Multispecialty hubs that integrate office-based primary and specialty care with traditional emergency department functions have improved clinical care, increased access and lowered costs compared with the traditional model of medical offices and community hospital EDs, according to the Kaiser Permanente executives pioneering the hub model.
Kaiser Permanente, Mid-Atlantic States (KPMAS) pioneered the multispecialty hub model beginning in 2012 with five full-service medical buildings, each of which serves about 100,000 patients in Virginia, Maryland and the District of Columbia, according to an article in NEJM Catalyst.
http://catalyst.nejm.org/how-multi-specialty-hubs-fill-a-major-gap-in-the-care-continuum/
HENRY KOTULA 