Merger Announcement
Diablo Valley Oncology Merges With Pacific Urology
Economic trends in health care, new opportunities in continuity of care lead two
practices to form Contra Costa’s first multi-specialty group of its kind

Concord, CA (November 11, 2011) – Two of Contra Costa County’s largest private
specialty medical practices announced today an agreement to merge in January, forming
the area’s first multi-specialty practice in oncology and urology as a hedge against
mounting business challenges in a rapidly changing health care landscape.
Pacific Urology, a six-physician practice with origins dating back to the 1980s, is joining
forces with Diablo Valley Oncology and Hematology Medical Group, a seven-doctor
group specializing in treating cancer and blood disorders. The groups gave two principal
reasons for the merger: new opportunities to deliver a stronger continuity of care for
patients, plus increasing economic pressures in health care, such as an anticipated 30-
percent decrease in Medicare payments to specialists to begin in 2012.
“For just about all doctors, the costs of practicing medicine are escalating – it’s that
simple,” said Dr. Stephen Taylor of Pacific Urology. “In anticipation of Medicare cuts,
over the last 18 months we have explored several different options for restructuring our
business and have concluded that combining our practices secures the future for both
organizations and consequently for the quality of care of our patients.”
The practices invested months in methodically evaluating an organizational structure
that would best meet patients’ needs through collaborative treatment of cancers of the
prostate, kidney and bladder, Taylor said. Both practices will retain their individual
names but will now share infrastructure and resources such as information technology
systems, business office processes and clinic locations.
“This has been a complex business decision driven by many factors including health care
reform,” said Dr. Matthew Sirott, founder, president and CEO of Diablo Valley Oncology
and Hematology. “In the end, it’s win-win for us and patients. Now we’ll jointly be able
to see more patients in more locations, reduce our overhead expenses, and collaborate
more closely than ever.”
As an example of improved care for patients, Sirott said, under the merger, physicians
from the two specialties will hold regularly scheduled case reviews in order to confer on
more difficult cases. Such multi-specialty conferences are not uncommon in university
and hospital settings but can be impractical for private, stand-alone practices, where
doctors from different specialties rarely appear in the same physical locations.
The advent of health care reform has increased pressure to control costs to unprecedented
levels, said Dr. Judson Brandeis of Pacific Urology, forcing medical practices to innovate
in order to survive. “Quite frankly, it came down to a choice of controlling costs or
cutting corners on care. For us, that’s no choice at all. We opted for cost controls.”
The merger is an extension of other efforts made by Pacific Urology recently to improve
patient care and services, Taylor said. For example, in the theme of innovation to keep
pace with the times, the practice is investing in a new electronic medical records system,
an Internet portal for patients to access financial and medical records, and an in-house
pathology lab that will enable better quality control and faster turnaround times for
clinical tests.
The merger will not affect the ability and enthusiasm for physicians from both practices
to continue close collaboration with other specialists and practices in the East San
Francisco Bay Area, Sirott said.
“We plan to work with all partners in the medical community just as we always have.
The realities of health care are that none of us has the luxury of forming exclusive
professional relationships.”
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About Pacific Urology
With clinics in Concord, Walnut Creek, Antioch, Brentwood, San Ramon, and Livermore, Pacific
Urology is one of the San Francisco Bay Area’s largest urology practices. The group's mission
is to provide university quality of care in a private practice setting, right in the patients'
community. Pacific Urology offers a combined expertise of nearly a century of collective
experience in urologic health. www.PacificUrology.com
About Diablo Valley Oncology
Diablo Valley Oncology and Hematology Medical Group is home to the largest single site for
cancer treatment in Contra Costa County. Its seven physicians bring together medical oncology;
hematology; chemotherapy; radiation therapy; CT/MRI/PET-CT scans and imaging; clinical trials;
research; and supportive care all in one convenient location. www.DiabloValleyOncology.md


