ABSTRACT: Today numerous health systems find themselves managing complex medical groups, among which the most complex are the Service Lines. Physicians whose specialties are within the Service Lines (Cardiovascular, Orthopedics, Oncology or Women’s Services) find that their clinical work is performed in the hospital settings, yet their governance and decision-making processes often are made within the medical group structure. Frequently, this structure creates misalignment and competing interest, resulting in internal conflict for a health system.   In this white paper, you will find the steps to overcome these struggles while gaining knowledge from first-hand experiences with a Cardiovascular medical group, which is outlined in a case study highlighting how RoundTable was able to combat these concerns and solidify solutions for a successful outcome.   PROBLEM STATEMENT: Structure within complex medical groups is competing with that found in parent health systems.  With specific specialty service lines needing its own governance and organizational processes, they are struggling with the development and [...]