assignment instructions
Day 2 of Week 7
Continue Discussion; Work on Assignment
Day 3 of Week 7
Discussion: Deadline to Post to the Discussion; Work on Assignment
Day 4 of Week 7
Continue Discussion; Work on Assignment
Day 5 of Week 7
Continue Discussion; Work on Assignment
Day 6 of Week 7
Continue Discussion; Work on Assignment
Day 7 of Week 7
Continue Discussion; Assignment: Integration of Health Systems due
Photo Credit: [PIXOLOGICSTUDIO]/[Science Photo Library]/Getty Images

Learning ResourcesNote: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.
Chapter 9, “Managed Care and Integrated Organizations” (pp. 361–368)
Cohen, A., Klein, S., & McCarthy, D. (2014). Hill Physicians Medical Group: A market-driven approach to accountable care for commercially insured patients. Retrieved from http://www.commonwealthfund.org/~/media/files/publications/case-study/2014/oct/1770_cohen_hill_physicians_aco_case_study.pdf
Cutler, D. M., & Morton, F. S. (2013). Special communication: Hospitals, market share, and consolidation. JAMA, 310(18), 1964–1970.
Note: Retrieved from the Walden Library databases.
Sanford, K. D. (2013). Integration requires new roles and responsibilities. Healthcare Financial Management, 67(3), 56–60.
Note: Retrieved from the Walden Library databases.
HCFO.org. (2011). Health plan concentration and consolidation. Retrieved from http://www.hcfo.org/publications/health-plan-concentration-and-consolidation

Use the following resources to select integrated health systems on which to focus for your Assignment. You may also use this list to develop background information as you research health systems in your area for the Discussion.
Rodak, S. (2013). 100 integrated health systems to know. Retrieved from http://www.beckershospitalreview.com/lists/100-integrated-health-systems-to-know.html
Vertically Integrated Health Systems
Cleveland Clinic. (n.d.). Retrieved March 27, 2015, from http://my.clevelandclinic.org
Kaiser Permanente” style=”color: inherit; line-height: inherit; border-bottom: 5px solid rgb(165, 226, 249);”>Kaiser Permanente. (n.d.). Retrieved March 27, 2015, from http://kp.kaiserpermanente.org/
Mayo Clinic. (n.d.). Retrieved March 27, 2015, from http://www.mayoclinic.org
MedStar Health. (n.d.). Retrieved March 27, 2015, from https://www.medstarhealth.org/
Memorial Hermann Healthcare System Houston. (n.d.). Retrieved March 27, 2015, from http://www.memorialhermann.org
Horizontally Integrated Health Systems
Apria. (n.d). Retrieved March 27, 2015, from www.apria.com
DaVita. (n.d). Retrieved March 27, 2015, from www.davita.com
Labcorp. (2014). Retrieved March 27, 2015, from https://www.labcorp.com/
Quest Diagnostics. (n.d.). Retrieved March 27, 2015, from http://www.questdiagnostics.com/
Sunrise Senior Living. (n.d.). Retrieved March 27, 2015, from http://www.sunriseseniorliving.com/
Required Media
Laureate Education (Producer). (2015e). Horizontal and vertical integration of health systems[Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 9 minutes.
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript
Optional Resources
Poulymenopoulou, M., Papakonstantinou, D., Malamateniou, F., & Vassilacopoulos, G. (2012). Using a patient-centered approach for health and social care integration. Studies in Health Technology and Informatics, 180, 467–471.
Redding, J. (2013). Achieving clinical integration. Healthcare Financial Management, 67(11), 56.

Discussion: Vertical and Horizontal Integration of Health Systems in Various RegionsPost your responses to the Discussion based on the course requirements. Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).
A 58-year-old man needs to have his blood tested on a regular basis so his physician can monitor the effects of the anticoagulant (blood thinner) medication he is currently taking. He usually has his blood drawn at his local lab in San Francisco, California. While traveling on business in Portland, Oregon, he is able to have his blood drawn on the specified day at another Labcorp location. Labcorp operates an extensive network of 1,700 laboratories across the United States, so lab results can be communicated to the patient’s physician from any location.
Geisinger Health System serves an area with 2.6 million people in northeastern and central Pennsylvania. As an integrated health system, it provides coordinated care to meet the wide-ranging needs of patients. The advanced use of information technology has been critical for facilitating communication, reducing duplication of services, and improving the patient experience along the care continuum. Consisting of numerous clinical facilities and a health insurance company, Geisinger Health System offers an innovative approach to care delivery that it hopes will become a national model.
Integration is an organizing principle for care delivery intended to promote better health outcomes and greater clinical and financial accountability. Labcorp’s horizontal integration is a growth strategy that reduces competition from other companies. Geisinger’s vertical integration is a diversification strategy that links a continuum of services to increase the comprehensiveness of care.
In Module 3, you examined the varied services a patient may need and researched health care organizations that provide those services in your geographic area. In this Discussion, you will examine how integration affects the delivery of care in your community.
To prepare for this Discussion, review the information related to horizontal and vertical integration in the Learning Resources, including the information in the Shi and Singh (2015) textbook and the journal articles.
Next, research integrated health systems in your geographic area. If you find that one or more of the settings you identified for your Module 3 Assignment are part of an integrated system, you may further research the setting(s) for this Discussion.
Select one vertically integrated health system and one horizontally integrated health system in your geographic area on which to focus for this Discussion.
Continue researching these two health systems, noting important information about each health system, including its size, settings/locations, and the services it provides. Investigate how the integration of each system has affected, or is expected to affect, issues related to cost, quality, and access to health care services in your area. Consider implications of integration for the management of the organization, as well as the patient/consumer experience.
If you are an international student, you may examine a specific geographic area in the United States or research two integrated health systems identified in the Learning Resources that are not the same ones you address in your Assignment.
Note: In the Assignment for this module, you are required to select and analyze one vertically integrated health system and one horizontally integrated health system from a provided list. Do not select the same health systems for this Discussion.
By Day 5 of Week 6
Post a substantive and cohesive response to the following:
Analyze one vertically integrated health system in your area and share details about its size, settings/locations, and the services it provides.
Analyze one horizontally integrated health system in your area and share details about its size, settings/locations, and the services it provides.
Assess the impact of integration on issues related to cost and access to care, including implications for the management of the organization and the patient/consumer experience.
Reminder: Use and cite sources to support your posting and responses in the Discussion.
Read a selection of your colleagues’ postings.
By Day 7 of Week 6
Respond to at least two of your colleagues, comparing the impact of integration on the delivery of care in various health systems and regions.
Keep expanding and/or deepening the discussion by adding insights related to the advantages and challenges of vertical and horizontal integration for health care delivery.
By Day 3 of Week 7
Post again, discussing how integration of the two health systems you selected likely affects the patient/consumer experience in your community. Provide specific examples to illustrate benefits, concerns, and/or questions patients/consumers may experience.
By Day 7 of Week 7
Continue engaging in the Discussion until the end of the module.
Submission and Grading Information
Grading Criteria
To access your rubric:
Module 4 Discussion Rubric
Post by Day 5 and Respond by Day 7 of Week 6 & Post Again by Day 3 and Respond by Day 7 of Week 7
To participate in this Discussion:
Module 4 Discussion

Assignment: Integration of Health SystemsIntermountain Healthcare is a high-performing integrated health system with facilities in Utah and Idaho. The health system has a long-standing clinical integration structure that encourages professional collaboration. Despite this, in 1999, many physicians at Intermountain Healthcare found it difficult to fulfill the needs of patients with co-occurring physical and mental health conditions. To efficiently and effectively address this issue, Intermountain Healthcare adopted a mental health integration model in many of its primary care facilities, as well as some of its specialty clinics and partner clinics. The team-based approach has improved the coordination of services, resulting in higher quality care at a savings of cost.
Consider the example above. What advantages does integration afford Intermountain Healthcare? Do other integrated health systems experience similar benefits? Are there disadvantages to integration? If so, what are they?
To prepare for this Assignment, review the information related to vertical and horizontal integration presented in the Learning Resources.
Select one of the following horizontally integrated health systems:
DaVita
Apria
Sunrise Senior Living
Labcorp
Quest Diagnostics
Select one of the following vertically integrated health systems:
Kaiser Permanente
Mayo Clinic
Cleveland Clinic
MedStar Health
Memorial Hermann Healthcare System Houston
As an alternative, you may use Becker’s Hospital Review resource to identify a vertically integrated health system.
Using the Walden Library and credible sources on the Internet, research your selected health systems. Investigate the rationale for pursuing integration and the strategies each health system has used to achieve integration. Note information related to the size of each health system, settings/locations, and types of services it provides.
Based on your research, consider the ways in which the two health systems are similar to and/or different from one another.
Assess the business and health care-related implications of horizontal and vertical integration of your selected health systems. How does integration impact the management of your selected organizations and the patients/consumers they serve, especially in terms of cost, quality, and access?
Consider any applicable insights you have gained through the Discussion for this module.
The Assignment
Write a 3- to 4-page paper in which you:
Compare the horizontally integrated health system and the vertically integrated health system you have selected (e.g., size, settings/locations, and types of services).
Explain each health system’s rationale for pursuing integration and the strategies it has used to achieve integration.
Assess the business and health care-related implications of integration for your selected health systems, including how integration impacts the patients/consumers the organization serves.
By Day 7 of Week 7
Your Assignment must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct. See the rubric for additional requirements related to research and scholarly writing.
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “MD4Assgn+last name+first initial.(extension)” as the name.
Click the Module 4 Assignment Rubricto review the Grading Criteria for the Assignment.
Click the Module 4 Assignmentlink. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “MD4Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Module 4 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Module 4 Assignment draft and review the originality report.
Submit Your Assignment by Day 7 of Week 7
To submit your Assignment:
Module 4 Assignment

Module in ReviewIn this Module, you identified integrated health systems in your local area and considered the impact of integration on cost, quality, and access to care in your community. You also assessed how integration influences issues related to cost and access to care in well-known health systems.
In Module 5, you will select a health problem and analyze related data for prevalence, risk, and impact on health care delivery. You also will compare health care delivery systems and health indicators of multiple countries.
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To go to the next module:
Module 5


To go to the next module:

Module 5

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