Course DescriptionIn response to environmental and government pressures, outpatient and primary care is creating integrated systems that include hospitals and medical practice clinics as part of the same organization. More physicians are joining large group practices and moving away from independent models. This course provides a historical overview of outpatient and ambulatory care, then focuses on new developments in hospital/physician integration and medical group consolidation, including ACOs, the patient-centered medical home, and the capitated model in California. Instruction also covers key management challenges of physician practice, including legal issues, medical informatics, and insurance and financial management fundamentals. Includes a hospital field trip to learn about hospital/physician relations and product line management. Students leave the class with specific knowledge of the wide variety of outpatient care venues, how these settings integrate with each other, and how they are managed.