CASE 12: REPLACING A PRACTICE MANAGEMENT SYSTEM University Physician Group (UPG) is a multispecialty group practice plan associated with the College of Osteopathic Medicine (COM). UPG employs 90 physicians and 340 clinical and business support personnel. UPG has recently been profitable (with revenue from operations this fiscal year of $32 million and a retained profit of $500,000 from operations). However, prior year losses make UPG a break-even organization. Management and the physicians are focusing on strengthening the fiscal position of the organization. This focus has led to plans to restructure physi- cian compensation, establish a self-insurance trust for professional liability, and improve the financial budgeting and reporting processes. UPG has entered into a preliminary agreement to merge with Northern Affiliated Medical Group (NAMG). NAMG is a 150-physician multispecialty group located in the same city as UPG. NAMG holds a contract with the local county hospital to provide indigent care and serve as the faculty for the graduate medical education programs in family medicine. Both organizations believe that the merged organization would be able to reduce expenses through the elimination of redundant functions and, Publishing : eBook Collection (EBSCOhost) - printed on 1/17/2024 4:02 AM via CAL STATE UNIVERSITY EAST BAY 70301 ; Karen A. Wager, Frances W. Lee, John P. Glaser.; Health Care Information Systems : A Practical Approach for Health Care Management t: 87451176.main.ehost 498 - CHAPTER 14: HEALTH IT LEADERSHIP CASE STUDIES because of greater geographical coverage and size, would improve their ability to obtain more favorable payer contracts. Information Systems Challenge For many years UPG has obtained practice management systems from Gleason Solutions (GS). The applications are hosted in a GS data center, reducing UPG's need for IT staff members. Prior to the merger, UPG was in the process of examining replacements for GS. UPG had become displeased because of the GS application failure to incorporate new technologies and application features, limited ability to generate reports, and inflexible integration approaches to other applications. Despite its displeasure, UPG now appears to be on the path to renewing the GS contract. GS executives have effectively lobbied several important physicians and administrators, and UPG's limited cash position makes the GS low-cost financial proposal attractive. NAMG uses the GS applications and has also been examining replac- ing the system. NAMG has a strong IT department and will be providing IT support to the newly merged organization. After examining the market, NAMG has identified four potential vendors, including GS