Physician Integration Toolkit

Physician Integration is the strategic process of assimilating a physician into a health care organization in order to foster long- term, meaningful relationships, maximize patient delivery systems, and collaborate in achieving the organization’s mission while utilizing the health care system’s resources of human capital, equipment, and technology in order to create a competitive marketplace for the physician, thus creating financial and structural linkage with the physician to the health care system.



White Papers and Articles

White Papers and Articles



Member Shared Resources
ASHHRA would like to thank the members from the following organizations for contributing to this toolkit:

  • Scott Manning
  • Jennifer Metivier
  • Patti Oakes
  • Diane Gross, Esq.

Partner Shared Resources
ASHHRA would like to thank the following partners for contributing to this toolkit:

  • American Medical Association (AMA)
  • Avatar HR Solutions 
  • Great Boards 
  • Department of Health and Human Services 
  • The Joint Commission 
  • Morehead Associates
  • Physician Practice 
  • Pinstripe Healthcare
  • PwC Health Research Institute 


  1. Common Practice Operation Questions for a Physician Exploring to Open a Practice (PDF)
    American Medical Association (AMA), June 6, 2012

  2. In-House Physician Recruitment Programs –The What, Why, and How Every Healthcare Organization Needs to Know (PDF)
    Scott Manning and Jennifer Metivier, ASHHRA 2011 Annual Conference, September 12, 2011

  3. Sample Red Flag Rule/ Identity Theft Policy Compliance Program (PDF)

  4. Sample Physician Fatigue Policy (PDF)

  5. Sharing the Workplace with Physicians (PDF)
    Patti Oakes and Diane Gross, Esq., ASHHRA 2011 Annual Conference, September 12, 2011

  6. The Basics of Provider Enrollment, Chain and Ownership System (PECOS) for Physicians and Non-Physicians Practitioners (PDF)
    Department of Health and Human Services, May 2012, Medicare Learning Network 

  7. The Basics of Medicare Enrollment for Physicians and Other Part B Suppliers (PDF)
    Department of Health and Human Services, May 2012, Medicare Learning Network


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White Papers and Articles
White Papers and Articles

  1. How Your Medical Practice Can Avoid ICD-10 Pitfalls, Physicians Practice, Vol. 22, No. 6 (PDF)
    Marisa Torrieri, May 23, 2012

  2. Collaboration to Capitalize: How to Create Sustainable Hospital-Physician Relationships, Brett Hickman (PDF)
    Brett Hickman, HR Pulse,Spring 2012

  3. Creating Effective Physician Wellness (PDF)
    Mitchell Best, HR Pulse, Summer 2011

  4. Data Security for Physician Practices (PDF)
    Marisa Torrieri, May 24, 2102, Physicians Practice, Vol. 22, No. 6

  5. Effective Relationship Management: 5 Key Relationships Physician Recruiters Must Cultivate to Succeed (PDF)
    Michael DiPietro, HR Pulse, Spring 2012

  6. Employed vs. Private Physician (PDF)
    Janet Kidd Stewart, September 30, 2011, Physicians Practice, Vol. 21 No. 9

  7. Clinically Integrated Physician Hospital Organizations (PDF)
    Brett S. Bader, Great Boards, Winter 2009, Vol IX, No. 4

  8. Medical Staff Development Planning: Get Physician’s Buy-In Before You Bottom Out (PDF)
    Jennifer Metivier, HR Pulse, Spring 2012

  9. A Manager’s Guide to Dealing with Lawsuits (PDF)
    Shelly K. Schwartz, Physicians Practice, March 1, 2010, Vol. 20, No. 4

  10. The Fine Print of Physician Contracts (PDF)
    Aubrey Westgate, November 11, 2011, Physicians Practice, Vol. 21 No. 10

  11. A Physician Start Up Guide: Staffing Your Practice (PDF)
    Ike Devji, J.D., Physicians Practice, June 5, 2012, Vol. No. June 5, 2012

  12. Problems That Plague: 7 Reasons Hospitals Struggle to Align with Physicians(PDF)
    Rachel Fields, HR Pulse, Spring 2012

  13. From Courtship to Marriage: A two part series on Physician-Hospital Alignment (PDF)
    PwC Health Research Institute, 2011

  14. Health Care Worker Fatigue and Patient Safety (PDF)
    The Joint Commission, Joint Commission Sentinel Event Alert, Issue 48, December 14, 2011
  15. A Win Win Approach: Build and Strengthen Physician Engagement (PDF) 
    Deborah Render, HR Pulse, Spring 2012

  16. The State of Staff Physician Engagement: 2011 in Review (PDF)
    Morehead Associates, August 2012

  17. Three Steps to Physician Recruitment (PDF)
    Mike Soisson, Pinstripe Healthcare, August 2012 

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  1. Employee Engagement, Baptist Healthcare (PDF)
    Avatar HR Solutions, July 2012 

  2. Employee Engagement Strategies (PDF)
    Rod Wilkes, Morehead Associates, July  24, 2012

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The information and resources included and/or referenced in this toolkit provide only a general overview of the topic covered.  ASHHRA makes no representations or warranties, express or implied, concerning the application of that information, including without limitation, implied warranties of merchantability and fitness for a particular purpose. The information is NOT intended to be taken as advice regarding any specific individual situation or circumstance and should not be relied upon as such. It also is NOT intended to, and cannot, substitute for responsible legal advice. Legal questions should be addressed directly to appropriate legal counsel.

ASHHRA reserves all rights in ASHHRA original content included and/or referenced in this toolkit. However, ASHHRA grants to ASHHRA Members the right to use original content for strictly noncommercial purposes unless otherwise indicated.

ASHHRA has not reviewed, and is not responsible for, the completeness or accuracy of any third party information included herein. The views and/or positions expressed in any third party content do not necessarily represent the views of ASHHRA and the inclusion and/or references to third party information do not indicate any endorsement by ASHHRA unless expressly provided. ASHHRA does not claim ownership of any content, including content incorporated by permission into ASHHRA-produced materials, created by any third party and cannot grant permission to use, distribute or otherwise reproduce such third party content.